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Several kinds of sugar are found in unprocessed chewing tobacco and added during its processing which may cause dental cavities specially root caries frequently associated with gingival recession [7]

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Because theres a gradual transition from one to the other, we dont really know yet what the chronic effects of thirdhand smoke are. The study is part of a research agenda developed by the California Consortium on Thirdhand Smoke, which was established in 2011 largely as a result of work published in 2010 by Destaillats, Gundel, Sleiman, and others