Nicotine Stomatitis (Smoker's Palate) Treatment & Management

Updated: Feb 15, 2022
  • Author: James E Cade, DDS, FACD; Chief Editor: Jeff Burgess, DDS, MSD  more...
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Medical Care

The only definitive treatment for nicotine stomatitis is smoking cessation. Myung et al reported from a meta-analysis of randomized, controlled trials that sufficient clinical evidence exists to support the use of computer- and Internet-based smoking cessation programs in adults who smoke. [18]

If any of the smoking-cessation medications appear to be effective, continue medications in conjunction with support groups. The most effective long-term smoking-cessation results are observed in patients who are members of support groups.

It has been suggested that resveratrol, a polyphenol medication, could prevent or treat oral inflammatory lesions, including nicotine stomatitis. [19]

If a patient is interested in stopping the tobacco habit, a referral to a comprehensive smoking-cessation program is indicated. This program should include peer-group sessions. [20, 21]

To prevent nicotinic stomatitis lesions and other more serious tobacco-induced lesions in the oral cavity, counsel patients on the dangers of tobacco use. Once they understand the need to stop using tobacco products, make a referral to a comprehensive tobacco-cessation program.

Monitor patients with nicotine stomatitis. If after smoking cessation the lesion does not resolve, further investigation is warranted.