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November 2007: Diffuse, thick and yellowish-white palate

Dolphine Oda, BDS, MSc
doda@u.washington.edu

Contributed by
Dr.  William Paulin
Silverdale Oral & Maxillofacial Surgery

Case Summary and Diagnostic Information

This is a 65-year-old Filipino female with 40+ year history of "reverse smoking".   Reverse smoking is smoking with the lighted end of the cigarette held inside the mouth.  She denies alcohol use.  She was referred by her general dentist for the evaluation of a diffuse, thick, yellowish-white slightly nodular mucosa of the hard palate, some of which overlying the torus palatinus (Figure 1).

Diagnostic Information Available

History of Present Illness

Medical History

Clinical and Radiographic Findings

Excisional Biopsy

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