Smokeless tobacco is a risk factor of cancer of the oral tissues and pharynx, oral soft tissue lesions (eg, leukoplakia), periodontal disease, gingivitis, caries, halitosis, tooth loss, tooth stains, and nicotine addiction, and it has been associated with low–birth-weight babies and pancreatic cancer.
1. Signs and symptoms
Patients may present asymptomatically, or, in more advanced disease, patients may report pain, swelling, or dysphagia.
The presentation for smokeless tobacco lesions can vary widely, depending on the duration and frequency of use and the predisposition conditions and other comorbidities of the individual, and it may include the following conditions: