Clinical and Radiographic Findings

The left side of the oral cavity was diffusely white and rough (Figures 1-3). It involved the left buccal mucosa and vestibules, left lateral tongue and left mandibular gingiva, all areas where the Nicorette gum was held. The lesions were white and rough to palpation. They were otherwise asymptomatic.

Figure 1 This clinical photograph was taken at presentation. Note the diffuse white corrugated white lesions of the left buccal mucosa.

Figure 2 This clinical photograph was taken at presentation. Note the diffuse white corrugated white lesions of the left lateral border of tongue.

Figure 3 This clinical photograph was taken at presentation. Note the diffuse white corrugated white lesions of the left mandibular gingiva.