Oral Staining and Malodor Secondary to Tobacco Abuse in Southwestern Saudi: A Case Report

Smokeless tobacco (ST) chewing has detrimental effects on oral tissues including hard and soft tissues; it is often associated with gingivitis/periodontitis, impaired healing, dental caries, and oral mucosal lesions. This case report describes a 25 year-old male patient, who presented to King Khalid University, College of Dentistry (KKUCOD) dental clinic, with a chief complaint of oral malodor and staining. The clinical examination revealed heavy brown stains of the lower lip vermilion border and the facial aspect of the mandibular anterior dentition and localized gingival recession and areas of fenestrations at the attached gingiva of the mandibular central incisors. The patient admitted to an eight year history of cigarette smoking and smokeless tobacco. The heavy staining was noted by the patient to be observable two years ago. The staining was a social embarrassment and the most important issue for the patient.