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Most of the agents associated with oral cancer development are also involved in the aetiology of OPMDs, such as chronic exposure to ultraviolet radiation, alcohol consumption, tobacco use (smoking), nutritional deficiency, and genetic inheritance [2]

Karen Blumenfeld, executive of the anti-smoking group New Jersey Advisors on Smokefree Policy, said the sale of cigarettes and vaping devices alongside products to help people stop smoking can make for a hard decision

The onset of RAS and RAS-like ulcers has also been reported as an adverse drug event [7] , while some patients begin to experience mouth ulcers when they quit smoking (although the aetiological basis for this is unclear) [6]

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An example of this issue, discussed in more detail later, is with taxes on vapor products