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In fact the introduction of these blends to the British market was an omen of sorts: it signaled the demise of much of the English blending tradition and of many brands that are now mythical anecdotes

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But that does not mean the experience is harmless or pleasant

It is a form of frictional keratosis and exaggeration of this is seen in patients who habitually chew the buccal mucosa, a condition known as morsicatio mucosae oris (MMO) (see below)