He appears well developed, well nourished and apparently healthy. The patient's skin is generally tanned. There are petechiae present on right cheek over a scar from a laceration sustained as a child. The patient does not report having any TMJ pain or discomfort, and denies any history of any teeth clenching. All other extra-oral findings are insignificant.
Nicotine stomatitis is present on the palatal tissues.
The tongue is severely coated and is stained on the dorsal surface and appeared as hairy tongue. The oral hygiene was fair. There is generalized brown stain present on the lingual surfaces of teeth, especially the mandibular anteriors. There is no gross supragingival calculus present clinically, although most root surfaces feel rough when an explorer is used.