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Takeaway Black gums can be caused by a variety of factors, from natural melanin pigmentation to more serious conditions such as black gum disease or ANUG
"Evidence review of e-cigarettes and heated tobacco products 2018" (PDF)
Among tobacco users (male and female), 77.5% reported using combustible products like cigarettes, cigars, or pipes, while 18.1% reported using two or more types of tobacco products
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