Erythroplakia is red patch that cannot be characterized either clinically or pathologically as any other definable lesion. These may appear as smooth, velvety, granular or nodular lesions often with a well-defined margins adjacent to normal looking mucosa.The soft palate, the floor of mouth, the ventral surface of tongue and the retromolar area are the most common sites of involvement. It is pre-malignant/pre-cancerous condition Oral erythroplakia has the highest risk of malignant transformation compared to all other mucosal lesions. Causes:- It is strongly associated with tobacco and alcohol drinking. The risk factors for erythroplakia are the same as for oral squamous cell carcinom.