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Nationally, the smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 2.1% of high school students in South Dakota smoked cigars, cigarillos or little cigars on at least one day in the past 30 days

Philip Witorsch and Nancy Baltar, recipients of funding from The Tobacco Institute and Philip Morris

Neither wins outright

But the full effects of the oral product are not known as of yet, with more research needed to understand how nicotine usage might be associated with gum disease or cavities, said Yanfang Ren, a professor and chairman of the department of diagnostic sciences at the University of Rochester Eastman Institute for Oral Health in upstate New York