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According to a recent study, its market share jumped from 4 percent of the oral tobacco and nicotine market to 44 percent by 2024

Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health

to environmental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history of tobacco use (Z87.891) occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17.-) tobacco use (Z72.0) Excludes2: certain disorders of gingiva and edentulous alveolar ridge (K05-K06) cysts of oral region (K09.-) diseases of tongue (K14.-) stomatitis and related lesions (K12.-) K13.0 Diseases of lips Abscess of lips Angular cheilitis Cellulitis of lips Cheilitis NOS Cheilodynia Cheilosis Exfoliative cheilitis Fistula of lips Glandular cheilitis Hypertrophy of lips Perl?che NEC Excludes1: ariboflavinosis (E53.0) cheilitis due to radiation-related disorders (L55-L59) congenital fistula of lips (Q38.0) congenital hypertrophy of lips (Q18.6) perl?che due to candidiasis (B37.83) perl?che due to riboflavin deficiency (E53.0) K13.1 Cheek and lip biting K13.2 Leukoplakia and other disturbances of oral epithelium, including tongue Excludes1: carcinoma in situ of oral epithelium (D00.0-) hairy leukoplakia (K13.3) K13.21 Leukoplakia of oral mucosa, including tongue Leukokeratosis of oral mucosa Leukoplakia of gingiva, lips, tongue Excludes1: hairy leukoplakia (K13.3) leukokeratosis nicotina palati (K13.24) K13.22 Minimal keratinized residual ridge mucosa Minimal keratinization of alveolar ridge mucosa K13.23 Excessive keratinized residual ridge mucosa Excessive keratinization of alveolar ridge mucosa K13.24 Leukokeratosis nicotina palati Smoker's palate K13.29 Other disturbances of oral epithelium, including tongue Erythroplakia of mouth or tongue Focal

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