A member asked:

28 male smoker raised bumps on hard palate tiny red dots in rough texture appearance red and white pigments any ideas. not sore or painfull?

8 doctors weighed in across 4 answers
Dr. James Goodpaster answered

Specializes in Dentistry

Nicotine Stomatitis: All tissues will respond to repeated attacks by mounting a defense. Smoking exposes the mouth to heat, the chemicals and the vapors of burning tobacco & can cause changes in the appearance. These changes can indicate the beginnings of oral cancer or be completely benign. Only a dentist can tell for sure and may reccommend a biopsy of the area to be certain so you need to have it checked right away.

Answered 3/8/2013

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Dr. Scott Bobbitt answered

Specializes in Dentistry

Stomatitis: Likely an inflammatory reaction to the combination of irritants in tobacco smoke. Google it for pictures to compare. Recommendation: you already know that smoking is not healthy and can cause cancer. You are lucky that your body's first alert is a benign one. Do you really want to chance a malignant one? One can never know how much it takes to cause cancer. See dentist and pcp for cessation tips.

Answered 9/13/2014

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Dr. Dinh Bui answered

Erythroplakia: Chronic irritation by smoking leads to tissue change from leukoplakia to erythroplakia, then acanthoma and carcinoma in situ. Please stop smoking as we located erythroplakia, a red patch with rough texture and cannot wiped off.

Answered 3/9/2013

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Nicotine stomatitis: Could be nicotine stomatitis- a benign entity-but should see specialist for conformation

Answered 6/7/2014

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