This document discusses guidelines for smoking cessation interventions and treatment. It outlines recommendations from the WHO and US Public Health Service on promoting non-smoking as the norm, prohibiting tobacco promotion, and reducing tobacco industries. The goals of smoking cessation treatment are achieving long-term abstinence, offering treatment to all tobacco users, and consistently identifying and treating tobacco use. Dental professionals can play a key role in educating patients and the community about the harms of tobacco and helping to enroll them in cessation programs. Assessment tools like the Fagerstrom Test and stages of change model are also discussed to guide treatment and counseling approaches. A variety of nicotine replacement therapies and non-nicotine medications are described for treating nic
Fluoride is a mineral that is naturally present in varying amounts in water sources. Studies from the early 20th century found correlations between fluoride levels in water and rates of dental caries as well as dental fluorosis. This led to further research demonstrating that optimal levels of fluoride in community water supplies could reduce rates of dental caries. Several large-scale studies in the 1940s-1960s provided strong evidence that water fluoridation at levels around 1 part per million can reduce dental caries by around 25% on average. Fluoride works both systemically during tooth development before eruption and topically on tooth surfaces after eruption to strengthen enamel and make it more resistant to decay.
Fluoride toxicity can occur from both deficient and excessive intake of fluoride. The document outlines different types and levels of fluoride toxicity including acute and chronic toxicity. It discusses dental and skeletal fluorosis resulting from chronic excessive fluoride intake. It provides recommendations for safe fluoride supplementation and guidelines to prevent dental fluorosis in children. The management of acute fluoride toxicity involves reducing absorption, increasing excretion, and emergency treatment including induction of vomiting and calcium administration.
This document discusses various taboos related to dentistry across different cultures. It identifies supernatural causes like beliefs in gods/goddesses, past sins, and evil eye influencing health as well as physical causes like weather, impure blood, and fear/nervousness. Customs, superstitions, and beliefs surrounding practices like using alum or tobacco for oral health, views on diarrhea and extractions, and treating lower caste doctors are taboo in some cultures. The document examines how these taboos and misbeliefs can negatively impact oral health and presents examples from various communities in India.
This document summarizes a seminar presentation on tobacco cessation. It discusses the large number of tobacco users in India and the health impacts of tobacco use. It outlines regulatory, service-based, and educational approaches to tobacco control and the role of dentists in counseling patients. The 5 A's model for tobacco cessation counseling is described. Nicotine replacement therapies and other pharmacological aids are discussed. The presentation emphasizes the importance of dentists' involvement in tobacco control through counseling, advocacy, and community education efforts.
This document provides an overview of a tobacco cessation programme, including:
- Details on tobacco production, consumption, and the Global Adult Tobacco Survey.
- Scales to measure nicotine dependence like the Fagerstrom test.
- Models of behavior change like the Transtheoretical Model.
- Approaches to cessation like nicotine replacement therapy, pharmacotherapy, and behavioral counseling.
- Studies showing the success of tobacco cessation programs in India, including higher success rates for programs involving hospitals, counseling, and certain drug combinations.
- Barriers to cessation like a lack of trained health professionals and knowledge about tobacco's harms.
This presentation is all about the systemic administration of fluorides ,as it is an easier way for the administration of fluorides to prevent dental caries and tooth decay.the aim is to explain the advantages of systemic fluoride ,their present status in India and in other countries and to create awareness among population.Also raising an issue that how these methods of systemic fluoride administration can be improved so that there is better prevention of decay problems
Topical fluorides are used to prevent dental caries. They can be professionally applied as gels, foams, varnishes or self-applied as dentifrices, mouthwashes and gels. Common topical fluoride agents include sodium fluoride, stannous fluoride, acidulated phosphate fluoride and amine fluoride. They work by depositing fluoride ions on the enamel surface which gets incorporated into hydroxyapatite to form more acid-resistant fluorapatite and fluorhydroxyapatite. Topical fluorides are recommended for caries-active individuals and as a preventive measure.
This document discusses fluorides in dentistry. It describes the sources of fluoride, mechanisms of how fluoride prevents tooth decay, and methods of fluoride delivery topically and systemically. It also addresses the indications for topical fluoride use, recommended dosages of fluoride tablets/drops, and potential toxicities like dental and skeletal fluorosis from inadequate or excessive fluoride intake. When used appropriately, fluoride is an effective cariostatic agent for improving dental health.
Fluoride is a mineral that is naturally present in varying amounts in water sources. Studies from the early 20th century found correlations between fluoride levels in water and rates of dental caries as well as dental fluorosis. This led to further research demonstrating that optimal levels of fluoride in community water supplies could reduce rates of dental caries. Several large-scale studies in the 1940s-1960s provided strong evidence that water fluoridation at levels around 1 part per million can reduce dental caries by around 25% on average. Fluoride works both systemically during tooth development before eruption and topically on tooth surfaces after eruption to strengthen enamel and make it more resistant to decay.
Fluoride toxicity can occur from both deficient and excessive intake of fluoride. The document outlines different types and levels of fluoride toxicity including acute and chronic toxicity. It discusses dental and skeletal fluorosis resulting from chronic excessive fluoride intake. It provides recommendations for safe fluoride supplementation and guidelines to prevent dental fluorosis in children. The management of acute fluoride toxicity involves reducing absorption, increasing excretion, and emergency treatment including induction of vomiting and calcium administration.
This document discusses various taboos related to dentistry across different cultures. It identifies supernatural causes like beliefs in gods/goddesses, past sins, and evil eye influencing health as well as physical causes like weather, impure blood, and fear/nervousness. Customs, superstitions, and beliefs surrounding practices like using alum or tobacco for oral health, views on diarrhea and extractions, and treating lower caste doctors are taboo in some cultures. The document examines how these taboos and misbeliefs can negatively impact oral health and presents examples from various communities in India.
This document summarizes a seminar presentation on tobacco cessation. It discusses the large number of tobacco users in India and the health impacts of tobacco use. It outlines regulatory, service-based, and educational approaches to tobacco control and the role of dentists in counseling patients. The 5 A's model for tobacco cessation counseling is described. Nicotine replacement therapies and other pharmacological aids are discussed. The presentation emphasizes the importance of dentists' involvement in tobacco control through counseling, advocacy, and community education efforts.
This document provides an overview of a tobacco cessation programme, including:
- Details on tobacco production, consumption, and the Global Adult Tobacco Survey.
- Scales to measure nicotine dependence like the Fagerstrom test.
- Models of behavior change like the Transtheoretical Model.
- Approaches to cessation like nicotine replacement therapy, pharmacotherapy, and behavioral counseling.
- Studies showing the success of tobacco cessation programs in India, including higher success rates for programs involving hospitals, counseling, and certain drug combinations.
- Barriers to cessation like a lack of trained health professionals and knowledge about tobacco's harms.
This presentation is all about the systemic administration of fluorides ,as it is an easier way for the administration of fluorides to prevent dental caries and tooth decay.the aim is to explain the advantages of systemic fluoride ,their present status in India and in other countries and to create awareness among population.Also raising an issue that how these methods of systemic fluoride administration can be improved so that there is better prevention of decay problems
Topical fluorides are used to prevent dental caries. They can be professionally applied as gels, foams, varnishes or self-applied as dentifrices, mouthwashes and gels. Common topical fluoride agents include sodium fluoride, stannous fluoride, acidulated phosphate fluoride and amine fluoride. They work by depositing fluoride ions on the enamel surface which gets incorporated into hydroxyapatite to form more acid-resistant fluorapatite and fluorhydroxyapatite. Topical fluorides are recommended for caries-active individuals and as a preventive measure.
This document discusses fluorides in dentistry. It describes the sources of fluoride, mechanisms of how fluoride prevents tooth decay, and methods of fluoride delivery topically and systemically. It also addresses the indications for topical fluoride use, recommended dosages of fluoride tablets/drops, and potential toxicities like dental and skeletal fluorosis from inadequate or excessive fluoride intake. When used appropriately, fluoride is an effective cariostatic agent for improving dental health.
This document discusses topical fluoride delivery methods for preventing dental caries. It begins by introducing different types of topical fluorides including professionally-applied options like sodium fluoride, stannous fluoride, and acidulated phosphate fluoride as well as self-applied options like dentifrices and mouthwashes. It then covers the preparation, application procedures, mechanisms of action, advantages, and disadvantages of each professionally-applied fluoride type. The document concludes by comparing the characteristics of the different professionally-applied fluoride options and providing recommendations for topical fluoride application.
This document provides information on the ART (Atraumatic Restorative Treatment) procedure. It begins with an introduction stating that ART is a minimally invasive cavity preparation and restoration technique. The principles of ART are removing caries using only hand instruments and restoring the cavity with an adhesive material. Indications for ART include small, accessible cavities, while contraindications include exposed or inflamed pulps. Advantages include conserving tooth structure, reducing pain and trauma, and enabling the technique to be used in remote areas. The document describes the instruments, materials, procedures and concludes that ART focuses on providing dental care in developing countries.
Motivation and oral hygiene instructionsNuhafadhil
Motivation and oral hygiene instructions are important for preventing dental diseases. Bacterial plaque contributes to dental caries and periodontal diseases, so mechanical removal of plaque through brushing and flossing is necessary. Motivating patients involves educating them about plaque, diseases, and the importance of oral hygiene through demonstrations and ensuring their understanding. Proper oral hygiene includes brushing twice daily, flossing, a healthy diet, using mouthwashes, and regular dental checkups to remove plaque and prevent common dental problems.
Ada specification for toothbrush, bristle, dentistry, how to choose a toothbrush, ionic toothbrush, manual toothbrush, modifications of toothbrush, parts of a toothbrush, properties of an ideal toothbrush, toothbrush, types of toothbrush, ultrasonic toothbrush
A very important aspect in determining and studying disease is the knowledge of surveys. Its designs, methods etc. This elaborative presentation gives a detailed insight to the survey procedures used in dentistry. Special section on the WHO oral assessment proforma.
Dental Fluorosis : double sided sword
Overview of this deadly disease in this presentation
Presented by: Shubham Shegokar
Guided by : Dr. Rehan Khan
Pediatric Dentitstry
The document discusses various aspects of oral health including dental caries, periodontal disease, and their causes and prevention. It provides information on proper oral hygiene habits like brushing and flossing as well as professional dental cleanings and treatments. Various oral conditions, their symptoms, and treatment options are also summarized. The importance of routine dental checkups and avoiding risk factors like smoking are emphasized.
This document summarizes different methods of fluoride use for preventing dental caries. It discusses systemic fluorides including water fluoridation, school water fluoridation, fluoridated salt, and dietary fluoride supplements. It also discusses topical fluorides including professionally and self-applied topical fluoride treatments, fluoridated toothpastes, and fluoride mouth rinses. Water fluoridation and fluoridated toothpastes are highlighted as two of the most effective and widespread methods for caries prevention.
Pit and fissure sealants are materials introduced into pits and fissures of teeth to form a protective layer and prevent dental caries. There are various types including resin-based, glass ionomer, and fluoride-releasing sealants. Placement involves isolating the tooth, etching the surface, applying the sealant, and curing. Long-term studies show sealants maintain protection against caries for many years when retained. Risk assessment is important to identify patients that will benefit most from sealants.
This document discusses fluoride toxicity and fluorosis. It begins by outlining the learning objectives which are to understand the toxic effects of fluoride, safe dosages, and the pathologies of dental and skeletal fluorosis. It then discusses the classification of fluoride toxicity as either acute or chronic. Acute toxicity occurs with short term excessive intake and can be fatal, while chronic toxicity is from long term excessive intake and causes dental and skeletal fluorosis. The document outlines the signs and symptoms of dental fluorosis, which occurs from intake above recommended levels as a child, and skeletal fluorosis, which is caused by long term intake of higher levels and causes joint and bone pain and stiffness. It also discusses methods for diagnosing and managing fluorosis as
This document discusses oral habits such as thumb sucking. It defines oral habits as learned patterns of muscle contractions and classifies them in various ways, such as by pressure applied, psychological components, and whether they are useful or harmful. Common oral habits mentioned include thumb sucking, tongue thrusting and bruxism. Thumb sucking is explored in more depth, including its etiology, diagnosis, effects on teeth, and various treatment approaches like psychological therapy, reminder therapy, and intraoral appliances.
This document provides an overview of professionally applied topical fluorides for caries prevention. It defines topical fluoride therapy as using high concentrations of fluoride applied locally to tooth surfaces. Common forms discussed include sodium fluoride, stannous fluoride, acidulated phosphate fluoride, and fluoride varnish. Application techniques and mechanisms of action are described for each. Effectiveness is supported by several clinical studies showing reductions in caries increment ranging from 30-66% with topical fluoride use. Contraindications and advantages/disadvantages of each product are also summarized.
This document provides definitions and information about oral malodor (bad breath). It discusses the epidemiology, classification, etiology, intraoral and extraoral causes, physiology of malodor detection, and diagnosis of oral malodor. Key points include that oral malodor is most commonly caused by volatile sulfur compounds produced by bacteria in dental plaque and on the tongue, and that diagnosis involves examination of the mouth, organoleptic rating of breath odor, and sometimes portable monitors or laboratory tests to identify specific odor-causing compounds.
The document discusses the mechanism of action of fluorides in preventing dental caries. It begins by providing background on fluorine and the structure of hydroxyapatite in enamel. It then discusses how fluoride is incorporated into enamel through different "pools" in the oral environment. The main proposed mechanisms of fluoride include increasing enamel resistance through formation of fluorapatite, enhancing remineralization, and interfering with plaque bacteria. Understanding fluoride's various modes of action helps develop more effective prevention products and programs.
This document provides an overview of fluoride toxicity and discusses acute and chronic fluoride toxicity. It describes the signs and symptoms of acute fluoride toxicity such as nausea, abdominal cramps, and vomiting. Chronic fluoride toxicity can result in dental and skeletal fluorosis from long-term ingestion of small amounts of fluoride. Dental fluorosis causes white or brown stains on teeth while skeletal fluorosis causes joint and bone pain. The document also discusses defluoridation methods like the Nalgonda technique, which uses alum, lime, and bleaching powder to remove fluoride from drinking water.
This document discusses dental pit and fissure sealants. It begins by defining pits and fissures, then provides a brief history of sealants. It describes the ideal requirements, materials used, indications and contraindications. It discusses which teeth should be sealed and the appropriate age ranges. The document concludes by outlining the technique for applying sealants.
This document summarizes information about chlorhexidine (CHX), a commonly used chemical plaque control agent. It discusses CHX's bacteriostatic and bactericidal properties, mechanisms of action, formulations, efficacy, advantages such as substantivity, recommended usage, and potential side effects. CHX is considered the gold standard due to its strong antibacterial activity against both gram-positive and gram-negative bacteria and its ability to bind to tooth surfaces through its dicationic nature, prolonging its effects for up to 12 hours with a single rinse.
We in Chinthamani Laser Dental Clinic & Implant Centre ,cover every speciality and subspeciality in dentistry so that all kind of your dental problems can be treated efficiently and effectively.
Contact us:
Chinthamani Laser Dental Clinic & Implant Centre
1/464,Mount Poonamallee High Road,
Iyyapanthangal,
Chennai-56
Phone no.044-43800059 , 92 83 786776
Email:
chinthamanidental@gmail.com,
dr_mrgvl@gmail.com
Website:
www.chinthamanilaserdentalclinic.com
This document discusses fluoride toxicity and its effects. It begins by classifying fluoride toxicity into acute and chronic categories. Acute toxicity results from excessive one-time fluoride ingestion and can cause nausea, vomiting, and even death in severe cases. Chronic toxicity occurs from small amounts of fluoride over long periods. This includes dental fluorosis, skeletal fluorosis, and non-skeletal fluorosis. Dental fluorosis ranges from mild white lines to severe enamel damage. Skeletal fluorosis stiffens joints and bones from very high fluoride levels over many years. Non-skeletal effects include muscle damage and infertility. The document provides details on symptoms, classifications, treatments and thresholds for the different toxicity types.
Smoking and periodontal disease, smoking as a risk factor, incidence of smoking, effects of smoking on periodontium, smoking and gingivitis and smoking and periodontitis, effect of surgical and non surgical therapy on smokers
This document provides information on tobacco dependence treatment. It begins with objectives and an introduction noting the global impact of tobacco use. It then describes various types of tobacco products and their significant health side effects. Signs and symptoms of nicotine dependence are outlined using the Fagerstrom Test. The benefits of quitting and roles of medical staff in treatment are discussed. Treatment methods covered include counseling, nicotine replacement therapy, medications, and support groups. Nicotine withdrawal symptoms and specifics of nicotine patches, gum, and other replacement products are also summarized.
This document discusses the health effects of smoking and provides information on smoking cessation. Some key points:
1) Smoking significantly increases the risk of developing respiratory diseases and cancer, and over half of respiratory disease deaths are due to smoking. The risks diminish rapidly after quitting.
2) Nicotine replacement therapies like patches, gum, and lozenges can help reduce withdrawal symptoms and increase success rates for quitting. Bupropion is also used as a non-nicotine oral therapy.
3) Electronic nicotine delivery systems (ENDS) like e-cigarettes are increasingly popular but their long-term safety is still unknown. While they may contain fewer toxicants than cigarettes, health risks may
This document discusses topical fluoride delivery methods for preventing dental caries. It begins by introducing different types of topical fluorides including professionally-applied options like sodium fluoride, stannous fluoride, and acidulated phosphate fluoride as well as self-applied options like dentifrices and mouthwashes. It then covers the preparation, application procedures, mechanisms of action, advantages, and disadvantages of each professionally-applied fluoride type. The document concludes by comparing the characteristics of the different professionally-applied fluoride options and providing recommendations for topical fluoride application.
This document provides information on the ART (Atraumatic Restorative Treatment) procedure. It begins with an introduction stating that ART is a minimally invasive cavity preparation and restoration technique. The principles of ART are removing caries using only hand instruments and restoring the cavity with an adhesive material. Indications for ART include small, accessible cavities, while contraindications include exposed or inflamed pulps. Advantages include conserving tooth structure, reducing pain and trauma, and enabling the technique to be used in remote areas. The document describes the instruments, materials, procedures and concludes that ART focuses on providing dental care in developing countries.
Motivation and oral hygiene instructionsNuhafadhil
Motivation and oral hygiene instructions are important for preventing dental diseases. Bacterial plaque contributes to dental caries and periodontal diseases, so mechanical removal of plaque through brushing and flossing is necessary. Motivating patients involves educating them about plaque, diseases, and the importance of oral hygiene through demonstrations and ensuring their understanding. Proper oral hygiene includes brushing twice daily, flossing, a healthy diet, using mouthwashes, and regular dental checkups to remove plaque and prevent common dental problems.
Ada specification for toothbrush, bristle, dentistry, how to choose a toothbrush, ionic toothbrush, manual toothbrush, modifications of toothbrush, parts of a toothbrush, properties of an ideal toothbrush, toothbrush, types of toothbrush, ultrasonic toothbrush
A very important aspect in determining and studying disease is the knowledge of surveys. Its designs, methods etc. This elaborative presentation gives a detailed insight to the survey procedures used in dentistry. Special section on the WHO oral assessment proforma.
Dental Fluorosis : double sided sword
Overview of this deadly disease in this presentation
Presented by: Shubham Shegokar
Guided by : Dr. Rehan Khan
Pediatric Dentitstry
The document discusses various aspects of oral health including dental caries, periodontal disease, and their causes and prevention. It provides information on proper oral hygiene habits like brushing and flossing as well as professional dental cleanings and treatments. Various oral conditions, their symptoms, and treatment options are also summarized. The importance of routine dental checkups and avoiding risk factors like smoking are emphasized.
This document summarizes different methods of fluoride use for preventing dental caries. It discusses systemic fluorides including water fluoridation, school water fluoridation, fluoridated salt, and dietary fluoride supplements. It also discusses topical fluorides including professionally and self-applied topical fluoride treatments, fluoridated toothpastes, and fluoride mouth rinses. Water fluoridation and fluoridated toothpastes are highlighted as two of the most effective and widespread methods for caries prevention.
Pit and fissure sealants are materials introduced into pits and fissures of teeth to form a protective layer and prevent dental caries. There are various types including resin-based, glass ionomer, and fluoride-releasing sealants. Placement involves isolating the tooth, etching the surface, applying the sealant, and curing. Long-term studies show sealants maintain protection against caries for many years when retained. Risk assessment is important to identify patients that will benefit most from sealants.
This document discusses fluoride toxicity and fluorosis. It begins by outlining the learning objectives which are to understand the toxic effects of fluoride, safe dosages, and the pathologies of dental and skeletal fluorosis. It then discusses the classification of fluoride toxicity as either acute or chronic. Acute toxicity occurs with short term excessive intake and can be fatal, while chronic toxicity is from long term excessive intake and causes dental and skeletal fluorosis. The document outlines the signs and symptoms of dental fluorosis, which occurs from intake above recommended levels as a child, and skeletal fluorosis, which is caused by long term intake of higher levels and causes joint and bone pain and stiffness. It also discusses methods for diagnosing and managing fluorosis as
This document discusses oral habits such as thumb sucking. It defines oral habits as learned patterns of muscle contractions and classifies them in various ways, such as by pressure applied, psychological components, and whether they are useful or harmful. Common oral habits mentioned include thumb sucking, tongue thrusting and bruxism. Thumb sucking is explored in more depth, including its etiology, diagnosis, effects on teeth, and various treatment approaches like psychological therapy, reminder therapy, and intraoral appliances.
This document provides an overview of professionally applied topical fluorides for caries prevention. It defines topical fluoride therapy as using high concentrations of fluoride applied locally to tooth surfaces. Common forms discussed include sodium fluoride, stannous fluoride, acidulated phosphate fluoride, and fluoride varnish. Application techniques and mechanisms of action are described for each. Effectiveness is supported by several clinical studies showing reductions in caries increment ranging from 30-66% with topical fluoride use. Contraindications and advantages/disadvantages of each product are also summarized.
This document provides definitions and information about oral malodor (bad breath). It discusses the epidemiology, classification, etiology, intraoral and extraoral causes, physiology of malodor detection, and diagnosis of oral malodor. Key points include that oral malodor is most commonly caused by volatile sulfur compounds produced by bacteria in dental plaque and on the tongue, and that diagnosis involves examination of the mouth, organoleptic rating of breath odor, and sometimes portable monitors or laboratory tests to identify specific odor-causing compounds.
The document discusses the mechanism of action of fluorides in preventing dental caries. It begins by providing background on fluorine and the structure of hydroxyapatite in enamel. It then discusses how fluoride is incorporated into enamel through different "pools" in the oral environment. The main proposed mechanisms of fluoride include increasing enamel resistance through formation of fluorapatite, enhancing remineralization, and interfering with plaque bacteria. Understanding fluoride's various modes of action helps develop more effective prevention products and programs.
This document provides an overview of fluoride toxicity and discusses acute and chronic fluoride toxicity. It describes the signs and symptoms of acute fluoride toxicity such as nausea, abdominal cramps, and vomiting. Chronic fluoride toxicity can result in dental and skeletal fluorosis from long-term ingestion of small amounts of fluoride. Dental fluorosis causes white or brown stains on teeth while skeletal fluorosis causes joint and bone pain. The document also discusses defluoridation methods like the Nalgonda technique, which uses alum, lime, and bleaching powder to remove fluoride from drinking water.
This document discusses dental pit and fissure sealants. It begins by defining pits and fissures, then provides a brief history of sealants. It describes the ideal requirements, materials used, indications and contraindications. It discusses which teeth should be sealed and the appropriate age ranges. The document concludes by outlining the technique for applying sealants.
This document summarizes information about chlorhexidine (CHX), a commonly used chemical plaque control agent. It discusses CHX's bacteriostatic and bactericidal properties, mechanisms of action, formulations, efficacy, advantages such as substantivity, recommended usage, and potential side effects. CHX is considered the gold standard due to its strong antibacterial activity against both gram-positive and gram-negative bacteria and its ability to bind to tooth surfaces through its dicationic nature, prolonging its effects for up to 12 hours with a single rinse.
We in Chinthamani Laser Dental Clinic & Implant Centre ,cover every speciality and subspeciality in dentistry so that all kind of your dental problems can be treated efficiently and effectively.
Contact us:
Chinthamani Laser Dental Clinic & Implant Centre
1/464,Mount Poonamallee High Road,
Iyyapanthangal,
Chennai-56
Phone no.044-43800059 , 92 83 786776
Email:
chinthamanidental@gmail.com,
dr_mrgvl@gmail.com
Website:
www.chinthamanilaserdentalclinic.com
This document discusses fluoride toxicity and its effects. It begins by classifying fluoride toxicity into acute and chronic categories. Acute toxicity results from excessive one-time fluoride ingestion and can cause nausea, vomiting, and even death in severe cases. Chronic toxicity occurs from small amounts of fluoride over long periods. This includes dental fluorosis, skeletal fluorosis, and non-skeletal fluorosis. Dental fluorosis ranges from mild white lines to severe enamel damage. Skeletal fluorosis stiffens joints and bones from very high fluoride levels over many years. Non-skeletal effects include muscle damage and infertility. The document provides details on symptoms, classifications, treatments and thresholds for the different toxicity types.
Smoking and periodontal disease, smoking as a risk factor, incidence of smoking, effects of smoking on periodontium, smoking and gingivitis and smoking and periodontitis, effect of surgical and non surgical therapy on smokers
This document provides information on tobacco dependence treatment. It begins with objectives and an introduction noting the global impact of tobacco use. It then describes various types of tobacco products and their significant health side effects. Signs and symptoms of nicotine dependence are outlined using the Fagerstrom Test. The benefits of quitting and roles of medical staff in treatment are discussed. Treatment methods covered include counseling, nicotine replacement therapy, medications, and support groups. Nicotine withdrawal symptoms and specifics of nicotine patches, gum, and other replacement products are also summarized.
This document discusses the health effects of smoking and provides information on smoking cessation. Some key points:
1) Smoking significantly increases the risk of developing respiratory diseases and cancer, and over half of respiratory disease deaths are due to smoking. The risks diminish rapidly after quitting.
2) Nicotine replacement therapies like patches, gum, and lozenges can help reduce withdrawal symptoms and increase success rates for quitting. Bupropion is also used as a non-nicotine oral therapy.
3) Electronic nicotine delivery systems (ENDS) like e-cigarettes are increasingly popular but their long-term safety is still unknown. While they may contain fewer toxicants than cigarettes, health risks may
Steps of Smoking Cessation Badr Bin Himd.pptxFayzaRayes
This document outlines the steps for smoking cessation counseling using the 5As technique. It begins by establishing smoking as a major health problem in Saudi Arabia, with prevalence rates ranging from 2.4-52.3%. The 5As technique involves asking about tobacco use, advising the patient to quit, assessing willingness to quit, assisting with a plan to quit, and arranging follow-up support. Counseling should be tailored based on a patient's stage of change and use motivational techniques. Pharmacotherapy and follow-up are important to prevent relapse among those trying to quit. The 5As approach is effective when fully implemented in clinical settings.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
1. The document provides information on treating tobacco use and dependence, including psycho-behavioral therapy and pharmacotherapy like nicotine replacement therapy and antidepressants.
2. It outlines the 5 A's approach to counseling patients - Ask, Advise, Assess, Assist, and Arrange follow-up. This includes identifying tobacco users, advising them to quit, developing a cessation plan, and scheduling follow-ups.
3. Actions to address tobacco use include public education, advocacy, and regulatory approaches at community, state, and national levels to reduce tobacco-related harms.
The document discusses nicotine dependence and tobacco use. It notes that tobacco use is common worldwide and nicotine is highly addictive. It describes different types of tobacco products and the epidemiology of tobacco use. The major health consequences of tobacco are discussed. Effective interventions for tobacco cessation include brief counseling, medication like varenicline and nicotine replacement therapy, and behavioral methods. Repetitive transcranial magnetic stimulation is a newer treatment approach. Comprehensive tobacco cessation programs involve assessment, counseling, medication, and repetitive transcranial magnetic stimulation treatments.
This document provides guidance on using the 5As method to help patients quit smoking. The 5As include: Ask about smoking status, Advise smokers to quit, Assess willingness to quit, Assist with a plan to quit, and Arrange follow-up support. Key steps involve clearly advising patients of the health risks of smoking, helping set a quit date, recommending pharmacotherapy or other assistance, and following up over the first month to prevent relapse. The overall goal is to help smokers understand smoking dangers and develop a personalized plan to quit through counseling and support.
The document discusses protecting youth from tobacco and nicotine use. It notes that the theme for World No Tobacco Day 2020 is protecting youth from industry manipulation and preventing tobacco and nicotine use. It states that for decades the tobacco industry has deliberately employed strategic tactics to attract youth to tobacco products. The global campaign aims to expose these devious tactics and empower youth to stand up against the tobacco industry. It lists some of the tactics used by the tobacco industry to market to children and adolescents, such as flavored products, social media influencers, and product placement. The document urges action to ensure a new generation is not deceived by the tobacco industry's lies and calls for empowering youth to refuse tobacco products.
1) Tobacco smoking remains the leading preventable cause of disease and death worldwide. While smoking rates have decreased in developed countries, certain high risk groups have greater difficulty quitting.
2) Brief advice from doctors and other healthcare professionals on smoking cessation can more than double quit rates compared to no advice. Comprehensive treatment involving both behavioral support and pharmacotherapy is most effective for treating nicotine dependence.
3) Effective cessation medications include nicotine replacement therapy, varenicline, bupropion, and others depending on location. Behavioral support through counseling, telephone quitlines, internet programs, and motivational interviewing can also significantly increase success rates.
"Some rewards of quitting include improved health, more money in your pocket, better smelling hair and clothes, role modeling healthy behavior for loved ones, and feeling proud of yourself for making such a positive change."
• 4-Roadblocks
– Identify barriers to quitting and problem-solve
ways to overcome them
• 5-Repetition
– Repeat the motivational message at each visit
"I know quitting is difficult, but staying smoke-free gets easier over time as your body heals. Let's talk through any challenges you're facing and come up with a plan."
The 5Rs help enhance motivation by focusing the discussion on personal relevance, risks, rewards, barriers, and repeating encouragement
This document summarizes information on tobacco use and smoking cessation. It discusses the health risks of smoking like increased risk of cancer, heart disease and stroke. It also outlines nicotine withdrawal symptoms and approaches to smoking cessation like the 5 A's model and use of medications like nicotine replacement therapy, Bupropion and Varenicline. Statistics on smoking prevalence in Malaysia from several national health surveys are presented.
This document provides an overview and summary of a training on tobacco intervention skills for those working with populations that have higher smoking rates, such as those with mental illness or substance abuse issues. It discusses framing tobacco use as an addiction, outlining intervention approaches like the 5 A's (Ask, Advise, Assess, Assist, Arrange), and recommending resources like nicotine replacement therapy and referral to quitlines. Specific high-risk populations are identified, including those with mental illness who purchase nearly half of all cigarettes sold in the US. Barriers to quitting and strategies for motivational interviewing are also summarized.
This document provides information on a presentation about tobacco. Some key points:
- Smoking remains a leading cause of preventable illness and death in Canada. Saskatchewan has high smoking rates, especially among youth.
- Secondhand and thirdhand smoke harm others exposed to tobacco smoke. Quitting tobacco can be challenging due to nicotine addiction and behavioral factors.
- Healthcare providers should use the 5 A's approach (Ask, Advise, Assess, Assist, Arrange) to counsel patients on quitting smoking. This involves discussing reasons to quit, barriers to quitting, and treatment options like nicotine replacement therapy.
- While some providers may hesitate to counsel patients due to their own smoking status,
Smoking cessation intervention for nurses to use in clinical practice final ...tamieka24
This document outlines a seminar on smoking cessation interventions for nurses. It discusses the 5 A's model for cessation which involves asking about tobacco use, advising to quit, assessing readiness, assisting with a quit plan, and arranging follow-up. It also reviews stages of change, tobacco use in populations like adolescents and the elderly, and the nurse's role in providing brief counseling and referring patients to tobacco quitlines and other resources.
This document outlines strategies for smoking cessation. It begins by defining smoking and listing the common constituents in tobacco smoke. It then discusses the various forms of smoking and their health effects, both oral and general. The stages of change model for smoking cessation is introduced. Various cessation approaches like pharmacotherapy, counseling, and alternatives to smoking are described. The 5As framework for helping patients quit is covered in detail. Motivational interviewing techniques and coping strategies while quitting are also summarized.
Ways to Stop Smoking discusses various methods to quit smoking including going "cold turkey" without treatment, nicotine replacement therapy using gum, patches, and other nicotine delivery methods, electronic cigarettes, psychology-based approaches like education and group therapy, and hypnosis. Smoking is highly dangerous and the leading cause of preventable death, so finding an effective method to quit is important for health and longevity.
Thoughts, Feelings And Behaviours Of Clients Attending Five Stop Smoking Clin...PRN USM
(1) The document summarizes findings from a study of smokers attending five stop-smoking clinics in Malaysia. (2) Key findings include that younger smokers and professionals made up a significant minority of attendees, and many had not seriously considered quitting prior. Health reasons were a main motivation. (3) Smokers had complex feelings about quitting - most wanted to stop but also enjoyed smoking and its perceived benefits. (4) Triggers to quit can happen unexpectedly, so smokers may act without preparation and succeed with help. Future support and interventions need flexibility to address ambivalence.
1. Inhalant Addiction Treatment.
2. Treatment for Inhalant Addiction.
3. 4 Ways to Deal with Amphetamine Addiction.
4. Amphetamine Rehab.
5. Cocaine Rehab is Important for Recovering Addicts.
6. OxyContin Addiction Treatment.
7. Stages of Oxycontin Recovery.
8. 4 ways to successfully undergo drug rehab in Toronto.
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Nicotine is a highly addictive substance that not only perpetuates tobacco use, the leading cause of preventable morbidity and mortality in the United States, but also has its own adverse effects. Nicotine addiction is a chronic and relapsing disease and the prevalence of nicotine addiction is higher than that of alcohol and other drug addiction. The use of nicotine-containing products not only is associated with developing nicotine addiction, but also with using and becoming addicted to alcohol and other drugs.
Despite the decline in recent years in the use of cigarettes, the use of alternative, non-cigarette nicotine products has been rising dramatically. While the overall harm of these products appears to be considerably lower than the harms associated with cigarette use, all nicotine-containing products carry the risk of addiction and other adverse health effects and, therefore, are a threat to the public health.
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The periodontium is the connective tissue that surrounds and supports the teeth. It consists of gingiva, periodontal ligament, cementum, and alveolar bone. The periodontal ligament is a soft, vascular connective tissue that joins the cementum and alveolar bone. It contains collagen fibers that provide support and flexibility to the teeth. The ligament is populated by fibroblasts that synthesize collagen fibers, as well as other cells like cementoblasts and osteoblasts that maintain the hard tissues.
Necrotising periodontal diseases, Necrotising periodontal diseases as a manifestation of systemic diseases.
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The document discusses acute periodontal infections including abscesses, pericoronitis, and herpetic gingivostomatitis. It describes the clinical features, causes, microbiology, diagnosis and treatment of each condition. Abscesses are classified as gingival, periodontal or pericoronal depending on their location. Pericoronitis is inflammation around an unerupted tooth, usually due to food debris trapped under the gums. Herpetic gingivostomatitis is caused by the herpes simplex virus and presents as diffuse gingival swelling and vesicles that rupture, leaving painful ulcers. Prompt diagnosis and treatment including drainage, debridement and antibiotics are important to resolve the infections
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4. Smoking Cessation Interventions - Guidelines And
Goals
The WHO expert committee guidelines (1979) on smoking
cessation:
1. Non smoking should be regarded as normal social behavior
and all actions which can promote the development of this
attitude are taken into consideration.
2. There should be a total prohibition of all forms of tobacco
promotion.
3. Promotion of the export of tobacco and tobacco products
should be discouraged. Tobacco growing and manufacturing
industries should progressively be reduced in size as rapidly
as possible.
5. As per the US Public Health Service report, the aims of the
smoking cessation treatment should be as follows:-
1. The achievement of long term or permanent abstinence.
2. Effective treatment should be offered to all tobacco
users.
3. There should be consistent identification ,documentation
and treatment of every tobacco user at each visit to the
hospital.
4. Brief tobacco dependence treatment is also effective and
thus should be offered.
6. • 5. A strong relationship exists between the intensity of
tobacco dependence, counseling and its effectiveness.
• 6. Practical counseling and social support, outside of
treatment are helpful.
• 7. Of all the effective pharmacotherapies ,at least one of
these medications should be prescribed in the absence
of contraindications.
• 8. Tobacco dependence treatments are cost effective
and should be covered by health insurance plans.
7. 1. Dental surgeons as one of the key health care providers can educate
the patient regarding the deleterious effect of tobacco use both in
clinical practice and community level.
2. Dental surgeons frequently encounters smokers, visiting the dental clinic
for scaling of the stained dentition due to smoking or changes of oral
mucous membrane due to the use of tobacco.
3. Dental practitioners can point to gingival recession, bone loss and
tobacco stains on teeth to demonstrate visually the detrimental effects of
smoking on the dentition. Particularly for patients concerned about their
general esthetic appearance, such a demonstration might stimulate
further efforts by the patient to quit tobacco use.
8. 4. Dental surgeons, having the knowledge of tobacco intervention can
display posters or other visual aids in the clinic to promote awareness
towards enrolment of patient and/or accompanying person in the Tobacco
intervention program.
5. Dental surgeons can assess the effectiveness of the tobacco
intervention in the patients, who are under periodic recall as a part of their
routine dental treatment and can reinforce the intervention, if needed.
Tobacco use by dentists is a significant barrier to tobacco cessation counselling
9. Global Adult Tobacco Survey (GATS) in 2010 revealed
that 34.6% of the adults in India use tobacco in one or
the other form.
Source:- Global adult survey report 2010, Union Ministry of Human Health and
Family Welfare INDIA
10. The Indian Scenario :
Uses of tobacco is prevalent in
- 47.9 % of Males
- 20.3 % of Females
Source:- Global adult survey
report 2010, Union Ministry of
Human Health and Family Welfare
INDIA
11. 11
Source:- Global adult survey report 2010, Union Ministry of Human Health and
Family Welfare INDIA
14. • Ask - Identify and document tobacco use status for every patient at every visit.
• Advise - In a clear, strong, and personalized manner, urge every tobacco user to
quit.
• Assess - Is the tobacco user willing to make a quit attempt at this time?
• Assist - For the patient willing to make a quit attempt, use counseling and
pharmacotherapy to help him or her quit
• Arrange - Schedule follow up contact, in person or by telephone, preferably
within the first week after the quit date.
15. Relevance : Tailor advice and discussion to each patient
Risks : Outline risks of continued smoking
Rewards : Outline the
benefits of quitting
Roadblocks :
Identify barriers to
quitting
Repetition :
Repeat messages at
every visit
17. MAX SCORE = 10
1. How soon after you wake up do you smoke your first cigarette?
3-within 5 minutes
2- 6-30 minutes
1- 31-60 minutes
0- After 60 minutes
2. Do you find it difficult to refrain from smoking in places where it is forbidden
(eg.in church, at the library, cinema etc.)?
1-Yes
0- No
3. Which cigarette would you hate to give up most?
1- The first one in the morning
0-All the others
4. How many cigarettes/day do you smoke?
0- 10 or less
1- 11-20
2- 21-30
3- 31 or more
5. Do you smoke more frequently during the first hour after waking than during the
rest of the day?
1-Yes 0- No
6. Do you smoke if you are so ill you are in bed most of the day?
1- Yes 0-No
18. Scores on
Fagerstrom test
Level of Dependence First line of
Treatment
Second Line of
Treatment
0 to 2 Very low Dependence Psychological or
Behavioral
Intervention
3 to 5 Medium Dependence Psychological or
Behavioral
Intervention
NRT(2mg)
(Nutritional
supplement)
6 to 7 High Dependence NRT(2mg) along
with
Psychological or
Behavioral
Intervention
NRT(4mg)
Above 8 Very High Dependence NRT(4mg) along
with
Psychological or
Behavioral
Intervention
Pharmacological
intervention
20. MAX SCORE = 10
1. How soon after you wake up do you place your first dip?
3-within 5 minutes
2- 6-30 minutes
1- 31-60 minutes
0- After 60 minutes
2. How often do you intentionally swallow tobacco juice?
2-Always
1-Sometimes
0- Never
3. Which chew would you hate to give up most?
1- The first one in the morning
0-Any other
4. How many can/pouches per week do you use?
2- More than 3
1- 2-3
0- 1
5. Do you chew more frequently during the first hour after awakening than during the rest
of the day?
1-Yes 0- No
6. Do you chew if you are so ill you are in bed most of the day?
1- Yes 0-No
21. Scores on
Fagerstrom test
Level of Dependence First line of
Treatment
Second Line of
Treatment
0 to 4 Very low Dependence Psychological or
Behavioral
Intervention
5 to 8 Medium Dependence Psychological or
Behavioral
Intervention
NRT(2mg)
(Nutritional
supplement)
9 to 10 High Dependence NRT(2mg) along
with
Psychological or
Behavioral
Intervention
NRT(4mg)
Above 10 Very High Dependence NRT(4mg) along
with
Psychological or
Behavioral
Intervention
Pharmacological
intervention
22.
23. 23
Stage of Readiness Patient Response to: “What
are your thoughts and feelings
about Quitting smoking?”
Goal of
intervention
Typical Physician
Intervention
Precontemplation “I like to smoke” Introduce
ambivalence
“Your emphysema will
improve after you quit
smoking”
Contemplation “I like to smoke, but I know I
need to quit”
Resolve
ambivalence
“How will your life be
better after you’ve quit
smoking?”
Preparation “I’m ready to quit” Identify
successful
strategies
“Choose a ‘quit day’ and
let’s make plans for it”
Action “I’m not smoking, but I still think
about smoking from time to
time”
Provide
solutions to
specific relapse
triggers
“How can you deal with
your desire to smoke in
those situations?”
Maintenance “I used to smoke” Solidify
patient’s
commitment
to a smoke
free life
“This would be a good
time to share your
experience with other
people”
Summary of Physician Counseling Based on the Stages of Change
24.
25.
26. NICOTINE GUM
• Resin complex
Nicotine
• Sugar-free chewing gum base
• Contains buffering agents to enhance buccal absorption of nicotine
• Available : 2 mg, 4 mg
• Flavors :original, cinnamone, fruit, mint (various), and orange
27. Medium Dependence
2 mg (< 25 cigarettes/day)
High Dependence
4 mg (≥ 25 cigarettes/day)
Advantages:
User controls dose
• Oral substitute for cigarettes
• Available without prescription
Disadvantages:
Difficult for denture wearers to use
Side effects:
•Mouth irritation
•Stomach ache
• Sore jaw
• Nausea
• Hiccups
28. NICOTINE LOZENGE
• Nicotine Polacrilex formulation
• Delivers 25% more nicotine than equivalent gum dose
• Sugar-free mint, cherry flavors
• Contains buffering agents to enhance buccal absorption of nicotine
• Available: 2 mg, 4 mg
29. 9–20 lozenges/day during first 6 weeks, then
decrease dose gradually until treatment is
stopped
Advantages:
•Easy to use
• Oral substitute for cigarettes
• Available without prescription
Adverse effects:
•Insomnia
• Nausea
• Hiccups
• Coughing
30. TRANSDERMAL NICOTINE PATCH
• Nicotine is well absorbed across the skin
• Delivery to systemic circulation avoids hepatic first pass metabolism
• Plasma nicotine levels are lower and fluctuate less than with
smoking
31. Advantages:
•Easy to use
• Unobtrusive
• Available without prescription
Disadvantages:
• User cannot adjust dose if craving occurs
• Nicotine released more slowly than in
other products
Adverse effects:
•Skin irritation
• Insomnia
32. Advantages:
• User controls dose
• Hand-to-mouth substitute for
cigarettes
Disadvantages:
• Frequent puffing needed
• Device visible when used
Adverse effects:
• Mouth and throat irritation
• Cough
• Rhinitis
33. Dosage:1–2 doses/hr(1 mg total;
0.5 mg in each nostril)
Advantages:
• User controls dose
• Offers most rapid delivery of nicotine and
highest nicotine levels of all nicotine
replacement products.
Adverse effects:
•Nasal irritation
• Sneezing
• Cough
• Tearing
34.
35. Bupropion SR 1-2 wks before quit
date
150mg OD for
3days, then 150mg
BID for 7-12wks
May continue use
for 6 months after
quit date
Non Nicotine Replacement Therapy:
BUPROPION SR
• Oral formulation
• Atypical antidepressant that has both dopaminergic and
adrenergic actions.
• Clinical effects:
↓ Craving for cigarettes
↓ Symptoms of nicotine withdrawal
Side effects: agitation, restlessness, GI upset, anorexia
Contraindicated – history of allergy, preganant and lactating
women
36. VARENICLINE:
• Partial nicotinic receptor agonist that binds to α and β nicotinic
acetylcholine receptors in brain
• Oral formulation 0.5 mg OD for first 3 days, increased to 0.5 mg
twice daily for next 4 days, 1 mg twice daily for 12 weeks.
• Clinical effects:
↓ symptoms of nicotine withdrawal
• Tobacco use can be stopped one week after initiating treatment.
• Side effects: agitation, depression
• Contraindicated in pregnant and lactating women.
37. Recommended:-75–100 mg/day
Treatment should be started 10–28 days
before the quit date at a dose of 25 mg/day;
the dose should be increased as tolerated.
Side effects:
•Dry mouth
• Sedation
• Dizziness
• Tremor
Nortriptyline is a tricyclic anti‐depressant .It has a sedative effect
which helps to improve sleep
38. Combination Therapy
• Combined behavioural and pharmacological therapies appear to be the best
approach for treating tobacco dependence.
• Because these therapies operate by different mechanisms, complementary
and potentially additive effects may be expected
• Nicotine Replacement Therapies (NRT) combined with supportive
counselling are the most widely used and intensively reached treatment
method
39. Depressed mood
Insomnia
Irritability, frustration , anger
Anxiety
Craving and difficulty in
concentration
Restlessness
Decreased heart rate
Increased appetite or weight gain
40.
41.
42. References
1. Daly & bachelor,Richard Watt – Essential Dental Public Health.
2. Esther v Wilkins – clinical practice for dental hygienist.
3. Prochaska JO, DiClemente CC. Toward a comprehensive model of change.
In: Miller WR, Heather N, eds. Treating addictive behaviors: processes of
change. New York: Plenum, 1986:3–27.
4. Clinical practice. Treatment of tobacco use and dependence. N Engl J Med
2002;346:506-512.
5. Murthy P, Saddichha S; Tobacco cessation services in India: Recent
developments and the need for expansion;Indian Journal of Cancer,
2010;Volume 47 ;Suppl 1
6. WHO – GLOBAL ADULT TOBACCO SURVEY (GATS)-2007.