The areca nut can be replaced with tobacco or the two chewed together, and the betel leaves can be excluded
Additionally, the use of nicotine packets can worsen these oral health issues due to the acidic nature of the products
VELO Nicotine Pouches Do You Spit
Incapsula incident ID: 679000170014492231-61031515385431122
(Interestingly, history is repeating itself now with the increasing popularity of e-cigarettes, which produce several vaporized chemicals, have no regulatory oversight, and contain varying amounts of nicotine.) Cigarette smoke is a complex mixture of gases and submicron-size particulate matter [35]
As a result, low levels of nicotine exposure result in overstimulation of the nervous system while high levels of exposure can overwhelm the nervous system and prevent nerves from functioning appropriately