Hyperkeratinized Nicotine Stomatitis
Hyperkeratinized Nicotine Stomatitis is a benign condition of the hard palate caused by chronic heat exposure, often from smoking. It presents as a white, thickened appearance primarily on the posterior hard palate, and is usually asymptomatic. Dental hygienists play a key role in identifying, diagnosing, and encouraging smoking cessation in patients with this condition.
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Presentation Transcript
Hyperkeratinized Nicotine Stomatitis BY: MELODY VARGAS
What is Hyperkeratinized Nicotine Stomatitis? It 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 . Hyperkeratinization: occurs when nonkeratinized epithelium becomes keratinized in response to frictional or chemical trauma.
Physical characteristics Nicotine stomatitis first become visible as a red area on the roof of the mouth and slowly progresses to a white, thicked, and fissured appearance. It 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 To be able to identify and diagnose this condition. To check patient history of tobacco use. To encourage patient to reduce or quit smoking. To refer patient to a specialist if the condition persists after cessation.
