Smoking Cessation Flashcards
what type of intervention should we carry out as the dentist?
brief intervention (10 mins)
what are the oral side effects of smoking? (6)
Increases oral cancer risk
Risk for periodontal disease
Limits healing and success for extractions/implants etc
Stains the teeth
Tooth loss
Halitosis
what are the models for smoking cessation? (2)
3 A’s or 5 A’s
Ask:
Establish and record smoking status
Advise:
Personal benefits - use what you’ve found in the mouth to provide supporting evidence
Act:
Offer to help and signpost services
5: Ask: Advise: Assess: Assist: Arrange follow up:
what should we ask the patient about in regards to smoking? (10)
Carried out once a year and updated in notes to provide evidence; Do they smoke/are they an ex smoker Number per day Number of years a smoker Age when patient started What products do they use
Quitting history: Have you tried quitting before? How many attempts have you had? What helped you? Are you interested now? Would you be interested in the future? If getting positive response - proceed with advice and referral.
where can we refer smokers who want to quit for support? (3)
Phone trained advisor that will provide advice
Specialist services - greater success
Pharmacy services - greater reach
Always note outcome in patients record!!!
why do people smoke? (7)
Addicted - cant stop
Enjoyment
Help concentrate
Relieve stress
Socialise - peer bonding (all of family/friends smoke etc)
Keep weight down - nicotine is an appetite suppressor.
Managing withdrawal symptoms
describe the effects of shish in comparison to smoking.
45 mins of use = doubles the carbon monoxide and triples the nicotine exposure (same as 10 cigarettes in a row)
what form of tobacco has the highest levels of carbon monoxide?
Shisha
what are the health risks associated with shisha? (4)
Health risks such as TB, Hep A, helicobacter pylori and pulmonary aspergillosis
what is NRT used to manage?
withdrawals from cigarettes - increases likelihood of quitting
name examples of NRT’s (4)
Patches, gum, nasal spray, lozerngers, oral strips etc
Champix
Zyban
e cigarettes
list the types of second hand/environmental smoke. (3)
Mainstream smoke - inhaled by the smoker
Side stream smoke - (fills the room) Contains more carcinogens
Third hand smoke - Carcinogen laden residue on surfaces.
what are the benefits of E cigarettes?
Less toxic/safer than cigarettes - but long term effects not known! (NHS)
95% less harmful but still 5% harmful.
who uses E cigs? (3)
Ex smokers are the highest percentage of users
Some current smokers are using them (17.4% use together)
Low numbers of non-smokers
why do people use E cigs? (6)
Ex smokers - helping them to quit
Current smokers - harm reduction by lowering the amount of cigarettes they’re smoking
Less toxic
Cheaper
Psychosocial aspect of addiction maintained
Socialisation