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You might be wondering how pipe smoking compares to other forms of smoking in terms of health risks. Although pipe smokers have a lower risk of dying from tobacco-related diseases than cigarette smokers, pipe smoking is just as harmful, if not more harmful, than cigar smoking. Smokers who inhale pipe smoke also have a high risk of developing lung, pancreatic, and bladder cancer. For example, pipe smokers have a high risk of developing oral cancer, including the tongue, larynx, and throat. For those who inhale, cigar-smoking also appears to be associated with death from pancreatic and bladder cancer. In fact, according to a study published in the December 2000 issue of the Journal of Periodontology, pipe smoking can contribute to gum disease and tooth loss almost as much as cigarette smoking. The study found that pipe smoking was associated with increased mortality from cancers of the lung, oropharynx, esophagus, larynx, pancreas, and colon, as well as cardiovascular disease, compared