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Smoker's Melanosis Follow-up

  • Author: Leticia Ferreira, DDS, MS; Chief Editor: William D James, MD  more...
 
Updated: Jan 26, 2015
 

Further Outpatient Care

Routine follow-up care is necessary to ensure that the lesion is slowly disappearing.

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Prognosis

The prognosis of a patient with smoker's melanosis is excellent.

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Patient Education

Educate this patient population concerning the deleterious health effects of smoking. For excellent patient education resources, visit eMedicineHealth's Lung Disease and Respiratory Health Center. Also, see eMedicineHealth's patient education article Cigarette Smoking.

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Contributor Information and Disclosures
Author

Leticia Ferreira, DDS, MS Assistant Professor of Pathology and Medicine, Department of Dental Practice, University of the Pacific, Arthur A Dugoni School of Dentistry

Leticia Ferreira, DDS, MS is a member of the following medical societies: American Academy of Oral and Maxillofacial Pathology, American Association of Women Dentists, American Dental Association, American Dental Education Association, California Dental Association, San Francisco Dental Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Richard P Vinson, MD Assistant Clinical Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine; Consulting Staff, Mountain View Dermatology, PA

Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Texas Medical Association, Association of Military Dermatologists, Texas Dermatological Society

Disclosure: Nothing to disclose.

Drore Eisen, MD, DDS Consulting Staff, Department of Dermatology, Dermatology Research Associates of Cincinnati

Drore Eisen, MD, DDS is a member of the following medical societies: American Academy of Dermatology, American Academy of Oral Medicine, American Dental Association

Disclosure: Nothing to disclose.

Chief Editor

William D James, MD Paul R Gross Professor of Dermatology, Vice-Chairman, Residency Program Director, Department of Dermatology, University of Pennsylvania School of Medicine

William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

R Stan Taylor, MD The JB Howell Professor in Melanoma Education and Detection, Departments of Dermatology and Plastic Surgery, Director, Skin Surgery and Oncology Clinic, University of Texas Southwestern Medical Center

R Stan Taylor, MD is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Surgery, American Medical Association

Disclosure: Nothing to disclose.

Acknowledgements

William M Carpenter, DDS, MS Professor, Chairman, Department of Pathology and Medicine, University of the Pacific, Arthur A Dugoni School of Dentistry

William M Carpenter, DDS, MS is a member of the following medical societies: American Academy of Oral and Maxillofacial Pathology and American Academy of Oral Medicine

Disclosure: Nothing to disclose.

Dana Gelman Keiles, DMD Assistant Clinical Professor, Department of Stomatology, University of California at San Francisco

Dana Gelman Keiles, DMD is a member of the following medical societies: American Academy of Oral Medicine and American Dental Association

Disclosure: Nothing to disclose.

References
  1. Hedin CA. Smokers' melanosis. Occurrence and localization in the attached gingiva. Arch Dermatol. 1977 Nov. 113(11):1533-8. [Medline].

  2. Axéll T, Hedin CA. Epidemiologic study of excessive oral melanin pigmentation with special reference to the influence of tobacco habits. Scand J Dent Res. 1982 Dec. 90(6):434-42. [Medline].

  3. Hedin CA, Axéll T. Oral melanin pigmentation in 467 Thai and Malaysian people with special emphasis on smoker's melanosis. J Oral Pathol Med. 1991 Jan. 20(1):8-12. [Medline].

  4. Nwhator SO, Winfunke-Savage K, Ayanbadejo P, Jeboda SO. Smokers' melanosis in a Nigerian population: a preliminary study. J Contemp Dent. Pract. Jul 2007. 8(5):68-75. [Medline].

  5. Mehrotra R, Thomas S, Nair P, Pandya S, Singh M, Nigam NS, et al. Prevalence of oral soft tissue lesions in Vidisha. BMC Res Notes. 2010 Jan 25. 3:23. [Medline]. [Full Text].

  6. Sridharan G. Epidemiology, control and prevention of tobacco induced oral mucosal lesions in India. Indian J Cancer. 2014 Jan-Mar. 51(1):80-5. [Medline].

  7. Patil PB, Bathi R, Chaudhari S. Prevalence of oral mucosal lesions in dental patients with tobacco smoking, chewing, and mixed habits: A cross-sectional study in South India. J Family Community Med. 2013 May. 20(2):130-5. [Medline]. [Full Text].

  8. Ahmadi-Motamayel F, Falsafi P, Hayati Z, Rezaei F, Poorolajal J. Prevalence of oral mucosal lesions in male smokers and nonsmokers. Chonnam Med J. 2013 Aug. 49(2):65-8. [Medline]. [Full Text].

  9. Al-Attas SA, Ibrahim SS, Amer HA, Darwish Zel-S, Hassan MH. Prevalence of potentially malignant oral mucosal lesions among tobacco users in Jeddah, Saudi Arabia. Asian Pac J Cancer Prev. 2014. 15(2):757-62. [Medline].

  10. Marakoglu K, Gursoy, UK, Toker, HC, Demirer S, et al. Smoking status and smoke-related gingival melanin pigmentation in army recruitments. Mil Med. Jan 2007. 172:110-3. [Medline].

  11. Brown FH, Houston GD. Smoker's melanosis. A case report. J Periodontol. 1991 Aug. 62(8):524-7. [Medline].

  12. Hedin C, Pindborg JJ, Daftary DK, Mehta FS. Melanin depigmentation of the palatal mucosa in reverse smokers: a preliminary study. J Oral Pathol Med. 1992 Nov. 21(10):440-4. [Medline].

  13. Hedin CA, Pindborg JJ, Axéll T. Disappearance of smoker's melanosis after reducing smoking. J Oral Pathol Med. 1993 May. 22(5):228-30. [Medline].

  14. Zarate AM, Brezzo MM, Secchi DG, Barra JL, Brunotto M. Malignancy risk models for oral lesions. Med Oral Patol Oral Cir Bucal. 2013 Sep 1. 18(5):e759-65. [Medline]. [Full Text].

  15. [Guideline] US Preventive Services Task Force. Final Recommendation Statement: Tobacco Use in Adults and Pregnant Women: Counseling and Interventions. Available at http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions. Accessed: January 26, 2015.

  16. Neville BW. Smoker's Melanosis. Neville BW, Damm DD, Allen CM, and Bouquot JE, eds. Oral & Maxillofacial Pathology. 3rd ed. Philadelphia, Pa: WB Saunders; 2002. 316-17.

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Several focal brownish pigmentations of the maxillary anterior gingiva.
Gingival biopsy of a basilar melanosis (a brownish granular pigment present along the basal cells).
A reverse smoker with white and pigmented palatal mucosa and a focal area of erythema.
 
 
 
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