Smokers palate is seen especially among heavy pipe-smokers and is asymptomatic and not premalignant. It disappears after cessation of smoking habit. However palatal keratosis associated with reverse smoking as seen in some parts of the world, is a premalignant lesion.

Typical smoker's palate Courtesy Axéll T.

Selected Abstracts  Abstracts from PubMed

During the past 20 years studies have shown that smoking, either alone or in combination with other factors appears to be an inportant factor for oral candidosis.

Candidosis (nodular) in the hard palate Courtesy Axéll T.

Selected Abstracts  Abstracts from PubMed

Heavy cigarette smokers show a pigmentation prevalence about 30% which is more than the 10% pigmentation seen in north European Caucasians. (Melanin pigmentation is normally seen in coloured races.) Smoker's melanosis is not premalignant.

Smoker's melanosis in the lower gingival mucosa Courtesy Axéll T.

Selected Abstracts  Abstracts from PubMed