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Cigarette sales have decreased in the past decade, but some tobacco consumers have switched to smokeless products
Fans like the punchy delivery and the bold flavor
However, people using these products should be aware that 'tobacco-free' does not mean 'risk-free,' said Alexandra Howell, DMD, oral medicine specialist and assistant professor in the Department of Oral Diagnostic Sciences at Virginia Commonwealth University's School of Dentistry
The physical act of drawing on a cigarette causes the mouth to pucker and the eyes to develop wrinkles known as crows feet. Cigarette smoke also causes the blood vessels to narrow, restricting the flow of nutrients and oxygen to the skin
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