If the cause is unknown or the oral leukoplakia is already advanced, a doctor usually has to remove it surgically
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Excessive noise can cause tinnitus, either temporarily or permanently, and if you already have tinnitus, loud sounds can make symptoms worse
They may feel they need betel nut to go about their normal activities like working, studying and socialising, or just to get through the day
Encourage patient to quit Never push Speak to the physician about possibility of smoking cessation aide Continue to have a positive, supportive relationship with patient