Smoking

Question 1

what 3 diseases can smoking lead to

Answer 1

cancer (lung/throat)
COPD
heart disease

Question 2

5 features in the clinical apperance of smokers

Answer 2

1. fibrotic tight gingiva and rolled margins
2. less gingival redness and bleeding
3. more severe widespread disease
4. stained calculus due to nicotine
5. anterior recession

Question 3

4 clinical characterisitics of smokers

Answer 3

• early onset
• rapid progression
• more tooth loss
• greater severity

Question 4

what are the 5 A’s used for patients wanting to quit smoking

what are these based on

Answer 4

Ask: Inquire about tobacco use.
Advise: Strongly recommend quitting.
Assess: Determine readiness to quit.
Assist: Help develop a quit plan.
Arrange: Set follow-up visits.

DBOH

Question 5

what is included in the act part

Answer 5

e-cigs
nicotine replacement therapy
refer to stop smoking services

Question 6

what is included in the ask part

Answer 6

how many per day
how many years
pattern of smoking

Question 7

what is included in the advise part

Answer 7

give brief info on quitting methods
highlihgt effects on OH
explain benefits of quitting

Question 8

what are the effects of nicotine on BP

Answer 8

• increase in blood pressure
• leads to dehydration of skin

Question 9

what is the effect of nicotine on heart rate

Answer 9

• increase in heart rate
• increase in noradrenaline and dopamine
• leads to positive mood swinging

Question 10

what are two effects when nicotine wears of

Answer 10

anxiety
irratiblity

Question 11

equation for smoking years

Answer 11

no of cigarettes smoked per day X no of years smoked

Question 12

what is the relationship between smoking and periodontal disease

Answer 12

direct linear relationship between exposure to smoking and the amount of alveolar bone loss