THE MOST COMMON ORAL MANIFESTATION OF TOBACCO USE !
Patient named xyz aged 30 years came with a complain of deposits on the teeth since 1 year. Patient gave a dental history of filling in the lower right and left back teeth 6 years back. Patient presented with no relevant medical history.Patient was a tobacco chewer since 6-7 years and chewed tobacco 5 times a day. The patient placed the quid in the left buccal mucosal for 2 minutes. On examination, grayish white wrinkled patch measuring 3*2 CM was seen on the left buccal mucosal vestibule and mucosal extending from 34 to 36. On palpation the lesion was soft, non-tender, non-scrappable lesion where wrinkles did not disappear on stretching. The diagnosis was given as tobacco pouch keratosis wrt left buccal vestibule and mucosa. The patient was advised habit counselling, oral prophylaxis and medication ( cap Oxitard 1-0-1 for 30 days).