Stomatitis nicotina

Stomatitis Nicotina (also known as "Nicotine Stomatitis" or "Smoker's Palate") is a pathological condition affecting the mouth's roof, primarily observed in individuals who smoke heavily. It is characterized by a whitish mucosal lesion with multiple red dots at the center, which are the inflamed openings of the minor salivary gland ducts. This condition is considered a reaction to the chronic heat rather than to the chemical components of tobacco smoke. Although it is often reversible upon cessation of smoking, its presence can sometimes complicate or mask more serious conditions, such as oral cancers.

Etiology

The primary cause of Stomatitis Nicotina is the prolonged exposure of the oral mucosa to the heat generated by smoking, particularly from pipes, cigars, and, to a lesser extent, cigarettes. The condition can also be seen in individuals who consume hot beverages excessively. The heat leads to inflammation and hyperplasia of the salivary gland ducts, resulting in the characteristic appearance of the condition.

Clinical Features

Patients with Stomatitis Nicotina typically present with a whitish or grayish palate that has multiple small, red points, which correspond to the inflamed and dilated salivary gland ducts. The condition is usually asymptomatic, but some patients may report a slight burning sensation or increased sensitivity when consuming spicy or acidic foods.

Diagnosis

Diagnosis of Stomatitis Nicotina is primarily clinical, based on the characteristic appearance of the lesions and the patient's history of smoking or other exposure to heat. Biopsy is rarely necessary but can be performed to rule out other conditions, such as oral candidiasis or leukoplakia, which may present with similar appearances.

Treatment and Prognosis

The most effective treatment for Stomatitis Nicotina is the cessation of smoking or the elimination of any other source of heat exposure to the oral mucosa. In most cases, the lesions will regress and may completely disappear after smoking cessation. Maintaining good oral hygiene and regular dental check-ups are also important to monitor the condition and prevent complications.

Complications

While Stomatitis Nicotina itself is benign and reversible, it can mask the presence of more serious conditions, such as oral cancer. Therefore, any persistent or worsening lesions should be evaluated by a healthcare professional to rule out malignancy.

Prevention

The best way to prevent Stomatitis Nicotina is to avoid smoking or the use of any tobacco products. For individuals who smoke, reducing the frequency and duration of smoking sessions can decrease the risk of developing the condition. Additionally, avoiding the consumption of excessively hot beverages can also help prevent Stomatitis Nicotina.