Smoking Cessation

Question 1

What are the 5 As of smoking cessation?

Answer 1

Ask patient
Advise patient
Act (offer individualised help and referral to stop smoking services)

Question 2

What should you ask your patient about smoking?

Answer 2

Number smoked a day?
How long for?
When they started?
What they smoke?
Would you like to quit? Something you have thought of before? Have you tried quitting before?

Question 3

What are some oral side effects of smoking?

Answer 3

Oral cancer
Perio risk factor
Increases complications with implants and extractions
Staining of teeth
Halitosis
Black hairy tongue

Overall greater medical risk

Question 4

What is leukoplakia?

Answer 4

White patch that cannot be rubbed off
Common in smokers
Possibly pre malignant

Question 5

What is erythroplakia?

Answer 5

Chronic white and red lesions on soft palate
More likely for malignancy than white patches

Question 6

What advise would you provide on e cigarettes?

Answer 6

They can be an aid to quitting
Contain nicotine but not tobacco - safer than cigarettes

Safety in long term is not yet known

Question 7

Where can you refer for smoking cessation advice?

Answer 7

Pharmacy
Specialist services