Nicotinic stomatitis (smoker's palate), a lesion of the palatal mucosa, has been described in the literature since 1926.
In 1941, Thoma named the lesion stomatitis nicotine because it is almost exclusively observed in individuals who smoke tobacco.
The concentrated heat stream of smoke from tobacco products causes nicotine stomatitis. These mucosal changes are most often observed in pipe and reverse cigarette smokers and less often in cigarette and cigar smokers.
Generally, it is asymptomatic or mildly irritating. Patients typically report that they are either unaware of the lesion or have had it for many years without changes. See the image below.
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