The 18th jewel is in the coupling yoke for the chronograph. Here in an 861 it's a bushing:
In the versions with 18 jewels (like this 1861) it's a jewel:
The small wheel you see there is turning whenever the watch is running, but the loads on it are pretty small. Wear is not typically a big concern here, if it was they would have replaced both the upper and lower bushing with jewels. In this case they only replaced the upper bushing with a jewel, and the lower position still uses a bushing.
Cheers, Al
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