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9 Editors note: This article originally appeared in Perio-Implant Advisory , a chairside resource for dentists and hygienists that focuses on periodontal- and implant-related issues

2011: Skoal Xtra was released in pouches and longcut

They were already collecting dust samples from homes as part of the California Childhood Leukemia Study, which among other things explores how environmental exposures to contaminants such as cigarette smoke could influence leukemia risks

But we wont know the exact level of harm for certain until we have years of accumulated data to analyze

It might not be as deadly as cigarettes, but then again, maybe it is

Epidemilogic Reviews, 1996