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middle and high school students National Youth Tobacco Survey, 2023

It consists of cut or shredded strips of tobacco leaf, and is usually sold in sealed pouches or bags lined with foil

Lorigan, P., Radford, J., Howell, A

"Usually, there is cause for the lesion, for instance, chronic irritation from tobacco, a jagged tooth or grinding of the teeth, which can lead to temporary red or white patches in the mouth." However, if those issues are addressed by tobacco cessation, tooth removal/filing or a mouth guard, and the lesion remains after a few weeks, its time to take another look, she adds

This variety shows how far the industry has come from the limited flavor options of traditional dipping tobacco