eng Innovative Journal of Medical and Health Science 2589-9341 03 https://doi.org/10.15520/jcmro.v3i10.345 article Smokeless tobacco keratosis is a condition that causes thick white patches to form on mucosa with common sites are inner check , in between teeth & gums , appear wrinkled in texture usually develops in between 1-5 years of tobacco use. Educating and motivating a patient is very important in the prevention as well as cure of STK. .pdf