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Transcript of Nicotine Stomatitis
Jarone Osinar Nicotine Stomatitis Description of Nicotine Stomatitis Nicotine stomatitis lesions are exclusively found on the palatal mucosa, limited to the posterior hard palate and less often to the adjacent soft palate.
They first become visible as a reddened area and slowly progress to a white appearance.
They have a white cobblestone appearance, often with a red dot in the center of the cobblestone.
The nicotinic stomatitis lesion cannot be wiped off and can have some fissuring. Etiology Patients with nicotinic stomatitis are usually asymptomatic.
An association of nicotinic stomatitis with human papillomavirus (HPV) infection, alcohol intake, genetics, and diet are unknown Signs and Symptoms Nicotine stomatitis is often found on routine examination of the mouth as it usually does not cause any symptoms.
Sometimes it may be mildly irritating. Treatment Options The only treatment is to stop smoking.
The changes then improve within 1-2 weeks.
Any persistent or suspicious areas should be biopsied.
Regular examination of the mouth is required because of the risk of oral cancer in smokers. Differential Diagnosis Cancers of the Oral Mucosa.
Approximately 90% of oral cancers are squamous cell carcinoma (SCC).
Seen typically on the lip or lateral part of the tongue usually as a lump or ulcer that is white, red, or mixed white and red.
Any single lesion persisting for more than 3 weeks should be regarded with suspicion. Mucosal Candidiasis
Candidosis (candidiasis) describes a group of yeastlike fungal infections involving the skin and mucous membranes.
Infection is caused by Candida species, typically, Candida albicans.
Candidosis is common in groups at risk, such as patients who are immunocompromised. Affect on Patients Health Nicotine stomatitis is generally a reversible lesion once the irritant is removed.
The combination of hot drinks and smoking may increase the risk.
It is related to the duration and extent of the habit, requiring long term exposure.
Men and women develop nicotine stomatitis, but as pipe smoking is more common with men.
It is more typical to men over the age of 40. THE END Refernences:
http://emedicine.medscape.com/article/1076183-clinical Nicotinic stomatitis (smoker's palate), a lesion of the palatal mucosa.
The concentrated heat stream of smoke from tobacco products causes nicotine stomatitis.
These mucosal changes are most often observed in pipe and reverse cigarette smokers and less often in cigarette and cigar smokers.
Patients typically report that they are either unaware of the lesion or have had it for many years without changes.