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But both smokeless products involve absorbing nicotine through mouth tissue
[DOI] [PubMed] [Google Scholar] 108.Matt GE, Quintana PJ, Fortmann AL, Zakarian JM, Galaviz VE, Chatfield DA, Hoh E, Hovell MF, Winston C

Updated 10 Dec 2020

These include: increased risk of oral cancer gum disease stained teeth bad breath (halitosis/oral malodour) tooth loss loss of taste and smell reduced blood supply to the mouth increased build-up of plaque biofilm and tartar on your teeth delayed healing following tooth extraction and other surgery in the mouth Current evidence indicates tobacco and alcohol together significantly increase the risk of mouth and throat cancers compared with either alcohol or tobacco use alone

2070mm max width (untrimmed)
Trends in Cardiovascular Medicine