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.

686 comments:

dani iswara said...

if there are very fast & fatal side effects on health (eg. local exposure; oral environment [??]) for smoker, will they [stop] smoking?

keep smoking is ignore mechanism (for the high risk)..

Evy., DDS., OMFS said...

hohoho maybe they wouldn't stop smoking, but at least we try to share something we know... ok then keep smooking... and take your risk...

Yari NK said...

I am the one who is now trying very hard to phase out the smoking habit especially when I am in the crowd. So far it only results in a little progression. I realise that secondhand smoke is also bad for the people around me who inhale it. Do you know the most effective method to quit smoking?

Evy., DDS., OMFS said...

Hi Yari, I think dokter Dani Iswara wrote some articles about that... please visit his blog... searching on his site.. or u can also try the site in my link, u will find them.. ;), I kno its hard when u already addict on it, but u keep trying, OK?

Farid said...

Oh God, if Thy does really exist. Please help me to stop smoking........

inda_ardani said...

wow ... i never knew there's such a term like this: nicotine stomatitis

what i should quest is, due to the classification of stomatitis (traumatic stomatitis, etc), what category does this case belong to?

thanks

USPH said...

Dear Dr Evy
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Kami link ya bu hehe..

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