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81, photo by Zakaria Usluer (@zku)

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When nicotine constricts the blood supply in oral tissue, it can dull the early visual signals we rely on to detect disease, sometimes allowing pathology to develop before patients realise anything is wrong. Dr Sung Hee Cho , Riverside Oral Surgery Dental Tribune International spoke with oral and maxillofacial surgeons at Riverside Oral Surgery in the US state of New Jersey about the oral health implications of the use of new tobacco and nicotine products for diagnosis, patient communication and risk assessment