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Arden Christen, Indiana University School of Dentistry, Department of Oral Biology.

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This leads to loss of tooth structure and pain sensitivity

4 The typical placement of SLT between the cheek and gum means that 80% of oral squamous cell carcinomas involve the buccal tissue

There are several conditions that we need to consider and rule out when diagnosing specific oral abnormalities commonly associated with smokeless tobacco use: Smokeless Tobacco Keratosis: Frictional keratosis Leukoplakia Squamous cell carcinoma Leukoplakia: Leukoedema Linea alba Morsicatio buccarum/linguarum Squamous cell carcinoma Erythroplakia: Mucositis Candidiasis Psoriasis Vascular lesions Squamous cell carcinoma Verrucous Carcinoma: Proliferative verrucous leukoplakia Verruca vulgaris Squamous papilloma Squamous Cell Carcinoma: Erythroleukoplakia Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) Oral manifestation of deep fungal infection What to expect with Pathologic Manifestations of Smokeless Tobacco The outlook for smokeless tobacco keratosis, a condition often found in people who use chewing tobacco, is generally good but depends largely on the patient

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