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No form of smokeless tobacco is a safe substitute for cigarettes. Overall, people who dip or chew get about the same amount of nicotine as people who smoke regularly. They are also exposed to more than 25 chemicals that are known to cause cancer. The most harmful cancer-causing substances in smokeless tobacco are tobacco-specific nitrosamines TSNAs.

TSNA levels vary by product, but the higher the level the greater the cancer risk. Many studies have shown high rates of leukoplakia in the mouth where users place their chew or dip. Leukoplakia is a gray-white patch in the mouth that can become cancer. The longer a person uses oral tobacco, the more likely they are to have leukoplakia. Stopping tobacco might help clear up the spot, but treatment may be needed if there are signs of early cancer.

Tobacco stains teeth and causes bad breath. It can also irritate or destroy gum tissue. I figure it's time to test out some saliva-free versions.

First, I try a tin of dry snuff. Snuff is powdered tobacco you can ingest by snorting. It's got a long history—Beethoven and Napoleon loved to carry around boxes of it—but snuff just reminds me of cheap, dirty-looking cocaine.

When I sniff a little mound, it makes my nose burn, then I sneeze repeatedly. I can't get over the brown powder all over my hands. I look like I just came in from plowing potato fields. Next I test out an increasingly popular product called snus. Snus started in Sweden, where they remain hugely popular. They're little individual packets of tobacco, each one the size of a Chiclet. You tuck the snus into your upper lip, not the lower, because it's the Scandinavian way.

There's some evidence snus might be a tad healthier than chew, though I wouldn't bet my insurance premium on it. Regardless, they cause much less saliva. You rarely if ever need to spit. I tuck a snus into my lip one afternoon at my laptop and immediately fall for them.

Snus are clean, compartmentalized, modern—a bite-sized version of Ikea. They're prepackaged and convenient, like my kids' juice boxes. The Dip Doctor would be disappointed. And I feel un-American. But several of the Wall Street guys tell me they prefer the snus as well—they're easier to hide at work. You can have one tucked into your cheek at a meeting, no cup required. Plus, they can be surprisingly strong. There's a brand called Thunder that turned my brain to Jell-O.

So for the next week, I go on a snus binge, tucking away a half dozen a day. It's been a month. This morning, I woke up, checked the time on my iPhone, and then, while still in bed, tucked a snus into my upper lip.

She points to the brown lump of tobacco on the sink. Damn, that is a sad sight. A clear sign that I'm on the verge of addiction. I'm not rabidly opposed to oral tobacco. I now understand its appeal very well—the buzz, the ritual, the oral fixation, the history. I understand the possibility—according to some research—that it's not as dangerous as cigarettes a position that remains controversial.

But I've already got two drugs in my life, my beloved caffeine and alcohol. I don't need to be a slave to another. You know, for journalism. She's a sport. She agrees. Taking a pinch of the Skoal mint in her lip, she grimaces. But nothing like her expression as she watched me begin my habit. The reality is less repulsive than the idea. She spits—"pfftoo, pfftoo.

United States. Type keyword s to search. There are two main types of smokeless tobacco products: Chewing tobacco. Chew is available as loose leaves, plugs bricks , or twists of rope. A piece of tobacco is placed between the cheek and lower lip, typically near the back of the mouth.

Saliva is spit out or swallowed. Snuff tobacco. Snuff tobacco is finely cut or powdered tobacco. It is packaged moist or dry—most American snuff is moist. It may be sold in different scents and flavors.

Dip or dipping tobacco and snus are common forms of moist snuff in the US. People take a pinch or pouch of moist snuff and put it between the cheek and gums—or behind the lips. Are Chew and Dip Addictive? Are Chew and Dip Harmful?

Lyon, France. Atlanta, GA: U. Oral leukoplakia status six weeks after cessation of smokeless tobacco use. J Am Dent Assoc. Rockville, MD: U.



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