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Participants were dichotomized into past 30-day use for each flavor (0 = did not use flavor in the past 30 days)

While they lack tobacco leaf content, they still pose risks to oral health, including gum irritation and potential dependence. Chemical Composition and Oral Health Implications Smokeless tobacco products contain a complex mixture of chemicals, including: Nicotine : An addictive substance that constricts blood vessels, reducing blood flow to the gums and impairing healing. Tobacco-specific nitrosamines (TSNAs) : Potent carcinogens linked to oral and other cancers. Sugars and flavorings : Added to enhance taste but contribute to tooth decay

Typically, HEPA filters should be replaced every six to 12 months, while activated carbon filters may need more frequent replacement

Therefore, this level of non-response is not negligible and may introduce some non-response bias, which is a significant limitation of the current study

The interior has a "gold wash" and is fitted with two hinged elaborate bands across each side