How does pipe smoking affect health compared to cigarette smoking?

It's still tobacco: Pipe smokers get more in the way of cancer of the mouth, iips, tongue, mouth and throat, including the larynx, than do cigarette smokers, but less lung cancer and heart disease, because they usually do not inhale the smoke. However, nicotine is absorbed from oral mucous membranes, so addiction to nicotine and many of the cardiac problems still occur.