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Smoke and smokeless form of tobacco use among youth in both low- and high-income countries is a public health concern.[] SLT consumed in Maharashtra is predominantly gutkha, mishri, khaini, kharra, tambakoo, and mawa.[] Teeth staining and abrasion of teeth are seen among tobacco users along with lesions which include smokers melanosis, acute necrotizing ulcerative gingivitis, periodontal conditions, burns, keratotic patches, black hairy tongue, nicotinic stomatitis, palatal erosions, leukoplakia, epithelial dysplasia, and squamous cell carcinoma.[] The World Health Organization (WHO) projects that tobacco-related death by 2050 would come down if adult consumption could be reduced to half rather than cutting 50% of young adults taking up tobacco use.[] Many first-line drugs have been approved by Food and Drug Administration for tobacco use cessation

Nicotine addiction is hard to overcome because it affects your brain by developing extra nicotine receptors to accommodate the large doses of nicotine from tobacco
Tobacco has been around for centuries, maximised by different civilisations and cultures in different ways