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Smokeless Tobacco Dental Health Interventi on Electronic Cigarettes KAMU Kansas Association for the Medically Underserved TOBACCO MODULE 4

Smokeless Tobacco Dental Health Intervention Electronic Cigarettes KAMU Kansas Association for the Medically Underserved TOBACCO MODULE 4

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Slide 2 Smokeless Tobacco Dental Health Intervention Electronic Cigarettes KAMU Kansas Association for the Medically Underserved TOBACCO MODULE 4 Slide 3 Module 1: Why is it Hard to Quit? Module 2: Ask, Advise, Assist, Refer Module 3: Quit Smoking Medications Module 4: Smokeless Tobacco, Dental Health Intervention and E-cigarettes Module 5: Office Systems and Creating a Quit Plan 2 GOALS: TOBACCO CESSATION TRAINING COMMUNITY HEALTH CLINICS Babalola Faseru, MD, MPH Department of Preventive Medicine and Public Health University of Kansas Medical Center Slide 4 Types of Smokeless Tobacco Prevalence, Health Effects, and How to Treat Ask, Advise, Refer Model for Dental Practice E-cigarettes What we know What we dont know What do you tell your patients 3 OBJECTIVES Slide 5 4 SMOKELESS TOBACCO HARMFUL & HIGHLY ADDICTIVE Babalola Faseru, MD, MPH Department of Preventive Medicine and Public Health University of Kansas Medical Center Slide 6 Snus (snoose)Scandinavian moist powder tobacco product (place under upper lipless need to spit) SnusAmerican similar to Scandinavian but no regulation Dipping tobacco moist snuff (lower lip and gums) causes excess saliva, could require spitting Nasal Snuff Finely ground dry form of tobacco snuffed through the nose Chewing tobacco long strands placed between cheeks, gum, or teeth (plugs, wads, chew) Dissolvables strips, sticks, orbs and compressed tobacco lozenges 5 TYPES OF SMOKELESS TOBACCO Slide 7 6 HEALTH EFFECTS OF SMOKELESS TOBACCO Cancer Risk Smokeless tobacco contains 28 carcinogens Increases the risk of developing several cancers Oral Health Dangers Increases the risk of developing precancerous mouth lesions Strongly associated with recession of the gums. Heart Disease and Stroke Strongly associated with heart disease and stroke Addiction Use leads to nicotine addiction and dependence http://www.ctri.wisc.edu/HC.Providers/spit/Spit_tobacco_treatment.pdf Leukoplakia Slide 8 Two main types of smokeless tobacco in the U.S. 1.Chewing Tobacco 2.Snuff 7 NICOTINE & SMOKELESS HOLDING AN AVERAGE-SIZE DIP IN YOUR MOUTH FOR 30 MINUTES GIVES YOU AS MUCH NICOTINE AS SMOKING THREE CIGARETTES. A 2-CAN-A-WEEK SNUFF DIPPER GETS AS MUCH NICOTINE AS A 1-1/2 PACK-A-DAY SMOKER DOES. HTTP://WWW.NIDCR.NIH.GOV/ORALHEALTH/TOPICS/SMOKELESSTOBACCO/SMOKELESSTOBA CCOAGUIDEFORQUITTING.HTM Snus by Andreas Hagerman Slide 9 Gender differences Adult: Males: Dual use: 13.3% Exclusively: 5.3% Females: Lozenge If the first dip 3 cans or pouches of tobacco per week: Prescribe 4 mg Nicotine lozenge (1-2 pieces) every 1-2 hours as needed If the first dip of the day is > 30 minutes after awakening or patient is using30 minutes after awakening or patient is using