Nicotine Stomatitis appearance ?

*white lesion

• Also known as smoker’s palate
• caused by the excess heat in the mouth caused by smoking – seen mainly in pipe users
• Its not dysplastic- usually not associated with oral cancer
• The white area is due to the keratinization of the area around the salivary gland ducts and the red spots are the dilated opening of the minor salivary gland ducts.
• The lesion usually disappears when the patient stops smoking
• Histopathological examination maybe is done to exclude other lesions
• Differential diagnosis includes Candidiasis, Lichen Planus
• Treatment: Smoking cessation