W12 Tobacco Counselling

Question 1

What hormones does tobacco activate?

Answer 1

Dopamine, Glutamate, Gamma Aminobuyte acids

Question 2

What is the MOA of tobacco?

Answer 2

Inhalation to the lungs; absorbed rapidly in pulmonery venous circulation; arterial circuation transports to brain; dopamine is released by brain by central receptors; dopamine release creates pleasurable exp.

Plasma nicotine levels have to be maintained to prevent withdrawal symptoms

Question 3

What are (8) effects of tobacco use?

Answer 3

1. Tooth staining
2. Halitosis
3. Hairy Tongue
4. Perio
5. Wound healing
6. Keratosis
7. Leukoplasia
8. Oral Cancers

Question 4

PIC What is this condition?

Answer 4

Hairy tongue. Characterised by keratinization of filiform papillae, benign condition.

Question 5

What leads to non-bleeding gums?

Answer 5

Vasoconstriction of gingival tissue

Question 6

What does the reduced circulation in smoking lead to?

Answer 6

Reduced immune cells in gingival tissues, weak defense to biofilm

Question 7

What biofilm mediators are weakened?

Answer 7

Chemotactic, phagocytic activity of leukocytes

Question 8

Is smoking related to ANUG?

Answer 8

Yes, also a cascade of events leading to increased cal, pocket depths and alveolar boneloss

Question 9

D o smokers have delayed wound healing?

Answer 9

yes

Question 10

PICWhat is this?

Answer 10

Oral mucosa thickening from thermal trauma of smoke. affects palate and buccal mucosa.

Question 11

PIC What is this?

Answer 11

Leukoplakia - commonly seen in pt. Precuser for carcinoma’s