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The use of areca nut (30%) and betel quid with tobacco (28%) were the most significant contributors to oral cancer cases among women, followed by the consumption of gutka and khaini, each accounting for 21% of cases

Thomas AM, Gleber-Netto FO, and Fernandes GR, et al (2014) Alcohol and tobacco consumption affects bacterial richness in oral cavity mucosa biofilms BMC Microbiol 14 250 PMID: 25278091 PMCID: 4186948 59