Teeth scaling and polishing should be done at least once a year to keep your mouth healthy
Attending recommended health screenings, especially if you have a history of heavy smoking
Your calculation about 400 puffs in shisha may not be the most accurate way to measure this I think it is not the number of puffs but the much larger volume of smoke that is at issue
Transl Behav Med 2022;12(9):892899
The researchers also looked at health outcomes by how often someone reported using e-cigarettes, either daily or some days. When compared to non-e-cigarette users, daily e-cigarette users had higher odds of heart attack, coronary artery disease and depression/anxiety, whereas some days users were more likely to have a heart attack and suffer from depression/anxiety, with only a trend toward coronary artery disease
Nicotine Addiction Both cigarettes and vapes contain nicotine, which is addictive