Nicotine stomatitis is a mucosal change of the palate more commonly associated with pipe or, less commonly, cigar smoking. It seems to develop in response to the heat rather than the chemicals in the smoke. Similar palatal mucosal changes have been reported in patients who drink very hot beverages frequently.
It does not have a pre-malignant potential and lesions may be present from weeks to years. Nicotine stomatitis is found more commonly in men older than 45 years of age with the additional risk factor of pipe or cigar smoking.
Related topic: Nicotine dependence
Nicotine stomatitis - Oral Mucosal Lesion
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Synopsis
Codes
ICD10CM:
K12.1 – Other forms of stomatitis
Z72.0 – Tobacco use
SNOMEDCT:
109775009 – Contact stomatitis
K12.1 – Other forms of stomatitis
Z72.0 – Tobacco use
SNOMEDCT:
109775009 – Contact stomatitis
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Leukoplakia – This white lesion has distinct, sharp margins. Pre-malignant histopathologic change is often seen. Most leukoplakias do not resolve within 1–2 weeks of smoking cessation.
- Zoster
- Necrotizing sialometaplasia
- Erythroplakia
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Last Updated:11/07/2019
Nicotine stomatitis - Oral Mucosal Lesion