Dental Problems

Oral Lesion Associated with the Use of Tobacco

Pulpitis - Diagnosis and Treatment of PulpitisOral lesion may be caused due to various risk factors. The use of tobacco is one of the major risk factor for develop oral lesion, oral precancer or other oral disease and gum or periodontal disease. In this article there is a brief discussion on the types of

oral lesions associated with the use of tobacco

along with their signs, appearance, causes, clinical types and surface appearance etc. Read on to know more.

Oral lesion associated with the use of tobacco:

The common oral lesions which are accompanied after consuming tobacco or smoking or snurfing are of 3 types. The following are the types of oral lesions associated with the tobacco use.

  • Smoker’s Palate or Stomatitis Nicotina
  • Snuff Dipper Lesion and
  • Cigarette Smoker’s Lip Lesion.

Smoker’s Palate or Stomatitis Nicotina:

  • Causes:

    It is seen in individuals who are heavy cigar and pipe smokers. It is most common in men, but the risk in women as the number is also increasing now-a-days. It is most commonly in individual swith reverse smoking habit.

  • Appearance:

    There is inflammation and redness on the palate.

  • Signs:

    • The palate develops grayish-white, diffuse, thickened and multinodular popular appearance.
    • There is a small red spot in the center of each tiny nodule which represents a dilated and sometimes partially occluded orifice of an accessory palatal salivary gland duct around which there is a prominent inflammatory cell infiltration.
    • The epithelium around the duct shows excessive keratinization and thickening.
  • Surface:

    Cracks and fissures may appear, producing an irregular and wrinkled surface.

  • Clinical types:

    The clinical type of stomatitis nicotina in reverse smoking are as follows:

    • Mild:

      consisting of red color, dot like opening on the blanched area.

    • Moderate:

      This condition is characterized by a well defined elevation with the central umbilication.

    • Severe:

      Marked by papules of 5mm or more with the umbilication of 2-3 mm.

  • Palatal changes consequent to reverse chutta smoking are diverse, consisting of several components.
    • Keratosis:

      Diffusion of whitening of entire palatal mucosa.

    • Excrescences:

      About 1 to 3 mm elevated nodules which are often with red dots in the center corresponding to the opening of palatal mucous glands.

    • Patches:

      These are well defined redness of the palatal mucosa.

    • Ulcerated area:

      These have crater like areas or sites covered by fibrin.

    • Non-pigmented areas:

      This is the area of palatal mucosa which is devoid of pigmentation.

Snuff dipper lesion:

  • The following are the 4 specific types of clinical lesions which are notices:
    • Erythematous or hyperkeratosis lesion of oral mucosa.
    • Peridontal and gingival inflammation.
    • Combination of the above.
    • Cervical erosion of teeth.
  • Locations:

    It occurs on the mucosal surface, where the snuff is held habitually. NNN (N-nitroso-nornicotine), which is derived partly from bacterial action on nicotine during the curing process us contributed by the salivary nitrites action when tobacco is held in the mouth. It occurs in greater concentration in the snuff tobacco.

  • Leukoplakia:

    The lesion has wrinkled appearance.

  • Prognosis:

    If the habit is eliminated, majority of the lesion is disappeared in about two weeks.

  • Long exposure to snuff results in for malignant changes.

Cigratte smoker’s lip lesion:

  • Appearance:

    They are generally flat or slightly elevated nodular white lesion on one or both lips, corresponding to the area at which the cigarette is held and apparently smoked down to an extremely short length of time.

  • Signs:

    Increased redness and stippling of lip in localized area.

  • Margins:

    It has elliptical, circular or irregular borders.

  • Color:

    Pale to white and slightly elevated with nodular or papillary shape.

The above article discussed about the

oral lesions associated with the use of tobacco


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