Smokeless tobacco known also as chewing or spit tobacco, is usually placed in the mouth inside the cheek or between the cheek and gums. It is known to contain very many carcinogenic agents, of which the most deleterious are the group of tobacco-specific nitrosamines (TSNAs), while some others of interest are formaldehyde, acetaldehyde, arsenic, benzopyrene, nickel, and cadmium. India is the second largest producer of tobacco globally, next only to China. Tobacco occupies a predominant position in the Indian economy owing to its significant contributions in the agricultural and industrial sectors. [1]The Indian populace consumes tobacco in both the smoked & smokeless forms since ancient days for both therapeutic and non-therapeutic purposes. However in the recent years, therehas been a disturbing increase in the use of smokeless tobacco products in the Indian Subcontinent in the form of paan, gutkha, etc.This is a matter of great concern since the use of smokeless tobaccoproducts are associated with development of several lesions specially pertaining to the oral cavity.[2]It has long been a misconceived public notion that smokeless tobacco is somehow a safer form of tobacco when compared to the traditional smoked form of tobacco. However, Nicotine is found in smokeless tobacco too, like in all other tobacco products.