The U.S. Surgeon General’s 50th anniversary review of tobacco was the headline article in the February ADA News. The report expanded the list of illnesses “casually associated” with active smoking to include orofacial clefts. The report also stated that evidence is suggestive but not sufficient to infer a causal relationship of tobacco smoke with dental caries and failure of dental implants. The report also examined the relationship of smoking with oral cancer and gum disease. The Surgeon General called for dramatic action to reduce tobacco use.