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The oral mucosal lesions predominantly associated with reverse smoking are hyperpigmentation, depigmentation, stomatitis nicotina, preleukoplakia, leukoplakia, erythroplakia, and palatal cancer.[4,8,9] Despite its harmful effects on health, hardly any literature exists pertaining to the social and psychological factors associated with its initiation and abiding factors of reverse smoking

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There are those who exalt its pleasures while others consider it evil and crusade to eliminate its use and existence