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The increase in use of electronic cigarettes and hookah tobacco could be attributed to low price, an increase in marketing, availability and visibility of these products, and the perception that these products might be safer alternatives to cigarettes, officials with the Centers for Disease Control and Prevention wrote in a new report

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Tobacco use also alters the oral microbiome, resulting in distinct microbial signatures in normal mucosa, potentially malignant lesions and cancerous tissue

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2 Thompson DM, Koppes AN, Hardy JG, Schmidt CE