Oral Manifestations of Smokeless Tobacco Use

Otolaryngologic Clincs of North America
Volume 44, Issue 1, Pages 31-56 (February 2011)
Robert O. Greer Jr., DDS, 
Smokeless tobacco (SLT) has been smoked, chewed, and inhaled in various forms for hundreds of years. The primary oral, mucosal, and hard tissue changes associated with SLT use include SLT keratosis (STK); gingival inflammation, periodontal inflammation, and alveolar bone damage; and dental caries, tooth abrasion, and dysplasia and oral squamous cell carcinoma (SCC). Some high-risk STKs are human papillomavirus associated, and the highest level of transition of STK to dysplasia or oral SCC appears to be in those lesions that have a diffuse velvety or papillary texture clinically. There is minimal risk for oral cancer associated with SLT use.


Dr. Ed Logan said…
Though there is minimal risk of oral cancer with the use of SLT, there are other risks that may not be so glaringly apparent to the user. These might include increased heart rate and blood pressure and deleterious effects on the circulatory system.

Edward M. Logan, DDS

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