Tabacco cessation Flashcards
(15 cards)
what does chewing betel quid often lead to?
Submucous fibrosis
Name some things that tabacco does to the oral cavity
- vasoconstriction
- pigments tongue and stains teeth
- nicotine is addictive
- black hairy tongue and stomatitis nicotina
- potentially malignant lesions: leukoplakia and erythroplakia
Give some systemic effects of tabacco
Cardiovascular disease, primary carcinoma of lung, gastric carcinoma, abortion, osteoporosis, bone fractures.
What are you as a dentist going to do when a patient comes to you with smoking?
ASK LOOK (all the signs you have to look for are the stained teeth, premalignant lesions, halitosis, pigmented tongue) DECIDE ACT DOCUMENT
Name some things you are looking for to see if the patient is a smoker?
- staining of teeth
- halitosis
- pigmentation of the tongue
- potentially malignant lesions (leukoplakia)
- Pale gingiva (vasconstriction)
- periodontitis (loss of bone height)
Give the management of tabacco-related disease
Prevention is better than cure!
smoking cessation stratergies:
1. Self help stratergies
2. assisted stratergies: face to face support, pharmacotherapy, telephone counselling, brief intervention
3. CHR/ ORI model:
-identify all smokers
-briefly (20min) counselling, if interested, mention potential oral and systemic disease, mention health benefits of quitting.
-identify a quit date
-provide printed material!
-follow up phone call after quitting date
Give the lesions that can occur from smoking
Black hairy tongue, stomatitis nicotina (white on palate), PMD: leukoplakia and erythroplakia
Give systemic and oral effects of smoking
Short term: cough, halitosis, high BP, low stamina.
Oral changes: stained teeth, pigmente tongue, pale mucosa, halitosis, white lesions, xerostomia.
Long term: Cardiovascular disease, primary lung carcinoma, gastric carcinoma (swallow carcinogens), renal carcinoma, osteoporosis, bone fractures, abortion.
Long term oral: mobile teeth, gum recession, candida, decreased healing
Give some smoking cessation interventions
Prevention better than cure!
- Self help strategies
- Assisted strategies: face to face support, pharmacotherapy, telephone counselling, brief intervention
- CHr/ORI model
Give the principles of the CHR/ORI model
- identify all smokers
- brief 20min counselling, if interested. Mention the oral and systemic disease, mention benefits of quitting.
- identify a quitting date
- provide printed material!
- Follow up phone calls after quitting date
Name the 5 A’s of smoking cessation
Ask: about tabacco use
Advise: urge tabacco user to quit
Assess: determine willingness to attempt to quit
Assist: provide help towards successful quitting
Arrange: follow up contact
Name health benefits of quitting tabacco
Decreased risk heart disease
Decreased risk of non-fatal myocardial infarction
Decreased mortality
Reasons for smoking relapse ?
Often barriers: -patient negative attitude -No clinical time to explain -lack of reimbursement for smoking cessation -lack of training negative attitude towards efficacy -lack of educational material given Causes of relapse: -not easy -addicted to nicotine -physical and mental dependance -withrawl symptoms (headache, GI constripation, sleep disorders, depression, increased appetite, irritable, anxious, dizzy.) -Smokers pity themselves during withdrawl symptoms -peer pressure
How do we prevent smoking relapse?
- Make follow up calls
- praise smoking cessation attempt
- reassure pt on negative feelings of withdrawl
- encourage reading of cessation leaflet
Give a patient some general tips on quitting tabacco smoking
- Write down reasons for quitting
- throw cigs and ash trays away
- set a quit date
- stay busy
- tell family and friends so they can provide support
