In a patient who smokes, what condition should the DMD evaluate for?

In the context of evaluating a patient who smokes, it is essential to recognize that smoking can lead to various oral health challenges. Stomatitis nicotina, which is characterized by inflammation of the mucous membranes in the mouth, particularly in response to the irritation caused by tobacco smoke, is a significant condition to be aware of in these patients. It often presents as a white, keratotic lesion on the hard palate of smokers and is an indication of the harmful effects of tobacco.

While oral cancer is a serious concern and should certainly be part of a comprehensive evaluation for any smoker, stomatitis nicotina specifically relates directly to the habitual act of smoking and the immediate impacts on the oral mucosa. Gingival hyperplasia can occur but is commonly related to certain medications rather than smoking itself. Halitosis, or bad breath, can be associated with smoking but does not directly relate to the significant tissue changes seen with stomatitis nicotina.

Therefore, evaluating for stomatitis nicotina in smokers is crucial, as it reflects both the habit of smoking and its direct effects on oral health, while also serving as a potential precursor to more severe oral conditions.