Smoking Cessation - Revision Questions Flashcards
The 5A’s for smoking cessation
Ask - smoking status - no. of years, how many do they smoke, age when started, anyone close at home smoke, poroducts used, quitting history, how quickly do they light up
Advise - advise your patient
Assess - assess your patient - are they willing to attemp to quit
Assist - assist your patient - NRT, cousnelling group, pharmacy, community
Arrange a follow up
Withdrawel symptoms of smoking
Sweating Nausea Headaches Sore throat Nicotine cravings Weight gain Aniexty Coughing Depression Irriatability Insomnia Tingling in hands and feet
Oral side effects of tobacco
Oral cancer Risk factor for perio Increased dental treatment risks and problems Greater medical risks, compromised health Discolouration Hallitosis Perio Xerostomia Staining of teeth Nictoninc stomatitis (smokers palate) Smokers melanosis (pigmentation) Black hairy tongue XLA's take longer to heal
What are causes of oral cancer
Tobacco and alcohol Chewing tobacco Diet high in ACE vitamins Pre existing mucosal abnormalities HPV
What is NRT
Patches work by transdermal patch that releases nicotine into body through skin
Examples - patches, gums, inhalers, nasal spray, oral strips, lozenges, microtabs
Why do you use e-cigs
Aid to quitting Less toxic Cheaper Alternative to cigs Harm reduction
What are oral side effects of e-cigs
mouth and throat dryness lichenoid eruptions perio disease? oral cancer? benign mucosal lesions?
What are thr 5 R’s for smokers thinking about quitting
Revelance Risk Rewards Roadblocks Reptition
What is the tobacco addiction triangle
Habit
Emotional attachement
Chemical Addiciton
What is in the community to promote the reduction in smoking
Ban smoking in public places
Raised age of buying cigs to 18years
Placed health warning signs on packaging
Put cigs behind black out screen in shops
What are some general smoking issues
Narrow arteries and increase artherosclerosis Stroke Lung cancer COPD, chest infections, bronchitis Stomach ulcer and cancer Heart attacks
What is the periodontal phenomenon experienced by smokers
It increases rate of alveolar bone loss, attachment loss and pocket formation but may not be eveident to the smoker as smoking masks the signs of gingivitis ( the gums bleed less due to vasoconstriction properties of nictoine)
When patients stop smoking there gums will then bleed and this is when they realise the extent of the damage to their oral cavity
