This distinction is well known here in Sweden where we have snus, and also lower rates of lung cancer and cigarette use than the rest of Europe by a LOT.
Sweden male tobacco use percentages are slightly higher than the other three countries, which might be a function of the population additionally using non-cigarette tobacco substitutes perhaps as was mentioned by others.
[0] https://cdn.who.int/media/docs/default-source/country-profil...
It decreases cavities by a lot (presumably because the bacteria doesn't like the environment anymore), but also destroys your gums. All in all, depending on your dosage it could be a wash or even positive for your oral health.
It's absolutely disgusting, but it's not dangerous :P
Why are nicotine pouches and vapes addictive, then? The answer lies in the flavourings, which themselves have psychoactive properties, likely also through MAO inhibition.
> Why are nicotine pouches and vapes addictive
It's the nicotine.
[0]: https://duckduckgo.com/?q=nicotine+addictive+site%3Anih.gov&...
Neurophysiology of Nicotine Addiction: https://pubmed.ncbi.nlm.nih.gov/22454789/
Some of this can be explained by different consumptions methods. For example in lozenges, gum and patches nicotine enters the bloodstream much slower than smoking or vaping so even if you consume the same overall amount the peak is lower slowing adaption. But that couldn't explain it entirely.
https://www.fda.gov/tobacco-products/health-effects-tobacco-...
https://www.fda.gov/tobacco-products/labeling-and-warning-st...