messadi tobacco oral health Flashcards
what is the single most prevenatble cause of death in our time and seious public health problem?
smoking
waht is addiction?
compulsive drug use, without medical purpose in the face of NEGATIVE CONSEQUECE
- a chronic medical brain disease that needs attention
___ is the prevalence of worldwide adult tobacco in the USA
(men/women)
21 men/ 16 women
prevalence of adult smoking by race
4.
- mixed
- alaskan and native americans
- white
- black
true or falase
- nicotine is the addictive part of tobacco
- nicotine causes the ill effects of tobacco like cancer
- true
- false, nicotine does NOT have correlation to the ill effects of tobacco
what are the 5 cancer consequences of smoking?
esophageal
gastric
laryngeal
lung
oral cavity and pharyngeal
waht are the 2 pulmonary disease consequences of smoking
acute [penumoina]
chronic [copd]
waht are the cardiovascualr consequences of smoking ?
what are the _____ consequneces of smoking?
___ is the 90% and ___ is 80% and are the highest risk of developing tobacco related cancer, like oral cancer
lung cancer - 90%
head and neck - 80%
window of opportunity remains opent rhoughout ____ and into the _____.
treatment
period of cancer survivorship
which type of tobacco has oral effects?
smokeless tobacco [chewing tobacco, oral snuff]
what are the 10 forms of tobacco
waht is the most common form of tabacco usedi n the US
cigarettes
3 types of chewing tobacco and 2 types of snuff are?
these are smokeless tobacco
- 3 chewing tobacco
looseleaf
plug
twist
- 2 snuff [more common know]
- moist and dry
true or false
males [6.3 %] more likely than females [0/4%] to be current uses of smokeless forms of tobacco
true
prevalence are highest of smokelss tobaccos with 3 criteria
- 18 -25 yo
- native and alaskan american
- southern US and ______
pipe smokers ahve incrased risk of death due to these cancers
lung
lip
oral cavity
pharynx?
true or false
Prep[s reduce the risk of developng tobacco realted disease
false, Preps DO NOT reduce risk
question about clove cigarretes
true or false
most common type of tobacco in india and southeast asia is the betal nut
- it is the 3rd most common psychoactive substance in the world
true
false, fourth after nicotine, alcohol, caffeine
___ is responsible for some effects of betel quid chewing and has oral effects
arecoline
betel nut is classified as a _______
carcinogen
true or false
nicotine, tar carbon monoxide levels coparable to or higher than those in cigarettes for hookah
- and because its a waterpipe smoking its NOT carcinogenic
true
false, still carcinogenic with nicotine, tar, and carbon monoxide levels
___ is a battery operated device that create a ___ for inhalation
electronic cigarettes creates a VAPOR for INHALATION
true or false
e cigarettes simulate smoking but does NOT involve combustion of tobacco
true
What is the problem with e cigs because pts think that they can quit cig and smoking later on and does it work?
nicotine [0 - 36 mg]
no doesnt work as a nicotine replacement therapy
e cigs:
______ causes respiratory irritation and increase risk for ashtma
propylene glycol
e. cig: _____ can cause
glycerin
marijuana use is assciated with higher risk in ___ CA and _____ risk for tongue cacnaers
orophargyngeal increased
lower tongue cancers
both pro and anticarcinogenic effect of cannabis aka marijuana
true or false marijuana use has a higher risk of developng oral cancer than cig use
false, cig use has a higher risk
at what age do people first use marijuana has decreased to waht age?
junior high school students
true or false
- all forms of tobacco are harmful
- safety/efficacy of e cigs are inconclusive
3.
true
true
___ is the window of the body which is the intital interaction of smoking with the human body occurs most often
oral cavity, where it would be expected to be activea nd exposure to be intense
heavy smokers are ___ times more likely to develop prematruely wrinkled faces than non smokers
- are women more susceptible than men
4.7 times
yes women morre susceptible
the most effect of oral cavity is?
periodontal disease becuase its affected by caries
true or false
peri dis has increasd risk for sevre with tobacco use
- periodotnal disease is unifactorial
- true
- true
chronic periodontal dise question
____ % of people with periodontal disease use tobacco
___ % pt with perio dis used to be smokers
- 9 % ?
- 4% ?
inflammation and infection question for toabcco
is there a correlation with the amt of cigs smoked and the loss of gingival attachment loss?
yes
for every 10 pk of cig smoked there is 1mm of mean attachment loss
P.D has a link to what type of disease
smoke inhibits the host defense system by inhibition of these 3 types of cells?
neutrophils
macrophages
monocytes
why is there reuced gingival bleeding?
due to decreased vascularization and imparied immune function
when you probe smokers you will see ____ bleeding and ____ pockets?
decreased bleeding
increased pocket depth
true or false
there is evidcen of any directeitological relationship bt tobacco use and caries
false, INSUFFICENT evidence for tobacco and caries but there IS correlation for tobacco and period dis
there is a shift to which 2 bacteria in smokers in their oral evn
- lactobacilli
- carcinogenic streptococci
true of false
children living with smokers ahve higher tendency to ahve caries than those children who dont live with smokers
true?
waht are the 3 benefits of smoking for peridontal health?
- increased ciruclation
- incrase host defense
- reduced cariogenic bac in the subgingival biofilm
____ looks like a nevus or a malignant lesion in smokers and is quite common among smokers
smokers melanosis
- what is white in color
- localized to one are that is typically foud in the vesitbule wehre they place it
- …
tobacco keratosis pouch
true or false
snuff dipper’s lesion can be reversible and normal mucosa will have complete regression after 3 - 6 months
true
true or false
snuff dippers keratosis after is reversible can also reverse gingival recession
surgical treatment is needed for gingival recession
the most common consquences of tobacco pouch keratosis are?
gingival recession
leukoplakia
true or false
leuokoplakia is reversible
true as long as leukoplakia did not progress to dysplasia
how do you test how dependent your pt is on nicotine?
fagerstrom test for nicotine dependence [FTND]
higher the number the more dependence for 0 - 10
_____ effects of tobacco appear earlier than ____ effects and are visibly reversible when smoking is stopped
oral effects
systemic effects
true or false
dentists have a professional obligation to help their pt quit using tobacco
true
BUT THE DECISION is ultimately in their hands
true or false
there are direct reimbursement for smking cessation counseling, and medication can be covered
false NO direct reimbursement for smoking cessation counseling
true meds can be covered
true or false
tobacco depedence is an acute condition
false, chronic conditon
