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November 18 is the American Cancer Societys Great American Smokeout, a day used to encourage tobacco-users to make a plan and quit

a pipe would stand for thoughtfulness and calm

However, people using these products should be aware that 'tobacco-free' does not mean 'risk-free,' said Alexandra Howell, DMD, oral medicine specialist and assistant professor in the Department of Oral Diagnostic Sciences at Virginia Commonwealth University's School of Dentistry

Perhaps this is why smokers have an increased risk of sudden cardiac death

Competing interests MLG reports research grant from Pfizer and personal fees from Johnson & Johnson, outside of this work