messadi tobacco oral health

Question 1

what is the single most prevenatble cause of death in our time and seious public health problem?

Answer 1

smoking

Question 2

waht is addiction?

Answer 2

compulsive drug use, without medical purpose in the face of NEGATIVE CONSEQUECE

• a chronic medical brain disease that needs attention

Question 3

___ is the prevalence of worldwide adult tobacco in the USA

(men/women)

Answer 3

21 men/ 16 women

Question 4

prevalence of adult smoking by race

4.

Answer 4

1. mixed
2. alaskan and native americans
3. white
4. black

Question 5

true or falase

1. nicotine is the addictive part of tobacco
2. nicotine causes the ill effects of tobacco like cancer

Answer 5

1. true
2. false, nicotine does NOT have correlation to the ill effects of tobacco

Question 6

what are the 5 cancer consequences of smoking?

Answer 6

esophageal

gastric

laryngeal

lung

oral cavity and pharyngeal

Question 7

waht are the 2 pulmonary disease consequences of smoking

Answer 7

acute [penumoina]

chronic [copd]

Question 8

waht are the cardiovascualr consequences of smoking ?

Question 9

what are the _____ consequneces of smoking?

Question 10

___ is the 90% and ___ is 80% and are the highest risk of developing tobacco related cancer, like oral cancer

Answer 10

lung cancer - 90%

head and neck - 80%

Question 11

window of opportunity remains opent rhoughout ____ and into the _____.

Answer 11

treatment

period of cancer survivorship

Question 12

which type of tobacco has oral effects?

Answer 12

smokeless tobacco [chewing tobacco, oral snuff]

Question 13

what are the 10 forms of tobacco

Question 14

waht is the most common form of tabacco usedi n the US

Answer 14

cigarettes

Question 15

3 types of chewing tobacco and 2 types of snuff are?

these are smokeless tobacco

Answer 15

• 3 chewing tobacco

looseleaf

plug

twist

• 2 snuff [more common know]
• moist and dry

Question 16

true or false

males [6.3 %] more likely than females [0/4%] to be current uses of smokeless forms of tobacco

Answer 16

true

Question 17

prevalence are highest of smokelss tobaccos with 3 criteria

Answer 17

1. 18 -25 yo
2. native and alaskan american
3. southern US and ______

Question 18

pipe smokers ahve incrased risk of death due to these cancers

Answer 18

lung

lip

oral cavity

pharynx?

Question 19

true or false

Prep[s reduce the risk of developng tobacco realted disease

Answer 19

false, Preps DO NOT reduce risk

Question 20

question about clove cigarretes

Question 21

true or false

most common type of tobacco in india and southeast asia is the betal nut

2. it is the 3rd most common psychoactive substance in the world

Answer 21

true

false, fourth after nicotine, alcohol, caffeine

Question 22

___ is responsible for some effects of betel quid chewing and has oral effects

Answer 22

arecoline

Question 23

betel nut is classified as a _______

Answer 23

carcinogen

Question 24

true or false

nicotine, tar carbon monoxide levels coparable to or higher than those in cigarettes for hookah

2. and because its a waterpipe smoking its NOT carcinogenic

Answer 24

true

false, still carcinogenic with nicotine, tar, and carbon monoxide levels

Question 25

\_\_\_ is a battery operated device that create a ___ for inhalation

Answer 25

electronic cigarettes creates a VAPOR for INHALATION

Question 26

true or false e cigarettes simulate smoking but does NOT involve combustion of tobacco

Answer 26

true

Question 27

What is the problem with e cigs because pts think that they can quit cig and smoking later on and does it work?

Answer 27

nicotine [0 - 36 mg] no doesnt work as a nicotine replacement therapy

Question 28

e cigs: \_\_\_\_\_\_ causes respiratory irritation and increase risk for ashtma

Answer 28

propylene glycol

Question 29

e. cig: \_\_\_\_\_ can cause

Answer 29

glycerin

Question 30

marijuana use is assciated with higher risk in ___ CA and _____ risk for tongue cacnaers

Answer 30

orophargyngeal increased lower tongue cancers both pro and anticarcinogenic effect of cannabis aka marijuana

Question 31

true or false marijuana use has a higher risk of developng oral cancer than cig use

Answer 31

false, cig use has a higher risk

Question 32

at what age do people first use marijuana has decreased to waht age?

Answer 32

junior high school students

Question 33

true or false 1. all forms of tobacco are harmful 2. safety/efficacy of e cigs are inconclusive 3.

Answer 33

true true

Question 34

\_\_\_ is the window of the body which is the intital interaction of smoking with the human body occurs most often

Answer 34

oral cavity, where it would be expected to be activea nd exposure to be intense

Question 35

heavy smokers are ___ times more likely to develop prematruely wrinkled faces than non smokers 2. are women more susceptible than men

Answer 35

4.7 times yes women morre susceptible

Question 36

the most effect of oral cavity is?

Answer 36

periodontal disease becuase its affected by caries

Question 37

true or false peri dis has increasd risk for sevre with tobacco use 2. periodotnal disease is unifactorial

Answer 37

1. true 2. true

Question 38

chronic periodontal dise question

Question 39

\_\_\_\_ % of people with periodontal disease use tobacco \_\_\_ % pt with perio dis used to be smokers

Answer 39

41. 9 % ? 10. 4% ?

Question 40

inflammation and infection question for toabcco

Question 41

is there a correlation with the amt of cigs smoked and the loss of gingival attachment loss?

Answer 41

yes for every 10 pk of cig smoked there is 1mm of mean attachment loss

Question 42

P.D has a link to what type of disease

Question 43

smoke inhibits the host defense system by inhibition of these 3 types of cells?

Answer 43

neutrophils macrophages monocytes

Question 44

why is there reuced gingival bleeding?

Answer 44

due to decreased vascularization and imparied immune function

Question 45

when you probe smokers you will see ____ bleeding and ____ pockets?

Answer 45

decreased bleeding increased pocket depth

Question 46

true or false there is evidcen of any directeitological relationship bt tobacco use and caries

Answer 46

false, INSUFFICENT evidence for tobacco and caries but there IS correlation for tobacco and period dis

Question 47

there is a shift to which 2 bacteria in smokers in their oral evn

Answer 47

1. lactobacilli 2. carcinogenic streptococci

Question 48

true of false children living with smokers ahve higher tendency to ahve caries than those children who dont live with smokers

Answer 48

true?

Question 49

waht are the 3 benefits of smoking for peridontal health?

Answer 49

1. increased ciruclation 2. incrase host defense 3. reduced cariogenic bac in the subgingival biofilm

Question 50

\_\_\_\_ looks like a nevus or a malignant lesion in smokers and is quite common among smokers

Answer 50

smokers melanosis

Question 51

1. what is white in color 2. localized to one are that is typically foud in the vesitbule wehre they place it 3. ...

Answer 51

tobacco keratosis pouch

Question 52

true or false snuff dipper's lesion can be reversible and normal mucosa will have complete regression after 3 - 6 months

Answer 52

true

Question 53

true or false snuff dippers keratosis after is reversible can also reverse gingival recession

Answer 53

surgical treatment is needed for gingival recession

Question 54

the most common consquences of tobacco pouch keratosis are?

Answer 54

gingival recession leukoplakia

Question 55

true or false leuokoplakia is reversible

Answer 55

true as long as leukoplakia did not progress to dysplasia

Question 56

how do you test how dependent your pt is on nicotine?

Answer 56

fagerstrom test for nicotine dependence [FTND] higher the number the more dependence for 0 - 10

Question 57

\_\_\_\_\_ effects of tobacco appear earlier than ____ effects and are visibly reversible when smoking is stopped

Answer 57

oral effects systemic effects

Question 58

true or false dentists have a professional obligation to help their pt quit using tobacco

Answer 58

true BUT THE DECISION is ultimately in their hands

Question 59

true or false there are direct reimbursement for smking cessation counseling, and medication can be covered

Answer 59

false NO direct reimbursement for smoking cessation counseling true meds can be covered

Question 60

true or false tobacco depedence is an acute condition

Answer 60

false, chronic conditon