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Chewing tobacco has significant short-term impacts on oral health and digestion, and these chewing tobacco effects often appear within days or weeks of regular use, including: Gum Irritation and Receding Gums : The direct contact of tobacco with oral tissues can cause inflammation and lead to gum recession, exposing the roots of teeth and increasing sensitivity

Some well-known loose leaf chewing tobacco brands, such as America's Best Chew and Levi Garrett, also have their own versions of plug tobacco

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They were also more likely to have previously tried cigarette smoking and to have smoked daily