Lecture 6: Smoking

Question 1

Historical points of tobacco

Answer 1

Christopher Columbus = holy herb
Antidiarrheol, narcotic, emollient
Sir Walter Raleigh = into western world
germ theory & TB

Question 2

Historical tobacco & denistry

Answer 2

Cure toothaches, gingivitis, caries

Question 3

History tobacco & medicine

Answer 3

save alt to chewing tobacco
insect bites
hysteria
pain
neuralgia
gout
respiratory stimulant 
rectum = constipation & haemorrhoidal bleeding
Parkinson's

Question 4

percent of men smoking in WWII

Answer 4

75 %

Question 5

Current incidence of smoking

Answer 5

27% adults in USA
1 billion in world
25% of HS
8% smokeless tobacco

Question 6

Avg time smokers die earlier

Answer 6

14 years

Question 7

Death percentage after 35 yrs smoking

Answer 7

50%

Question 8

T/F higher rates of smoking in higher socio-economics groups

Answer 8

FALSE

Question 9

T/F Second hand smoker is a class A carcinogen & contains 4k chemicals

Answer 9

TRUE

Question 10

Effects of second hand smoke on children

Answer 10

ear effusion, croup, pneumonia, bronchitis, asthma

Question 11

Gingival bleeding and smokers

Answer 11

potential non-bleeding sites
lower vascular permeability
reduces BOP
mask clinical inflammation

Question 12

Alveolar bone loss and smoking

Answer 12

greater loss in smokers, independent of plaque

significant progression in younger smokers

Question 13

Which arch had greater destruction of alveoolar bone from smoking

Answer 13

maxilla

Question 14

T/F Are molar furcation defects three times as much in smokers?

Answer 14

False, twice.

Question 15

Chronic periodontitis

Answer 15

greater # of sites w/ Aloss and PD>4mm

greater incidence of tooth loss

Question 16

Aggressive periodontitis

Answer 16

larger # of teeth affected
greater destruction of maxillary teeth
depends on # packs smoked total over total # yrs smoking

Question 17

Peri-implantitis & smoking

Answer 17

early failure common in smoker

Question 18

When to quit smoking b4 implants

Answer 18

1 week before & 8 weeks after

Question 19

T/F vascular response to inflammation is lower in smokers compared to non-smokers

Answer 19

True

Question 20

does smoking increase or decrease O2 tension

Answer 20

lower w/ periodontitis

Question 21

Can fibroblast adhere to teeth in the presence of nicotine

Answer 21

no.
inhibits production of fibronectin & collagen
results in impaired wound healing

Question 22

T/F Nictotine affect neutrophils?

Answer 22

True

Question 23

T/F Nicotine does NOT affect B cells, T cells, and NK (number and function)

Answer 23

FALSE

Question 24

Benefits of quitting after 1 day

Answer 24

decreases heart attack by 0.1%

Question 25

Benefits of quitting after 2 days

Answer 25

taste & smell enhanced

Question 26

Benefits of quitting after 2/3 months

Answer 26

increases lung function 30%

Question 27

Benefits of quitting after 1 yr

Answer 27

heart disease reduced by 1/2

Question 28

Benefits of quitting after 5 yrs

Answer 28

coronary heart disease = nonsmoker

Question 29

Benefits of quitting after 10/15 yrs

Answer 29

risk of dying returns to ppl who have never smoked

Question 30

5 A’s of intervention

Answer 30

Ask
Advise
Assess
Assist
Arrange