Smoking cessation

Question 1

Medications to aid smoking cessation

Answer 1

Nicotine replacement therapy

Varenicline (champix)
bupropion (zyban)

Question 2

Psychological aids to smoking cessation

Answer 2

Behavioural support
One-to-one
Group sessions

Question 3

What brief intervention should be carried out at every appointment

Answer 3

Ask - is the patient a smoker, ex-smoker or non-smoker - record
Advise - on the best way of quitting - combination of medication and specialist support
Act - on patients response - build confidence, give information, refer, prescribe

Question 4

Effect of smoking on oral health

Answer 4

Periodontitis
Acute necrotising ulcerative gingivitis
Mucosal disease e.g. candidosis
Caries
Wound healing - dry sockets
Staining
Halitosis

Question 5

Whats in e-cigarettes?

Answer 5

Nicotine
Flavourings
Glycol/glycerine

Question 6

E-cigarettes vs smoking?

Answer 6

Unlikely to exceed 5% of harm

Question 7

Oral effects of nicotine chewing gum?

Answer 7

No significant effects on any oral health parameters

Dental stain reduction adn shade lightening

Question 8

PHE advice for smokers

Answer 8

Stop smoking completely - getting expert support combined with using e-cigarettes doubles your chances of quitting successfully

Question 9

PHE advice for people who vape nicotine

Answer 9

Stop and switch to vaping, come off nicotine when you are confident you won’t relapse

Question 10

Advice for people who smoke cannabis?

Answer 10

You should stop if you experience symptoms you are concerned about

Question 11

Advice for people vaping THC (weed substance)

Answer 11

Can be hazardous

If you have difficulty breathing go to A&E and tell them what you have taken