“…Cigar smoke contains significantly higher concentrations of toxic and carcinogenic compounds than cigarettes (Baker et al, 2000). Compared with never smokers, pipe and cigar smokers have been found to be at significantly higher risk for a variety of health problems including coronary heart disease, stroke, lung cancer, bladder cancer, periodontal disease, and tooth loss (Albandar, Streckfus, Adesanya, & Winn, 2000;Boffetta et al, 1999;Higgins, Mahan, & Wynder, 1988;Jacobs, Thun, & Apicella, 1999;Krall, Garvey, & Garcia, 1999;Pitard et al, 2001;Shaper et al, 2003;Shapiro, Jacobs, & Thun, 2000;Wald & Watt, 1997).…”