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A single randomized controlled trial compared the effects of switching from cigarettes to nicotine pouches, demonstrating statistically significant reductions in gingival inflammation, with improvements in Modified Gingival Index (MGI) and Gingival Bleeding Index (BI) at 12 and 24 weeks, while periodontal probing depth and bleeding on probing remained unchanged (56)

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Oral cancer accounts for 30 to 40% of cancer cases reported in India, and the most obvious cause is the extensive use of tobacco products, consumed via smoking and/or smokeless chewing products [15]

Periodontal tissues of SLT users have increased gingival recession leading to exposed root surfaces, periodontal pocket formation, plaque and calculus accumulation, and periodontal disease

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