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Those who use smokeless tobacco need to visit their dentist more frequently, since oral lesions and other complications can develop quickly and become serious if left unchecked

But Id be less concerned about any negative effects on the voice. Reviewed by Ross Mayerhoff, M.D., an ear, nose and throat specialist who sees patients at Henry Ford Hosital, Henry Ford West Bloomfield Hospital Clinics and Henry Ford Medical Center - Lakeside.

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