10 - Tobacco Flashcards
1
Q
How has tobacco been controlled in Scotland?
A
- increased age of purchase from 16 to 18
- plain packaging
- sale of tobacco is not visible
- no vending machines
2
Q
What are the different ways in which the dental team can give advice on quitting?
A
- very brief advice (VBA - 1 min)
- brief advice (3-10 mins)
- detailed advice (not common in dentistry except for oral cancer)
3
Q
What are the 3A’s?
A
- brief advice
- ASK (establish smoking history)
- ADVISE (personal benefits related to mouth)
- ACT (signpost to local services)
4
Q
What are the 5A’s?
A
- ASK your patient
- ADVISE your patient
- ASSESS your patient
- ASSIST your patient
- ARRANGE FOLLOW-UP
5
Q
What information should be collated when ASKing your patient about their smoking?
A
- updated once a year
- number of cigarettes/day
- number of years they have been smoking / what age started smoking
- what products are used
- any quit attempts? Successful? Products used?
6
Q
What are pack years?
A
- measurement of lifetime exposure to tobacco
- 1 pack a day = 1 pack year
- 20 in a pack
- 10 cigarettes/day = 0.5 pack year
7
Q
Who can you refer patients to to help with their quit attempt?
A
- pharmacy
- specialist services
- GP
- ‘Quit you way’ national service
8
Q
How does tobacco affect the mouth?
A
- oral cancer risk
- risk factor for perio
- healing after XLA or implants affected
- xerostomia = higher caries risk
9
Q
What are risks for oral cancer?
A
- alcohol and smoking are synergistic
- sunlight (ie lip)
- pre-existing mucosal abnormalities
- HPV
10
Q
What is leukoplakia?
A
- white patch that cannot be rubbed off
- 6x more frequent in smokers
- can transform into malignancy
11
Q
What is erythroplakia?
A
- white and red lesion of soft palate
- more likely to transform to malignancy than leukoplakia
12
Q
What oral lesions can occur due to smoking?
A
- nicotinic stomatitis
- smokers melanosis
- black hairy tongue
- leukoplakia
- erythroplakia
13
Q
What are the reasons that people smoke?
A
- enjoyment
- keep weight down
- concentration
- relieve boredom
- socialise
- stress
- avoid withdrawal
14
Q
What are common nicotine withdrawal symptoms? (11)
A
- sweating
- nausea
- headaches
- coughing
- sore throat
- insomnia
- lack of concentration
- anxiety / irritability
- depression
- weight gain
- tingling in hands/feet
15
Q
What is NRT?
A
- nicotine replacement therapy
- improves success of quit by up to 70%
- can be in patches, sprays, gum, inhalers
