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Oral Safety Unproven The committee was unmoved by the firms evidence related to gum disease and tooth loss and voted 8-0 against supporting a conclusion that snus products do not pose a risk of gum diseases or tooth loss. Or as Thomas Novotny, MD, MPH, the graduate school of public health at the University of California San Diego State said, when explaining his vote, Its not causal relationships that were after, its perception of risk and the studies dont rule that out. The committees vote was likely influenced by Scott Tomar, DMD, MPH, DrPH, of the department of Community Dentistry and Behavioral Science, at the University of Florida, who said that advanced gingival recession can result in tooth loss. One of the studies presented showed a relationship between gingival recession and snus use