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Smoking cessation: Oral health and tobacco connection

Q3 Word of Mouth newsletter 2024

The ADA Science and Research Institute found that harmful bacteria and inflammation in the mouth can indicate and even cause systemic conditions throughout the body. Improving awareness of the oral-systemic connection and interdisciplinary collaboration among health care professionals has many benefits. By sharing knowledge and expertise, you can provide more effective and targeted care, leading to better patient outcomes.

Periodontal disease has been linked to systemic health conditions such as cardiovascular disease, diabetes, Alzheimer's disease, pre-term/low-weight births, cancer and more. Conversely, many systemic diseases, conditions and even medications can affect a patient's oral health.

The following information can help you and your team assist tobacco-using patients to take a more active role in their oral health, which can lead to an improvement in their overall health: 

Tobacco use and cessation in the dental office

Cigarette smoking is 1 of the leading causes of preventable death and disease in the United States. It accounts for approximately 20% of deaths. 

Health care workers, especially dentists and their team members, can play a key role in reducing its prevalence through consistently identifying patients who smoke, advising them to quit and offering them information about cessation treatment.

Because of the oral health implications of tobacco use, dental practices may provide a uniquely effective setting for tobacco use recognition, prevention, and cessation. Dentists often note tobacco use in the patient's chart, but do not further address the significance of this condition or the patient’s desire to quit tobacco. This is due to many factors including:

  • Perceived lack of significance
  • Discomfort of potential conflict
  • Failed past attempts working with patients to quit
  • Lack of time 

To assist you with talking with patients about this health concern, you may use the following facts to highlight the importance of tobacco cessation:

  • Nicotine has been shown to be as addictive as heroin or cocaine
  • Each day over 3,800 youths under 18 years of age start smoking
  • Of every 3 young smokers, only one will quit, and one of those remaining smokers will die from tobacco-related causes
  • The average age of a first-time smokeless tobacco user is 10
  • On average, smokers die 13 to 14 years earlier than non-smokers
  • 69% of current smokers say they want to quit
  • 80% of smokers who attempt to quit on their own return to smoking within 1 month
  • Effective tobacco cessation programs utilized in dental offices have been shown to achieve quit rates of 10-15%
  • Within 5 years of quitting smoking, the risk of cancer of the mouth, esophagus, and bladder is cut in half

Resources

Tobacco Use and Cessation | American Dental Association