Smoking

Question 1

Patient wants to quit

Answer 1

1. Affirm and encourage
2. Provide Quit pack and Quit Plan
3. Discuss pharmacotherapy (NRT)
4. Discuss Relapse prevention
5. Refer to Quitline

Question 2

Addiction
Tolerance
Dependence

Answer 2

Cravings, increase 
Lvl of Dependence: 
>w/I 30 min of waking
>10+ daily
>History of withdrawals

Question 3

Issues of quitting

Answer 3

Stress
Social Network
Withdrawal symptoms (day 3+7 hardest)

Question 4

Dental effects:

Answer 4

Halitosis
Poor taste
Staining
> Neoplastic, smokers keratosis, black hairy tongue, leukoplakia, Candida
> Perio, dry socket, implant failure, xerostomia