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Specific oral health consequences include: Gum recession and periodontal disease Tooth decay and tooth loss Leukoplakia (white patches that can become cancerous) Bone loss in the jaw Tooth staining and bad breath According to research on nicotine and periodontal tissues, smokeless tobacco users show significantly greater risk for attachment loss, with studies reporting odds ratios as high as 5.4 for periodontal disease development

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Feron VJ, Kruysse A, Woutersen RA

Michelle Manderski, Ollie Ganz and Julia-Chen Sankey at the Rutgers School of Public Health contributed to a commissioned paper.