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Opath > messadi tobacco oral health > Flashcards

messadi tobacco oral health Flashcards

1
Q

what is the single most prevenatble cause of death in our time and seious public health problem?

A

smoking

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2
Q

waht is addiction?

A

compulsive drug use, without medical purpose in the face of NEGATIVE CONSEQUECE

  • a chronic medical brain disease that needs attention
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3
Q

___ is the prevalence of worldwide adult tobacco in the USA

(men/women)

A

21 men/ 16 women

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4
Q

prevalence of adult smoking by race

4.

A
  1. mixed
  2. alaskan and native americans
  3. white
  4. black
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5
Q

true or falase

  1. nicotine is the addictive part of tobacco
  2. nicotine causes the ill effects of tobacco like cancer
A
  1. true
  2. false, nicotine does NOT have correlation to the ill effects of tobacco
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6
Q

what are the 5 cancer consequences of smoking?

A

esophageal

gastric

laryngeal

lung

oral cavity and pharyngeal

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7
Q

waht are the 2 pulmonary disease consequences of smoking

A

acute [penumoina]

chronic [copd]

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8
Q

waht are the cardiovascualr consequences of smoking ?

A
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9
Q

what are the _____ consequneces of smoking?

A
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10
Q

___ is the 90% and ___ is 80% and are the highest risk of developing tobacco related cancer, like oral cancer

A

lung cancer - 90%

head and neck - 80%

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11
Q

window of opportunity remains opent rhoughout ____ and into the _____.

A

treatment

period of cancer survivorship

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12
Q

which type of tobacco has oral effects?

A

smokeless tobacco [chewing tobacco, oral snuff]

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13
Q

what are the 10 forms of tobacco

A
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14
Q

waht is the most common form of tabacco usedi n the US

A

cigarettes

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15
Q

3 types of chewing tobacco and 2 types of snuff are?

these are smokeless tobacco

A
  • 3 chewing tobacco

looseleaf

plug

twist

  • 2 snuff [more common know]
  • moist and dry
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16
Q

true or false

males [6.3 %] more likely than females [0/4%] to be current uses of smokeless forms of tobacco

A

true

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17
Q

prevalence are highest of smokelss tobaccos with 3 criteria

A
  1. 18 -25 yo
  2. native and alaskan american
  3. southern US and ______
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18
Q

pipe smokers ahve incrased risk of death due to these cancers

A

lung

lip

oral cavity

pharynx?

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19
Q

true or false

Prep[s reduce the risk of developng tobacco realted disease

A

false, Preps DO NOT reduce risk

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20
Q

question about clove cigarretes

A
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21
Q

true or false

most common type of tobacco in india and southeast asia is the betal nut

  1. it is the 3rd most common psychoactive substance in the world
A

true

false, fourth after nicotine, alcohol, caffeine

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22
Q

___ is responsible for some effects of betel quid chewing and has oral effects

A

arecoline

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23
Q

betel nut is classified as a _______

A

carcinogen

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24
Q

true or false

nicotine, tar carbon monoxide levels coparable to or higher than those in cigarettes for hookah

  1. and because its a waterpipe smoking its NOT carcinogenic
A

true

false, still carcinogenic with nicotine, tar, and carbon monoxide levels

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25
Q

___ is a battery operated device that create a ___ for inhalation

A

electronic cigarettes creates a VAPOR for INHALATION

26
Q

true or false

e cigarettes simulate smoking but does NOT involve combustion of tobacco

A

true

27
Q

What is the problem with e cigs because pts think that they can quit cig and smoking later on and does it work?

A

nicotine [0 - 36 mg]

no doesnt work as a nicotine replacement therapy

28
Q

e cigs:

______ causes respiratory irritation and increase risk for ashtma

A

propylene glycol

29
Q

e. cig: _____ can cause

A

glycerin

30
Q

marijuana use is assciated with higher risk in ___ CA and _____ risk for tongue cacnaers

A

orophargyngeal increased

lower tongue cancers

both pro and anticarcinogenic effect of cannabis aka marijuana

31
Q

true or false marijuana use has a higher risk of developng oral cancer than cig use

A

false, cig use has a higher risk

32
Q

at what age do people first use marijuana has decreased to waht age?

A

junior high school students

33
Q

true or false

  1. all forms of tobacco are harmful
  2. safety/efficacy of e cigs are inconclusive

3.

A

true

true

34
Q

___ is the window of the body which is the intital interaction of smoking with the human body occurs most often

A

oral cavity, where it would be expected to be activea nd exposure to be intense

35
Q

heavy smokers are ___ times more likely to develop prematruely wrinkled faces than non smokers

  1. are women more susceptible than men
A

4.7 times

yes women morre susceptible

36
Q

the most effect of oral cavity is?

A

periodontal disease becuase its affected by caries

37
Q

true or false

peri dis has increasd risk for sevre with tobacco use

  1. periodotnal disease is unifactorial
A
  1. true
  2. true
38
Q

chronic periodontal dise question

A
39
Q

____ % of people with periodontal disease use tobacco

___ % pt with perio dis used to be smokers

A
  1. 9 % ?
  2. 4% ?
40
Q

inflammation and infection question for toabcco

A
41
Q

is there a correlation with the amt of cigs smoked and the loss of gingival attachment loss?

A

yes

for every 10 pk of cig smoked there is 1mm of mean attachment loss

42
Q

P.D has a link to what type of disease

A
43
Q

smoke inhibits the host defense system by inhibition of these 3 types of cells?

A

neutrophils

macrophages

monocytes

44
Q

why is there reuced gingival bleeding?

A

due to decreased vascularization and imparied immune function

45
Q

when you probe smokers you will see ____ bleeding and ____ pockets?

A

decreased bleeding

increased pocket depth

46
Q

true or false

there is evidcen of any directeitological relationship bt tobacco use and caries

A

false, INSUFFICENT evidence for tobacco and caries but there IS correlation for tobacco and period dis

47
Q

there is a shift to which 2 bacteria in smokers in their oral evn

A
  1. lactobacilli
  2. carcinogenic streptococci
48
Q

true of false

children living with smokers ahve higher tendency to ahve caries than those children who dont live with smokers

A

true?

49
Q

waht are the 3 benefits of smoking for peridontal health?

A
  1. increased ciruclation
  2. incrase host defense
  3. reduced cariogenic bac in the subgingival biofilm
50
Q

____ looks like a nevus or a malignant lesion in smokers and is quite common among smokers

A

smokers melanosis

51
Q
  1. what is white in color
  2. localized to one are that is typically foud in the vesitbule wehre they place it
  3. …
A

tobacco keratosis pouch

52
Q

true or false

snuff dipper’s lesion can be reversible and normal mucosa will have complete regression after 3 - 6 months

A

true

53
Q

true or false

snuff dippers keratosis after is reversible can also reverse gingival recession

A

surgical treatment is needed for gingival recession

54
Q

the most common consquences of tobacco pouch keratosis are?

A

gingival recession

leukoplakia

55
Q

true or false

leuokoplakia is reversible

A

true as long as leukoplakia did not progress to dysplasia

56
Q

how do you test how dependent your pt is on nicotine?

A

fagerstrom test for nicotine dependence [FTND]

higher the number the more dependence for 0 - 10

57
Q

_____ effects of tobacco appear earlier than ____ effects and are visibly reversible when smoking is stopped

A

oral effects

systemic effects

58
Q

true or false

dentists have a professional obligation to help their pt quit using tobacco

A

true

BUT THE DECISION is ultimately in their hands

59
Q

true or false

there are direct reimbursement for smking cessation counseling, and medication can be covered

A

false NO direct reimbursement for smoking cessation counseling

true meds can be covered

60
Q

true or false

tobacco depedence is an acute condition

A

false, chronic conditon

61
Q
A

Opath (6 decks)

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