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Smokeless Tobacco: Teen Version



  • Smokeless tobacco includes chewing tobacco and snuff. Smokeless tobacco contains nicotine that can lead to addiction.
  • Smokeless tobacco can cause gum disease, increase your risk for several kinds of cancer, and increase your risk for heart disease and stroke.
  • See your healthcare provider or dentist for information and help in quitting smokeless tobacco.


What is smokeless tobacco?

Smokeless tobacco includes:

  • Chewing tobacco, which is leaf tobacco that is put inside the cheek
  • Moist snuff, which is finely ground tobacco put between the cheeks and gums, or dry snuff that is sniffed through the nose. Snus is moist snuff in a pouch like a tea bag that is put between the cheeks and gums.

Chewing tobacco and moist snuff may be called spit or spitting tobacco because you have to spit out the tobacco juices and saliva that builds up in your mouth.

Smokeless tobacco users are often teens and young adults. If you start using smokeless tobacco at a young age, you are more likely to start smoking cigarettes.

What are the risks?

Smokeless tobacco contains nicotine that can lead to addiction. You need more tobacco and stronger tobacco over time to get the same effects. If you decrease your use or stop you will have withdrawal symptoms.

Smokeless tobacco contains chemicals that cause cancer. Your risk of getting cancer of the mouth, cheeks, tongue, gums, throat, bladder, colon, and pancreas is much higher than someone who does not use tobacco.

Smokeless tobacco can irritate your gums, which can cause mouth sores and gum disease. It increases your risk for cavities, stains your teeth, and can wear down your teeth. No amount of flossing or brushing can keep these changes from happening.

Smokeless tobacco causes your heart to beat faster and your blood pressure to go up. This puts a strain on your heart and can increase your risk for heart disease and stroke.

Using smokeless tobacco during pregnancy increases the risk of stillbirths and premature birth.

Swallowing small amounts of nicotine can poison a young child.

What are signs of addiction?

Signs that you are addicted to smokeless tobacco include:

  • Using smokeless tobacco more often and not being able to go more than a few hours without it
  • Switching to stronger tobacco, with more nicotine
  • Swallowing the juice on a regular basis
  • Sleeping with smokeless tobacco in your mouth
  • Needing smokeless tobacco first thing in the morning
  • Having strong cravings when trying to stop using smokeless tobacco

How can I take care of myself?

There are things you can do to help yourself quit using smokeless tobacco:

  • Make a plan:
    • Set a date that you plan to quit and tell your family and friends. Some people gradually use less tobacco in the days leading up to their quit date. Others use the same amount of tobacco right up to their quit date.
    • It may also help to use non-tobacco mint leaf snuff, sugarless gum, hard candy, beef jerky, or sunflower seeds in place of the tobacco.
    • Throw out all your tobacco products and anything that you use with your tobacco such as spit cups.
    • Think about all the reasons you do not want to use tobacco. For example, you may hate the smell and the cost. You can write these reasons down and review them whenever you feel tempted to use tobacco.
    • Make a list of the situations, places, or emotions that make you more likely to use tobacco. These things are called triggers. Being aware of these triggers can help you avoid them or be ready for them. For example, if you always use tobacco when feeling stressed, plan to take a walk instead.
  • Get support. Talk with family and friends. Join a support group or class.
  • Learn to manage stress. Ask for help at home and work when the load is too great to handle. Find ways to relax. For example, take up a hobby, listen to music, watch movies, or take walks. Try yoga, meditation, or deep breathing exercises when you feel stressed.
  • Take care of your health. Try to get at least 7 to 9 hours of sleep each night. Eat a variety of healthy foods. Limit caffeine. Don’t use alcohol or drugs. Stay physically active as advised by your provider.
  • Check your medicines. To help prevent problems, tell your healthcare provider and pharmacist about all the prescription and nonprescription medicines, natural remedies, vitamins, and supplements you take.
  • Contact your healthcare provider for a prescription medicine that can help you quit. Ask about using nicotine gum or patches.
  • Keep trying. Many people try more than once to quit smoking before they finally succeed. So, never say that you can’t quit. You CAN learn to live without tobacco in your daily life.

See a healthcare provider or dentist for information and help in quitting smokeless tobacco.

For more information, contact:

  • National Institute of Dental and Craniofacial
  • National Network of Tobacco Cessation Quitlines
Developed by Change Healthcare.
Pediatric Advisor 2022.1 published by Change Healthcare.
Last modified: 2021-12-07
Last reviewed: 2020-04-27
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2022 Change Healthcare LLC and/or one of its subsidiaries
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