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While the exact cause is not known, it has been linked to factors like the Human Papillomavirus (HPV), smoking, poor mouth cleanliness, presence of lichenoid lesions (small white patches or bumps on the skin), or chewing tobacco
Until 2024, no flavored e-cigarette device had received an FDA marketing order and only 23 unflavored (tobacco-flavored) vapes received approval
Retrieved March 14, 2019
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