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The exact underlying cause of leukoplakia is largely unknown, [1] but it is likely multifactorial, with the main factor being the use of tobacco. [29] Tobacco use and other suggested causes are discussed below. The mechanism of the white appearance is thickening of the keratin layer, called hyperkeratosis.
White sponge nevus (WSN) is an extremely rare autosomal dominant [4] condition of the oral mucosa (the mucous membrane lining of the mouth). It is caused by one or more mutations in genes coding for keratin, which causes a defect in the normal process of keratinization of the mucosa.
Cancer symptoms are changes in the body caused by the presence of cancer. They are usually caused by the effect of a cancer on the part of the body where it is growing, although the disease can cause more general symptoms such as weight loss or tiredness. There are more than 100 different types of cancer with a wide range of signs and symptoms ...
Early lesions may appear as thin, translucent and granular or wrinkled mucosa. [2] [6] The later lesion may appear thicker, more opaquely white and hyperkeratotic with fissures and folds. [6] [2] Oral snuff causes more pronounced changes in the oral mucosa than tobacco chewing. [1] Snuff dipping is associated more with verrucous keratosis. [1]
Parakeratosis is a mode of keratinization characterized by the retention of nuclei in the stratum corneum. [1] In mucous membranes , parakeratosis is normal. [ 2 ] In the skin, this process leads to the abnormal replacement of annular squames with nucleated cells.
The thickness of the mucosa may be an important factor in aphthous stomatitis. Usually, ulcers form on the thinner, non-keratinizing mucosal surfaces in the mouth. Factors which decrease the thickness of the mucosa increase the frequency of occurrence, and factors which increase the thickness of the mucosa correlate with decreased ulceration. [6]
Alveolar mucosa, the lining between the buccal and labial mucosae. It is a brighter red, smooth, and shiny with many blood vessels, and is not connected to underlying tissue by rete pegs. [6] Buccal mucosa, the inside lining of the cheeks; part of the lining mucosa. Labial mucosa, the inside lining of the lips; part of the lining mucosa. [7]
Tobacco is the greatest single cause of oral and pharyngeal cancer. Using tobacco increases the risk of oral cancer by 3 to 6 times [20] [9] and is responsible for around 40% of all oral cancers. [21] Smokeless tobacco (including chewing tobacco, snuff, snus) also causes oral cancer. [22] [23] [24] Cigar and pipe smoking are also important risk ...