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The authors note, Numerous epidemiological studies have demonstrated that of all the risks identified, cigarette smoking may be the most strongly associated with periodontitis. Severe periodontal disease among snus users was about as common as among nonusers of tobacco (OR = 0.8, not statistically significant)

Several factors accelerate tobacco degradation

World Health Organization tobacco fact sheet.

the intention is not that providers need to discuss each individual option with each person who smokes

The cut can have quite a large impact on how a tobacco will smoke, not just in the mechanics, but also in how the flavors develop (and meld together in the blend prior to smoking)