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See your doctor right away if you have any of the following: A sore that bleeds easily and does not heal A lump or thickening in your mouth or neck Soreness or swelling that does not go away A red or white patch that does not go away Trouble chewing, swallowing, or moving your tongue or jaw If you use smokeless tobacco, your doctor and dentist should carefully examine your mouth at each checkup

The range of ratings was categorized as 0 points = cannot do all, 15 points = moderately can do, and 610 points = certain can do