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21-Oct-2017 13:28

In 2006, pouch-type tobacco products were marketed in the United States.

This type of tobacco is positioned along the gum line, and the user may swallow the juices, making chewing and spitting unnecessary.

Premalignant lesions and carcinoma in situ (CIS) may be permanently cured after excision or biopsy.

The term smokeless tobacco, also known as dip, plug, chew, or spit tobacco, refers to both chewing tobacco (coarse cut) and snuff (fine cut).

In the United States, clean indoor air acts and cigarette excise tax increases have resulted in a coincidental increase in smokeless tobacco use.

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Two distinct grading systems are used to classify lesion stage by degree of clinical thickening.

Tobacco-related lesions (smokeless tobacco–related and nicotine stomatitis) comprised 4.7% of all lesions found in 17,235 people examined as part of the Third National Health and Nutrition Examination Survey.

Smokeless tobacco users had one of the highest odds of having a lesion present (odds ratio, 3.9).

These include plug, gutkha, khiwam, khaini, iq’milk, zarda, naswar, nass, chimo, toombak, shamma, gudhaku, gul, mishri, maras, and moist snus.

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The use of smokeless tobacco is associated with a spectrum of oral cavity lesions, including leukoplakia, speckled leukoplakia, erythroplasia, tobacco-associated keratosis, carcinoma in situ (CIS), verrucous carcinoma, and invasive squamous cell carcinoma (SCC).Oral leukoplakia (white plaques) is a common physical finding in 40-50% of people who use smokeless tobacco.Oral leukoplakia is a premalignant lesion, with the risk of malignant transformation to oral cancer varying in relation to the product used.Indirect pharyngoscopy and laryngoscopy may be performed to help visualize lesions of the throat, base of the tongue, and larynx.

Dip is a form of smokeless tobacco that is cut more fine than regualar chewing tobacco. It is bought in a round tin that is a little smaller than a hockey puck. It comes in fine cutor snuff, mid cut, and long cut. Users take a pinch of tobacco and place it between their bottom lip and gums. Smokeless tobacco has much more.… continue reading »

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Jul 17, 2014. Baseball Hall of Famer Tony Gwynn's death from oral cancer associated with a lifetime use of smokeless tobacco shocked baseball fans around the. If someone you care about says that he or she is ready to quit, is trying to quit, or has recently quit, tell them how proud you are and offer your support.… continue reading »

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In fact, many sports facilities have also banned smokeless tobacco use. KICKING THE DIP OR CHEW HABIT CAN BE TOUGH; BUT IT CAN BE. DONE, AND YOU CAN DO IT. The best approach to quitting tobacco is to understand your reasons for wanting to quit, pick a quit date, and come up with a quit plan. Your VA health.… continue reading »

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