Smoking Cessation Flashcards
If a dentist was to give ‘very brief’ smoking cessation advice to patients what would this include?
3 A’s
- ask (your patient about smoking)
- advise (your patient about effects of smoking)
- act (offering individualised help & referral to stop smoking services)
What can be used in dental practises to provide smoking cessation advice?
The 5 A’s
- ask
- advise
- assess
- assist
- arrange follow up
What is involved in the ‘ask’ portion of the 5 As?
Ask about smoking status
- number of cigs smoked a day
- number of years a smoker
- age when started
- what products used
- have they tried to quit? do they want to? how many attempts?
How much more likely is Leukoplakia likely to occur in smokers compared to those who do not smoke? What is leukoplakia?
6x more likely
- leukoplakia is a white patch that cannot be wiped off (especially bad on floor of mouth)
How does tobacco use affect dental implants?
Failure rate of implants in smokers at least 2x more likely in smokers than in non-smokers
Aside from oral cancer, what other oral lesions are tobacco related?
- staining of teeth/dental restorations/dentures
- halitosis
- nicotine stomatitis (smokers palate)
- smokers melanosis (pigmentation)
- black hairy tongue
Why might someone smoke?
- enjoyment
- keep weight down
- help concentrate
- relieve boredom
- socialise
- cope with stress
- manage withdrawal symptoms
What might withdrawal symptoms be if a patient decides to quit smoking?
- nicotine cravings
- sweating
- nausea/abdominal cramps
- headaches
- coughing
- sore throat
- insomnia
- anxiety
- irritability
- depression
What is dependency in relation to nicotine?
A chronic relapsing disease defined as a compulsive craving (physiological and psychological) to use the drug despite the harmful consequences
How do you calculate pack years?
1 pack (20) a day = 1 pack year
