“…Tobacco and alcohol have been established as risk factors for the development of such potentially malignant and malignant disorders of the oral mucosa (Jaber et al, 1999;Moreno-Lopez et al, 2000;Lee et al, 2003;Znaor et al, 2003;Saraswathi et al, 2006;Yen et al, 2007;Cebeci et al, 2009;Javed et al, 2010). In South India chewing betel quid/ paan (betel leaf enclosing sliced areca nut, catechu, lime and various other spices which may or may not contain tobacco) (Warnakulasuriya et al, 2002;Rani et al, 2003;Aruna et al, 2011) is a common habit but the evidence for cancer occurrence due to this habit without tobacco is limited (Znaor et al, 2003;Lee et al, 2005).…”