Stomatitis Nicotina

Stomatitis nicotina is a medical condition that affects the mouth and is caused by excessive use of tobacco products. It is also known as smoker’s stomatitis. Stomatitis nicotina, also known as smoker’s keratosis, is a common oral condition that affects smokers and heavy tobacco users. It is characterized by white or yellow patches on the tongue, gums, or inside of the cheeks. These patches can be painful, and can bleed easily if they are irritated or rubbed.

The main definitions of stomatitis nicotina are as follows:

  1. Inflammation of the Mouth: Stomatitis nicotina is an inflammation of the oral mucosa, including the lips, gums, tongue, and cheek lining. This inflammation is caused by the toxic chemicals present in tobacco smoke.
  2. Tobacco-related: Stomatitis nicotina is a direct result of tobacco use, including smoking, chewing, and other forms of consumption. The chemicals in tobacco products cause irritation and inflammation in the mouth, leading to this condition.
  3. Chronic Condition: Stomatitis nicotina is a chronic condition that can persist for a long period of time, especially if the person continues to use tobacco products. The severity of the condition can vary depending on the frequency and duration of tobacco use.
  4. Lesions: Stomatitis nicotina is characterized by the appearance of small, painful, red or white lesions in the mouth. These lesions can be found on the gums, tongue, and cheek lining and can be accompanied by swelling, bleeding, and discomfort.
  5. Oral Health Concern: Stomatitis nicotina can have a negative impact on oral health and may lead to other oral health problems such as gum disease, tooth decay, and oral cancer.


The main causes of stomatitis nicotina are:

  1. Tobacco use: Smoking tobacco or using smokeless tobacco products is the most common cause of stomatitis nicotina. The chemicals in tobacco can irritate and damage the delicate tissues in the mouth, leading to the formation of patches.
  2. Poor oral hygiene: Poor oral hygiene can also contribute to the development of stomatitis nicotina. Tobacco use can reduce the flow of saliva in the mouth, making it easier for bacteria and other harmful substances to build up.
  3. Alcohol consumption: Heavy alcohol consumption can also increase the risk of developing stomatitis nicotina. Alcohol can irritate the mouth and damage the oral tissues, making it easier for patches to form.
  4. Nutritional deficiencies: Nutritional deficiencies, such as a lack of vitamins and minerals, can also contribute to the development of stomatitis nicotina. A balanced diet is important for maintaining oral health and preventing oral conditions like stomatitis nicotina.

In conclusion, the main causes of stomatitis nicotina are tobacco use, poor oral hygiene, alcohol consumption, and nutritional deficiencies. It is important to quit smoking and maintain good oral hygiene practices to prevent the development of this oral condition.


The main symptoms of stomatitis nicotina include:

  1. White patches: These are white, raised, and rough patches that develop on the gums and tongue. They are caused by the accumulation of nicotine and other chemicals in the mouth.
  2. Irritation: The affected areas may be red, swollen, and painful. People with stomatitis nicotina may experience discomfort or burning sensations in the mouth.
  3. Bad breath: The accumulation of nicotine and other chemicals in the mouth can lead to an unpleasant odor.
  4. Recurrent ulcers: People with stomatitis nicotina may experience recurrent ulcers or sores in the mouth. These can be painful and slow to heal.
  5. Change in taste: The accumulation of nicotine and other chemicals in the mouth can change the taste of food, making it less enjoyable.
  6. Tooth decay: The use of tobacco products can cause tooth decay and gum disease.

It is important to note that these symptoms may also be present in other oral health conditions and should be evaluated by a dentist or physician to determine the underlying cause.


Stomatitis nicotina is a type of oral mucosal lesion that is caused by the use of tobacco products such as smoking or chewing tobacco. This condition affects the oral mucosa, including the gums, lips, cheek, and tongue. The main diagnosis of stomatitis nicotina is based on the following:

  1. Clinical presentation: The characteristic features of stomatitis nicotina include red, swollen and painful oral mucosa, with a yellow or brown discoloration in the affected area.
  2. History of tobacco use: A history of tobacco use, either smoking or chewing, is a key factor in diagnosing stomatitis nicotina.
  3. Physical examination: A thorough oral examination is performed to assess the extent and severity of the lesion.
  4. Biopsy: In some cases, a biopsy may be performed to confirm the diagnosis and rule out any underlying medical conditions.
  5. Other tests: Additional tests such as a complete blood count, liver and kidney function tests, and tests for human papillomavirus (HPV) may also be performed to determine the underlying cause of the condition.

Stomatitis nicotina is a preventable condition and can be treated with proper oral hygiene and cessation of tobacco use. Early diagnosis and treatment can prevent the progression of the condition and reduce the risk of oral cancer.


The main treatment options for stomatitis nicotina include:

  1. Quitting smoking: This is the most important step in treating stomatitis nicotina. Quitting smoking will allow the oral tissues to heal and prevent further damage.
  2. Topical treatments: A dentist may recommend a topical treatment such as a topical anesthetic, antiseptic rinse, or a steroid-based mouthwash to relieve symptoms of stomatitis nicotina.
  3. Oral medications: Pain-relieving medications such as ibuprofen or acetaminophen may be recommended to relieve oral pain caused by stomatitis nicotina.
  4. Dental procedures: If the condition is severe, a dentist may recommend a dental procedure such as a deep cleaning, scaling and root planing, or a gum graft to repair damaged oral tissues.
  5. Lifestyle changes: In addition to quitting smoking, a dentist may recommend lifestyle changes such as a healthy diet, regular dental check-ups, and good oral hygiene practices to help prevent stomatitis nicotina from reoccurring.

It is important to seek treatment for stomatitis nicotina as soon as possible to prevent further damage to the oral tissues and reduce the risk of oral cancer.