Your SlideShare is downloading. ×
0
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
TOBACCO CESSATION
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

TOBACCO CESSATION

238

Published on

PUBLIC HEALTH DENTISTRY

PUBLIC HEALTH DENTISTRY

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
238
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
14
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. GOOD MORNING !
  • 2. SEMINAR
  • 3. TOBACCO CESSATION YASMIN MOIDIN 2008 BATCH AL AZHAR DENTAL COLLEGE THODUPUZHA
  • 4. INTRODUCTION  Prevention of oral cancer mainly focuses on modifying habits associated with the use of tobacco  India is the largest consumer of tobacco and third largest producer of tobacco  There are about 250 million tobacco users in India  In India, at least 800,000 deaths every year are related to tobacco use, and 700,000 them due to smoking of
  • 5.  There are three well-known approaches  Regulatory approach  1975 : Cigarette Act  1985 : National Cancer Control Program  2003 : Cigarettes Products Act  2004 : WHO-FCTC  Service approach  screening and other Tobacco
  • 6.  Educational approach  Role of the dentist  harmful effects of tobacco  counsel patients  tobacco-free  tobacco  spend lifestyle use during pregnancy more time with patients  reinforce messages given to patients
  • 7.  build their patient’s interest to discontinue  promote oral health and healthy lifestyles  speak with authority in the community  effective advocates for tobacco control in the community
  • 8. Guide to counseling for tobacco cessation (5 A’s) ASK about patient’s habit • Identify and document tobacco user status of every patient at every visit ADVICE of consequence of smoking • In a clear, strong and personalized manner urge every tobacco user to quit ASSESS willingness to quit • Is the tobacco user willing to make a quit attempt at this time ?
  • 9. ASSIST with • For the patient willing to make a quit attempt, use counseling cessation and pharmacotherapy to help plant him quit development ARRANGE for follow-up • Schedule follow-up contact, preferably within the first week after the quit date
  • 10. NICOTINE REPLACEMENT THERAPY  Nicotine replacement therapies (NRT) for tobacco use cessation are :  Nicotine gum  Nicotine patch  Nicotine inhaler  Nicotine nasal spray  Nicotine lozenges
  • 11.  Basic principles for prescribing NRTs  Medical  Use supervision is important a lower dose for less dependent tobacco users  Contraindicated , : lactation, diseases, disease, , in cardiovascular peripheral endocrine inflammation throat, pregnancy of the oesophagitis, vascular disorders mouth and gastric
  • 12.  Nicotine gum  use under medical supervision for a predefined limited period, e.g. 6 weeks , after which the patient has to face withdrawal
  • 13.  Nicotine withdrawal symptoms  Craving for tobacco  Depressed mood  Insomnia  Irritability  Frustration  Anxiety  Difficulty in concentration  Restlessness  Decreased heart rate  Increased appetite and weight gain
  • 14.  Antidepressants  Function as anti-craving medications  Available therapies :  First-line therapies  Buproprion SR  Selegeline  Second-line  Clonidine  nortryptiline therapies
  • 15.  Counseling those unwilling to quit  Relevance  Risks of quitting of continuing tobacco use  Rewards of quitting  Roadblocks  Repeat to quitting these at each visit
  • 16.  Key counseling concepts  A non judgmental attitude  Caring  Empathy  Listening  Raising awareness  Prompting self-evaluation  Offering support  Asking open-ended questions  Clarifying
  • 17.  Reflecting feelings  Summarizing  Affirming  Eliciting self-motivational statements  Setting realistic goals  Responding to tricky questions  Tailoring messages to the patients stage of change
  • 18. ACTION IN THE COMMUNITY Public education  Media advocacy   ACTION AT THE STATE AND NATIONAL LEVELS Making the profession and dental facilities tobacco-free  Advocacy with the state and national governments 
  • 19. CONCLUSION A majority of cancer deaths worldwide are due to tobacco. These are easily avoidable since the factors associated with the disease have long been identified.
  • 20. REFERENCES Essentials of Preventive and Community Dentistry – Fourth Edition 2009 SOBEN PETER Textbook of Public Health Dentistry – First Edition 2011 C M MARYA
  • 21. THANK THANK YOU ! YOU !

×