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Telltale signs you may notice immediately include: Stained teeth, from frequent contact with tobacco juice Periodontitis, as prolonged exposure to tobacco, can irritate the gums Bad breath, when tobacco particles mix with your saliva and other food particles New cavities, due to the sugar often used to sweeten tobacco products Tooth sensitivity, enamel erosion and a decrease in your sense of taste and smell are other possible side effects

In The Lancet , 397(10292), 23372360

& Axelsson, G

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This term has been defined as a form of irritation inside or outside the body which brings about a state of continual inflammation or soreness