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Many smokeless products contain fine abrasives that increase wear where the product is placed, leading to localized recession

Vascular compromise may lead to necrotic ulcers in necrotizing sialometaplasia, an infarction of salivary gland tissue that presents first with a slight swelling followed by break down of the mucosa leading to an ulcer with sharply demarcated margins, and then resolution over a period of weeks.36,37 Infrequently, cases may be bilateral,38 or associated with bulimia.39 The fairly superficial nature of these ulcers, their sharp border, relatively small size, and short duration differentiates this from long-standing ulcers of systemic vasculitides and lesions of midline destructive disease (see below)

See also [edit] References [edit] Bracco 2006, p

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E-cigarettes were the most-used tobacco product for non-Hispanic whites, Hispanics and non-Hispanic other races, while cigars were the most commonly used product among non-Hispanic blacks