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One can of spit tobacco has the equivalent nicotine of 40 cigarettes, and a 30-minute chew is the equivalent of smoking three cigarettes, according to the OCF, meaning that an addiction to smokeless tobacco can be one of the hardest to break. Spit tobacco (which can refer to smokeless tobacco, dip, snuff, chew, and chewing tobacco) can cause gum disease, tooth decay, and white patches and oral lesion that can lead to oral cancer. An alarming 15 percent of high school boys, and 9 percent of all high school students, are already using spit tobacco, the foundation says, while 3.5 percent of adults use the drug

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Also, both have been linked to oral health concerns such as gum disease, tooth decay, and an increased risk of oral cancers