Smoking and Tobacco Use Guidance
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Questions and Answers

What is the most effective method to quit smoking according to the information provided?

  • Using over-the-counter nicotine replacement
  • Taking medication without support
  • Using willpower alone
  • Combining stop smoking aids with expert behavioural support (correct)

    • How much does using a stop smoking medicine prescribed by a healthcare professional increase the chances of quitting?

  • Increases chances by fifty percent
  • Increases chances by three times
  • Has no effect on quitting chances
  • Doubles the chances of quitting (correct)

    • What is the effect of over-the-counter nicotine replacement therapy (NRT) on quitting smoking?

  • Increases the chances of quitting one and a half times (correct)
  • Has no effect on success
  • Makes it equally likely to succeed compared to willpower alone
  • Decreases the chances of quitting

    • Which of the following smoking cessation methods is the least effective?

    <p>Using willpower alone (A)</p> Signup and view all the answers

    What is the relationship between pharmacotherapy and behavioural support for smoking cessation?

    <p>Pharmacotherapy is particularly effective when combined with behavioural support (D)</p> Signup and view all the answers

    What is the primary method by which 'Heat-not-burn' (HnB) tobacco products deliver nicotine?

    <p>By heating processed tobacco (B)</p> Signup and view all the answers

    What is a major concern regarding the health effects of 'Heat-not-burn' tobacco products?

    <p>Research on long-term effects is limited (A)</p> Signup and view all the answers

    What oral health risk is associated with all legal forms of tobacco in the UK?

    <p>Oral cancer risk (D)</p> Signup and view all the answers

    How can users of tobacco in any form be assisted in quitting?

    <p>Through smoking cessation interventions (D)</p> Signup and view all the answers

    What should be used to help identify if someone uses smokeless tobacco?

    <p>Using the local names of various products and visual aids (C)</p> Signup and view all the answers

    What is the first step for dental teams in addressing tobacco use?

    <p>Establish if the patient is a smoker (D)</p> Signup and view all the answers

    What is Very Brief Advice (VBA)?

    <p>A quick discussion aimed at motivating patients to quit (B)</p> Signup and view all the answers

    How can dental professionals help increase the likelihood of long-term tobacco-use abstinence?

    <p>Through single and multi-session behavioral support (B)</p> Signup and view all the answers

    What effect does Very Brief Advice have on a patient's motivation to quit smoking?

    <p>It can double a patient's chance of quitting (A)</p> Signup and view all the answers

    Why might many patients require VBA on multiple occasions?

    <p>They may be unready to act at first (D)</p> Signup and view all the answers

    What types of support can be included as part of tobacco cessation interventions?

    <p>Behavioral support alongside NRT or e-cigarettes (B)</p> Signup and view all the answers

    What is the role of dental teams in tobacco use among patients?

    <p>They can provide opportunistic advice to those needing support (D)</p> Signup and view all the answers

    Which of the following is NOT a method mentioned for quitting smoking?

    <p>Hypnotherapy (C)</p> Signup and view all the answers

    What is 'gutkha' primarily composed of?

    <p>Processed tobacco with added sweeteners (B)</p> Signup and view all the answers

    Which component is NOT typically found in 'naswar'?

    <p>Mint (C)</p> Signup and view all the answers

    What is a likely outcome of healthcare practitioner advice on smoking cessation?

    <p>Patients may stop smoking (B)</p> Signup and view all the answers

    Which of the following products is known for containing areca nut?

    <p>Paan (B)</p> Signup and view all the answers

    When delivering brief advice for tobacco users, what is a recommended action?

    <p>Record the intervention in patient notes (B)</p> Signup and view all the answers

    Which of the following statements best reflects patient expectations regarding smoking?

    <p>95% of patients expect to be asked about smoking. (A)</p> Signup and view all the answers

    What is a common name for products that contain tobacco in waterpipes?

    <p>Hubble-bubble (C)</p> Signup and view all the answers

    Why might a brief intervention for smokeless tobacco users be necessary?

    <p>Users may be unfamiliar with common terms. (C)</p> Signup and view all the answers

    What has been shown to reduce all-cause re-admissions and mortality in hospital-based programs?

    <p>Behavioral support, pharmacotherapy, and follow-up (C)</p> Signup and view all the answers

    What is the best action a smoker can take for their health?

    <p>Quitting smoking (C)</p> Signup and view all the answers

    What oral health condition is most significantly prevented by quitting smoking?

    <p>Periodontal diseases (C)</p> Signup and view all the answers

    Which of the following is NOT a significant harm of tobacco use on the oral cavity?

    <p>Lower immunity (D)</p> Signup and view all the answers

    What has become a global concern regarding tobacco use?

    <p>Chewing tobacco and smokeless tobacco (C)</p> Signup and view all the answers

    What do dental team members need to be aware of regarding alternative tobacco use?

    <p>Different forms are associated with oral cancer and other negative health effects (A)</p> Signup and view all the answers

    What is a key priority for the NHS in relation to tobacco use?

    <p>Reducing tobacco use across the UK (A)</p> Signup and view all the answers

    The immediate benefits of quitting smoking impact which area of health significantly?

    <p>Oral health (A)</p> Signup and view all the answers

    What is the effect of combination NRT compared to a single form of NRT in motivated individuals?

    <p>Combination NRT is more effective. (A)</p> Signup and view all the answers

    What is the minimum percentage increase in quitting rate provided by NRT according to the evidence?

    <p>60% (A), 50% (C)</p> Signup and view all the answers

    Which of the following NRT forms is NOT mentioned as a licensed option?

    <p>Mouthwash (A)</p> Signup and view all the answers

    What is the effect of higher dose nicotine patches on quit rates compared to lower dose patches?

    <p>Higher dose results in higher quit rates. (C)</p> Signup and view all the answers

    Which statement about varenicline is accurate?

    <p>Varenicline is more likely to cause nausea than placebo. (B)</p> Signup and view all the answers

    How does varenicline compare to NRT regarding abstinence improvement?

    <p>Varenicline improves abstinence compared to NRT. (D)</p> Signup and view all the answers

    What is noted about fast-acting NRT forms compared to nicotine patches?

    <p>There is no difference in effectiveness. (D)</p> Signup and view all the answers

    Which negative side effect is associated with varenicline?

    <p>Insomnia (A)</p> Signup and view all the answers

    Study Notes

    Smoking and Tobacco Use Guidance

    • This guidance is jointly issued by the Department of Health and Social Care, Welsh Government, Department of Health Northern Ireland, Public Health England, NHS England and NHS Improvement, and supported by the British Association for the Study of Community Dentistry.
    • The document was updated on November 9, 2021.
    • Smoked tobacco (cigarettes, pipes, cigars, and other forms) significantly impacts oral health.
    • The overall goal is to help eliminate all tobacco use.
    • Tobacco-related deaths and disease were notable in the UK in the years 2016-2018.
    • In 2019, 14.1% of UK adults were current smokers (6.9 million).
    • Smokers in routine and manual occupations have a higher prevalence (2.5 times) compared to managerial/professional occupations (10.2% vs 23.2%).
    • Smoking prevalence is higher among younger adults (aged 25-34 years).
    • Smoking rates are 2 to 4 times higher in people with alcohol/drug dependencies.
    • Smokers are less healthy than those who have never smoked.
    • More than half of people who currently smoke in Great Britain want to quit.
    • Receiving support substantially boosts quitting success. Combating the harm of smoking is a priority supported by the National Health Service.
    • Interventions during hospital stays, including supportive counselling, can increase quit rates.
    • Combining stop smoking aids with expert support is more likely to result in long-term abstinence.

    Chewing Tobacco and Other Tobacco Products

    • Dental teams should be aware of chewing tobacco and alternative forms of tobacco use.
    • Chewing tobacco is associated with various oral pathologies and cancers.
    • Smokeless tobacco is a global concern, especially in South East Asia.
    • Betel quid (paan) usage with or without smokeless tobacco is a concern, particularly in South Asian cultures in the UK.
    • Many alternative forms of tobacco are available, including water pipes (shisha), nasal snuff, and heated tobacco products.
    • These alternative forms of tobacco present similar risks as cigarette smoking.

    Effective Interventions to Support Patients to Quit Smoking

    • Engaging healthcare professionals to advise patients on quitting is crucial for successful outcomes.
    • People expect to be asked about smoking and understand their need to quit.
    • Dental teams are often the first or a primary point of contact to talk about quitting smoking. This is crucial since many people don't seek advice elsewhere.
    • Effective interventions involve very brief advice (VBA), typically a short discussion within a clinical setting.
    • A combination of behavioural support and medication (nicotine replacement therapy (NRT), varenicline, bupropion) is recommended to increase the chance of prolonged quitting success.
    • Dental professionals should have a clear understanding of local specialists and services for those trying to quit.

    Implementation and Delivery in Dental Practice

    • The National Centre for Smoking Cessation and Training (NCSCT) has developed readily usable support material for dental practice professionals.
    • The guidance aims for brief interventions.
    • Dental personnel should support and direct people if they want help quitting, and record this in patient notes.
    • Reassurance from dental staff is also important.
    • There is a wide range of tailored support services available locally.

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    Related Documents

    Chapter 11: Smoking and Tobacco Use PDF

    Description

    This quiz covers the guidance on smoking and tobacco's impact on oral health, aiming to inform about the efforts to eliminate tobacco use in the UK. It discusses prevalence rates, demographics, and associated health risks. Enhance your understanding of public health initiatives and the importance of reducing tobacco consumption.

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