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It also suggests that we need to be more precise when we ask about cigarette smoking frequency. Duke Professor Jason Oliver said that when assessing nicotine addiction, also known as tobacco use disorder, clinicians are encouraged to fully assess the 11 criteria listed in the 5th edition of the Diagnostic and Statistical Manual (DSM-5)

Our finding is that there is a higher risk of oral cancer associated with chewing tobacco products than non-chewing tobacco products

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