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Further, researchers have proved that use of tobacco during adolescence can disrupt brain circuits and affects cognitive abilities, attention deficits, and psychiatric disorders.[4] Many carcinogens have been found in smokeless tobacco and the major causative agent being tobacco-specific nitrosamines, and other agents include nitrosamino acids, polycyclic aromatic hydrocarbons, aldehydes, and different types of metals.[5] In addition to the risk of oral cancer, smokeless tobacco has been associated with the development of gingivitis, gingival recession and attachment loss, halitosis, reduction of taste, and abrasion of teeth.[6] However, there was no evidence of taste disturbances in our patient

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Nixon G21 Aug 1997