<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have had a few small hard painless bumps where my cheek goes to my gums. this may sound terrible but they have been there, the same size number for about a year if I remember correctly scratch that, I just talked with a friend of mine remebered they have been there for four years I have yet to tell my dentist about them. any thoughts? I am a 16 yr. old male have used snuff habitually before, for only a few years but none the less.  <response>: Taking snuff for a prolonged period is not known to cause cancer, but it may lead to a number of local infections. Also, such people have a number of vitamin deficiencies which may also lead to irregularities in the cheeks and gums. I would advise you to take an antibiotic and antifungal Tab Ciprofloxacin 500 mg twice daily Tab For can 150 mg twice daily plus a multivitamin Tab B-Complex twice daily, all for 15 days. If your bumps dont improve by then, you should consult a surgeon. 