Hyperkeratinized Nicotine Stomatitis BY MELODY VARGAS What is

Hyperkeratinized Nicotine Stomatitis BY: MELODY VARGAS

What is Hyperkeratinized Nicotine Stomatitis? ØIt is a benign condition of the hard palate caused by a response of the palatal mucosa to chronic heat, most commonly from smoking. It is also known as “smoker palate”. ØHyperkeratinization: occurs when nonkeratinized epithelium becomes keratinized in response to frictional or chemical trauma.

Physical characteristics ØNicotine stomatitis first become visible as a red area on the roof of the mouth and slowly progresses to a white, thicked, and fissured appearance. ØIt is primarily limited to the posterior hard palate and less to the adjacent soft palate.

�This condition is usually asymptomatic (painless) �The diffuse white plaque can not be wiped off. �It is usually reversible after smoking cessation.

Hyperkeratinized Nicotine Stomatitis The palate may exhibits many raised gray-white nodules with red dots in the center. These dots are a representation of the opening of minor salivary glands which are inflamed by heat.

Role of the Dental Hygienist Ø To be able to identify and diagnose this condition. Ø To check patient history of tobacco use. Ø To encourage patient to reduce or quit smoking. Ø To refer patient to a specialist if the condition persists after cessation.