Helping Patients to Quit Using Tobacco. Hill Air Force Base Dental Clinic August 11, 2005 Isa Kaluhikaua, CHES Davis County Health Department Bureau of Health Promotion 451-3398 firstname.lastname@example.org. Why are we here?.
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Hill Air Force Base
August 11, 2005
Isa Kaluhikaua, CHES
Davis County Health Department
Bureau of Health Promotion
Average age of initiation - 12.5
60% by age 14
90% by age 19
Tobacco use rate in Davis County 9.8%
Tobacco use rate at HAFB 28%.
There are more than 190,000 smokers in Utah.
81.5% of Utah smokers report that they would like to quit.
Impeded effectiveness of periodontal therapy, dental implants, and wound healing.
Tooth decay for the tobacco-user’s children, results from exposure to secondhand smoke
4x the risk of developing oral cavity or oropharyngeal cancer, which kills 49% of its victims within 5 years of diagnosis.Oral Health Problems caused by Tobacco
Even a minimal intervention, lasting less than 3 minutes, can significantly increase overall tobacco abstinence rates.
The “5 A’s”
Use The TRUTH Network materials to help
you with your 5A’s intervention.
Ask EVERY patient about tobacco use status at
This occurs most consistently when there are systems in place, such as question on intake form, chart stickers, or electronic prompts on electronic medical records. Chart stickers are available.
Clinicians should urge all tobacco users to quit.
Even brief advice to quit by a clinician results in greater
quit rates. Smokers cite a clinician's advice to quit as an
important motivator for attempting to stop smoking.
Advice should be:
Specific to the individual 's own situation (e.g. oral health
condition, family status, costs of tobacco).
Nicotine Stomatitis “Smoker’s Palate”
Black, hairy tongue
Periodontitis, Stained teeth
“I can’t see what tobacco is doing to your heart, lungs, brain and other organs, but I would like to show you some changes in your mouth.”
"Are you willing to try to quit at this time?"
“Would you like the Utah Tobacco Quit Line to help you quit?”
Have patient fill out the Utah Tobacco Quit Line Fax Referral Form.
1. Clinician writes name on item 1 of the form.
2. Patient fills out items 2-12.
3. The client must sign the form.
All Utah QuitNet services are available to all
Utahns free of charge.
Fax the form to the Utah Tobacco Quit Line's toll
free fax number:
The Utah Tobacco Quit Line faxes your clinic so
that you know what type of services your patients
Goal: 50% of dental hygienists screen their clients regarding tobacco use by 2006
Goal: One referral to Utah Tobacco Quit Line for each hygienist.
1. Tobacco Cessation Guideline Publications: