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Opportunities exist for dental hygienists to develop a greater awareness about ENDS based on scientific evidence in order to assist patients in making informed decisions regarding ENDS use

The perceived safety or reduced harm of smokeless tobacco use during pregnancy has led to the use of smokeless tobacco as either a smoking cessation aid or as a normalized, culturally acceptable form of tobacco use for reproductive age and/or pregnant women

Satisfying the craving Nicotine is the main substance keeping people addicted to smoking tobacco and consequently exposing them to the tar and toxins found in cigarettes

In Italy, premature deaths from cancer in 2008 had a total cost of 7.2 billion, reflecting lost jobs, reduced tax revenues and increased social security costs due to premature deaths