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Collectively, findings from this study stress the necessity for a multifaceted approach, combining comprehensive policies, policy reinforcement, targeted education, and community engagement to effectively address the evolving challenge of alternative tobacco product use, particularly within private settings.

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The tar and nicotine in cigarettes bond to tooth enamel, leaving behind yellow, brown, and sometimes black discoloration that regular brushing alone cannot fully remove

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Surgeon General has concluded that the use of spit tobacco is not a safe substitute for smoking