Lecture 6: Smoking Flashcards
Historical points of tobacco
Christopher Columbus = holy herb
Antidiarrheol, narcotic, emollient
Sir Walter Raleigh = into western world
germ theory & TB
Historical tobacco & denistry
Cure toothaches, gingivitis, caries
History tobacco & medicine
save alt to chewing tobacco insect bites hysteria pain neuralgia gout respiratory stimulant rectum = constipation & haemorrhoidal bleeding Parkinson's
percent of men smoking in WWII
75 %
Current incidence of smoking
27% adults in USA
1 billion in world
25% of HS
8% smokeless tobacco
Avg time smokers die earlier
14 years
Death percentage after 35 yrs smoking
50%
T/F higher rates of smoking in higher socio-economics groups
FALSE
T/F Second hand smoker is a class A carcinogen & contains 4k chemicals
TRUE
Effects of second hand smoke on children
ear effusion, croup, pneumonia, bronchitis, asthma
Gingival bleeding and smokers
potential non-bleeding sites
lower vascular permeability
reduces BOP
mask clinical inflammation
Alveolar bone loss and smoking
greater loss in smokers, independent of plaque
significant progression in younger smokers
Which arch had greater destruction of alveoolar bone from smoking
maxilla
T/F Are molar furcation defects three times as much in smokers?
False, twice.
Chronic periodontitis
greater # of sites w/ Aloss and PD>4mm
greater incidence of tooth loss
Aggressive periodontitis
larger # of teeth affected
greater destruction of maxillary teeth
depends on # packs smoked total over total # yrs smoking
Peri-implantitis & smoking
early failure common in smoker
When to quit smoking b4 implants
1 week before & 8 weeks after
T/F vascular response to inflammation is lower in smokers compared to non-smokers
True
does smoking increase or decrease O2 tension
lower w/ periodontitis
Can fibroblast adhere to teeth in the presence of nicotine
no.
inhibits production of fibronectin & collagen
results in impaired wound healing
T/F Nictotine affect neutrophils?
True
T/F Nicotine does NOT affect B cells, T cells, and NK (number and function)
FALSE
Benefits of quitting after 1 day
decreases heart attack by 0.1%
Benefits of quitting after 2 days
taste & smell enhanced
Benefits of quitting after 2/3 months
increases lung function 30%
Benefits of quitting after 1 yr
heart disease reduced by 1/2
Benefits of quitting after 5 yrs
coronary heart disease = nonsmoker
Benefits of quitting after 10/15 yrs
risk of dying returns to ppl who have never smoked
5 A’s of intervention
Ask Advise Assess Assist Arrange