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Smoking Cessation
Do you talk to your patients about smoking cessation and nicotine replacement therapy (NRT)? Recent best practice guidelines sponsored by the U.S. Public Health Service have urged all healthcare practitioners to identify tobacco users among their patients and counsel them as a regular part of clinical practice. This can include educating the patient on the health, social and economic costs of smoking, informing patients of the immediate benefits of smoking cessation, and providing behavior-based education to support cessation efforts.1

As part of the personalized approach recommended by the U.S. Public Health Service, clinicians are asked to relate tobacco use to the patients' current health or illness1. Dental patients may benefit from understanding the association between smoking and gingivitis,2 the causal relationship between smoking and periodontitis,3 or the increased risk of tooth loss and how smoking cessation can significantly assist in a patient's chances of tooth retention.4

To advise the patient on the social and economic costs of smoking,1 professionals may find an opportunity to discuss tobacco cessation within the context of whitening procedures, demonstrating how the staining associated with smoking counter-effects cosmetic whitening treatments.5

Recommended best practices for behavior-based cessation support can include helping the patient develop a quit plan, providing counseling and support materials to increase patient understanding of potential triggers and challenges, and guiding the patient toward social support outside of regular treatment. The U.S. Public Health Service also recommends the use of approved pharmacotherapies for all patients who smoke and are trying to quit. First-line pharmacotherapies include bupropion SR, nicotine gum, nicotine inhalers, nicotine nasal spray and nicotine patches.1

Interested in more information on the efficacy of nicotine replacement therapy products, and how smoking cessation can help your patients' oral and overall health? Find out about just a few NRT products available below:

  1. NicoDerm CQ® nicotine transdermal patch
  2. Commit® Lozenge
  3. Nicorette® gum
And for more information on the clinicals and research, continuing education and journal resources associated with nicotine replacement therapy, click a topic at right.

Sources:

  1. Fiore, MC, Bailey WC, Cohen SJ, et al. Treating tobacco use and dependence. Quick Reference Guide for Clinicians. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service; October 2000. Available at: http://www.surgeongeneral.gov/tobacco/tobaqrg.htm. Accessed May 30, 2005.
  2. American Academy of Periodontology. Oral Health Information for the Public. What is Gingivitis? http://www.perio.org/consumer/gingivitis.htm.
  3. U.S. Public Health Service, Office of the Surgeon General. The Health Consequences of Smoking: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service; 2004. Available at: http://www.surgeongeneral.gov/ Accessed May 30, 2005.
  4. Krall EA, Dawson-Hughes B, Garvey AJ, Garcia RJ. Smoking, smoking cessation, and tooth loss. J Dent Res. 1997. 76:10. 1653-9.
  5. Albert DA, Ahluwalia KP, Sadowsky D. The use of "academic detailing" to promote tobacco-use cessation counseling in dental offices. J Am Dent Assoc. 2004. 135:12. 1700-1705. Available at: http://jada.ada.org/. Accessed May 30, 2005.

Treatment Options
Find out more about NicoDerm CQ®

Find out more about Commit®

Find out more about Nicorette®

Additional Resources
View additional resources on Nicotine Replacement Therapy-Gum

View additional resources on Nicotine Replacement Therapy-Lozenge

View additioinal resources on Nicotine Replacement Therapy-Patch


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