hello and welcome,
this is initial stage of nicotina palati/palatal erythema
greyish white palate with small nodular red spots,palatal papillary hyperplasia
,central papillary atrophy of tongue and bilateral commissural leukoplakias,ie,on tongue are the usual symptoms.
lesion may also occur on buccal mucosa.
reduction or elimination of smoking is the first choice of teatment.
can be taken.
locall/systemic glucocorticoids are usually taken.
forceful mouth opening/heat therapy
can be done.in advanced cases,surgical management has to be done.