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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

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Robin Koval, CEO of the Truth Initiative, a nonprofit tobacco-control organization, said the industry is "largely unregulated or loosely regulated" and doesn't do enough to curb underage use