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In recent comments to an industry group, Mitch Zeller, the new head of the Food and Drug Administrations tobacco control efforts, noted that changes in the marketplace have forced the public health community to wrestle with the idea that some tobacco products, such as electronic cigarettes, may pose less of a health risk than others

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For instance, we have reported that cigarette smoke, but not the aerosol of a heated tobacco product, caused the discoloration of dental resin composites used for fillings as well as human dentin and enamel [75]

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This is a contrast to the more traditional vaping systems that have a rechargeable battery and a refillable tank or cartridge, which can be used for a year or longer

Some unregulated disposables contain hundreds of milligrams of nicotine with no labelling or dosage control, posing serious risks for both novice and experienced users