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The exposure of smokeless tobacco users and smokers to carcinogens and toxicants can now be monitored by urinary and DNA adduct biomarkers that may be able to identify those individuals at highest risk of cancer so that effective cancer prevention interventions can be initiated

The course also includes a lesson titled Environmental Impacts, which highlights the damage of tobacco use to the environment, from the cultivation of tobacco to tobacco product disposal

This is especially problematic when recovering from restorative dental treatments such as tooth extractions, periodontal treatments, or oral surgery