Wednesday, June 6, 2007

Nicotine Stomatitis

Nicotine Stomatitis is sn uncommon condition caused by smoking tobacco and manifesting as leukoplakia of the hard palate with raised red dots signifying the openings of minor salivary gland ducts; smoking cessation results in improvement of nicotine stomatitis. This condition is caused by smoking pipes, cigars, and cigarettes directed toward the mucosa of the hard palate that produces this lesion.

The clinical features of this condition are unique. The hard palate takes on a gray to white color depending on the amount of smoke directed toward it. Scattered raised areas with red centers complete the clinical picture. The raised areas are clumps of minor salivary glands and the central red dots are the openings of their ducts. It is because ducts are lined with nonkeratinizing epithelium that they appear red.

Cessation of smoking will cure nicotine stomatitis, attempts should be made to eliminate tobacco use. If that is successful, the lesion will subside. If not, incisional biopsies are needed to rule out the presence of dysplasia and anaplasia. As stated earlier, SCC of the hard palate is uncommon; therefore, it is unlikely that the lesion will progress to invasive SCC. It needs to be remembered however that while the palatal effects of smoking may not be serious, the habit may cause mucosal dysplasia or carcinoma-in-situ elsewhere.


Tuesday, May 22, 2007


The digital era have great influence on the health field, today the growth of telehealth, or telemedicine, continues to expand across the country.

TeleHealth is a unique video conferencing networkconsultations to medical education to staff training, teleHealth provides fulfill a variety of health care, education and business needs.

Today, the comunication is no longer difficult with the technology, especially in the remote area. However, it might be most useful to those residents where it will be most problematic for this technology to reach a– the small rural, distant community.

Access to traditional health service can be limited in these communities because of the cost and difficulty of travel. Yet these same communities also have, potentially, the most difficulty with telecommunication infrastructure.

This is especially true if telehealth technology must be supported with more bandwidth than is currently available in the community. The other problem in public is some of the telehealth equipment has not been easy to use.

It has taken special operating skills, which need to be learned, and these skills continue to change as new hardware and software are introduced. Sufficient training has not been provided before the telehealth application was introduced.

The equipment has not been reliable. An equipment breakdown or a computer glitch occurs and easy and timely service repair is not available. The telecommunications link is slow or unreliable resulting in the view that it is a chore to establish and maintain a current communication link to the consultation service.

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Tuesday, May 15, 2007

Cleft Course

Padjajaran University Department Oral and Maxillofacial Surgery, Indonesian Oral and Maxillofacial Surgeon (PABMI) and International Oral and Maxillofacial Surgeon Association (IAOMS) announces Workshop on Surgical Techniques in Cleft Lip and Palate.
The Workshop will be held in Bandung, Indonesia August 27-31,2007

Keynote speaker :
Prof. Peter Ward Booth,
Consultant Maxillofacial and Cleft Surgeon
Department of Oral and Maxillofacial Surgery,
Queen Victoria Hospital,
East Grinstead, West Sussex,

This workshop is intended for Oral and Maxillofacial Surgeons, General Surgeons and Plastic Surgeons with an interesst in the management of cleft and facial deformity patients

Lunch and Coffee break U$ 180

For further information please contact : Asri Arumsari DDS. OMFS