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Smoker melanosis in a patient consuming 2 packs of cigarette per day. Smoking or the use of nicotine-containing drugs is the cause to Smoker's melanosis. [10] [11] Tar-components (benzopyrenes) are also known to stimulate melanocytes to melanin production, and other unknown toxic agents in tobacco may also be the cause.
A similar, but more pronounced palatal keratosis occurs with reverse smoking. This is where the lit end of the cigar or cigarette is held in the mouth, another form of smoking associated with high levels of heat in the mouth. [6] This form of the condition is sometimes termed "reverse smoker's keratosis", [9] and is a premalignant lesion.
STK typically occurs in the buccal sulcus (inside the cheek) or the labial sulcus (between the lips and the teeth) and corresponds to the site where the tobacco is held in the mouth. [6] It is painless. [7] The appearance of the lesion is variable depending upon the type of tobacco used, and the frequency and duration of use. [6]
Tar is toxic and damages the smoker's lungs over time through various biochemical and mechanical processes. [1] Tar also damages the mouth by rotting and blackening teeth, damaging gums, and desensitizing taste buds. Tar includes the majority of mutagenic and carcinogenic agents in tobacco smoke.
Smoker's face describes the characteristic changes that happen to the faces of many people who smoke tobacco products. [1] [2] Smoking causes damage to the skin by depleting the skin of oxygen and nutrients. [3] The general appearance is of accelerated ageing of the face, with a characteristic pattern of facial wrinkling and sallow coloration.
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Before an assessment of the mouth, patient is sometimes advised to remove any dentures. The assessment begins with a dental-health questionnaire, including questions about toothache , hoarseness , dysphagia (difficulty swallowing), altered taste or a frequent sore throat, current and previous tobacco use and alcohol consumption and any sores ...
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