Smoking Cessation

Question 1

What tobacco control is there in Scotland?

Answer 1

• have to be 18 to purchase
• plain packaging of tobacco
• sale of tobacco not visible (behind shutters)
• Vending machines banned

Question 2

Dentists have the opportunity for what kind of intervention regarding smoking cessation?

Answer 2

Brief intervention

Question 3

What are the different models/guidance for giving a brief intervention for smoking cessation?

Answer 3

5A’s

3A’s

Question 4

Advice on quitting can come in 3 forms (timeframe based) what are they?

Answer 4

• Very brief advice (1 min)
• Brief advice (3-10 mins)
• Detailed advice (up to 30min and not dentists)

Question 5

Describe the brief advice that can be given with the 3A’s model.

Answer 5

1- ASK - establish and record smoking status
2- ADVISE on personal benefits of quitting in light of findings in the mouth
3 - ACT - offer individualised help and refer to local stop smoking services if appropriate

Question 6

Describe the brief advice that can be given using the 5As model

Answer 6

ASK your patient 
ADVIDE your patient 
ASSESS your patient 
ASSIST your patient 
ARRANGE FOLLOW-UP for your patient

Question 7

How often should you ask about a patient’s smoking status?

Answer 7

Once a year and should be updated in notes

Question 8

When asking if patient is a smoker and they say yes, what other info do you want regarding current smoking status?

Answer 8

• no. of cigs smoked per day
• no. of years a smoker
• age when started smoking
• what products used (cigarettes, e-cigs, rollups etc.)

Question 9

What equals 1 pack year?

Answer 9

1 pack (20) a day for a year

so if a patient has smoked 10 a day for 10 years this = 5 pack years [ (10/20)x10 ]

Question 10

What info do you want as part of a quitting history?

Answer 10

Have you tried before?
How many attempts?
What helped you?
Would you be interested now?
Would you be interested in getting further help and support?

If patient is interested would then proceed with advice and referral

Question 11

Act=referral. What referral options are there?

Answer 11

Depends what is available locally so find out

Can refer electronically within GDH

Question 12

Do pharmacies or us (special services) have greater success rates in smoking cessation?

Answer 12

Us - people listen to us more

Question 13

Summarise the oral side effects of tobacco.

Answer 13

Oral cancer - 2-4x more likely

2-6x more likely to have perio disease

Smoking increases dental treatment risks and problems (implants much more likely to fail -x2 times more likely to fail. Quitting prior to implantation can improve success)

Significantly greater medical risks, compromised health and more days of illness