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Smoking cessation talk

I am trying to find a smooth way to talk about smoking cessation and the harmful effects it can wreak on the oral cavity. I would love to hear how you guys do it as I am a student . THANK YOU



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4 Answers

I always start off by asking how long they have smoked and how many cigarettes they smoke during the day. If they are a perio maint pt I always make sure to explain how tobacco use contributes to periodontal disease. Sometimes pt even ask “how did I get periodontal disease?”, this is always a good segway to explain the correlation. If they don’t currently have periodontal disease I explain their risk factors including tobacco use. Of course you need to chart that you talked about smoking cessation. Of course its up to the pt to make the final decision about their health but its our responsibility to give them the information and tools. Always feel the pt attitude out about quitting but don’t push them to stop. If one appt they are open about it, its a good time to review info. At the next appt they are guarded maybe its best to address it next time. You never want to offend the pt or belittle them. Be a supportive hygienist and one day you may reach someone and change their life!

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That is really my goal to change their life and oral health for the better. Thank youuu so much ! As far as the technical jargan like microvascular vessels that decrease blood flow to the gingiva which make the periodontal disease happen faster all while keeping the gingiva pink allowing the oral cavity to maintain a healthy appearance. How do you explain that , what exactly do you say? Smoking vs nonsmoking i understand smoking is not the cause but just a risk factor. I appreciate your help so much I have really been struggling with this and my teachers seem a little vague on this even though they are great !

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Without being too technical with the patient, I’ll explain that smoking decreases their ability to heal. I explain how periodontal disease is an infection and smoking causes the body to not be able to remove the infection thus it progresses to the stage they are at. As with the pink gingiva along side periodontal disease I will explain in simple terms that tobacco use constricts the blood vessels giving the appearance of healthy gingiva. Pt’s seem to understand this much better than going too in depth with all the technical jargon. A lot of times I’ll get a feel on how the pt understands what I’m saying and then I can figure out how in depth to go or how to come up with ways for them to understand. Also I will sit at eye level with them in a relaxed manner, this gives the pt the feeling that you are caring and not being too aggressive. Hope this helps!

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In my home state you can sign up to receive free informational handouts for patients on smoking cessation. It’s through 1-800-Quit-Now. You may search your states smoking cessation programs to get free literature for your patients. Many of my patients said the handouts help.

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