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17. Tobacco cessation, counseling, identifying various tobacco containing products.

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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 of them due to smokina.

There are three well-known approaches Regulatory approach 1975 : Cigarette Act 1985 : National Cancer Control Program Cigarettes and other Tobacco 2003 Products Act 2004 : WHO-FCTC Service approach screening.

1. a preparation of the nicotine-rich leaves of an American plant, which are cured by a process of drying and fermentation for smoking or chewing..

What is tobacco cessation. Smoking cessation, usually called quitting smoking or stopping smoking, is the process of discontinuing tobacco smoking. Tobacco smoke contains nicotine, which is addictive and can cause dependence. As a result, nicotine withdrawal often makes the process of quitting difficult..

What is Tobacco? It's a woody, shrub like plant with large leaves. 4,000+ chemicals in tobacco • many of them cause cancer One of these chemicals is: • Nicotine. (An addictive drug found in tobacco leaves and in all tobaccoproducts)..

• Educational approach • Role of the dentist harmful effects of tobacco -counsel patients tobacco-free lifestyle PLEASE *tobacco use during pregnan spend more time with patients reinforce messages given to patients.

I NICOTINE REPLACEMENT THERAPY • Nicotine replacement therapies (NRT) for tobacco use cessation are . Nicotine gum Nicotine patch Nicotine inhaler Nicotine nasal spray Nicotine lozenges.

Nicotine gum »use under medical supervision for a predefined limited period, e.g. 6 weeks after which the patient has to face withdrawal.

• Nicotine withdrawal symptoms Craving for tobacco Depressed mood Insomnia Irritability Frustration Anxiety Difficulty in concentration Restlessness Decreased heart rate Increased appetite and weight.

{til .111 1.08HB/s 8:56 730/0 O slideshare.net/ashraf slideshare a Scribd company Search Brief Tobacco Cessation Counseling For physicians and healthcare professionals to use in clinical practice 29 Likes Brief Tobacco Cessation Counseling D Health & Medicine Sep. 09, 2014.

REFERENCES Essentials of Preventive and Community Dentistry — Fourth Edition 2009 SOBEN PETER Textbook of Public Health Dentistry — First Edition 2011 C M MARYA.

• Counseling those unwilling to quit Relevance of quitting Risks of continuing tobacco use Rewards of quitting Roadblocks to quitting Repeat these at each visit.

Key counseling concepts A non judgmental attitude Caring Empathy Listening Raising awareness Prompting self-evaluation Offering support Asking open-ended questions Clarifying.

1. 2. 3. Three-Link Chain of Tobacco Dependence Biological Dependence Psychological Dependence Socio-cultural Factors.

The Three Link Chain • A is the addiction of nicotine — the "King" of addictions • B is the behaviours or CUes or triggers- a smoker "trains" to smoke • C is the socio-cultural aspects of people around you.

4G+ .11 0.24HB/s 8:57 slideshare.net/ashraf 73% slideshare a Scribd company Search • No two smokers are similar , In some smokers the addiction is very strong, others it is weak. • Some smokers smoke a few cigarettes per day; others are multi pack smokers. And, some smokers are surrounded by other smokers, while others have very few people around them who smoke. 29 Likes Brief Tobacco Cessation Counseling D Health & Medicine Sep. 09, 2014 0 5,893 views.

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The Five Stages of Change • Precontemplation • Contemplation Preparation • Action • Maintenance.

Stage of Change for Smoking Cessation • Precontemplation = Current smokers who are not planning on quitting smoking in the next 6 months • Contemplation = Current smokers who are planning on quitting smoking in the next 6 months but have not made a quit attempt in the past year • Preparation = Current smokers who are definitely planning to quit within next 30 days and have made a quit attempt in the past year • Action = Individuals who are not currently smoking and have stopped smoking within the past 6 months • Maintenance = Individuals who are not currently smoking and have stopped smoking for longer than 6 months but less than 5 years DiCiemente. 2003.

Risks from Smoking Smoking can damage every part of the body Cancers Head or Neck Lung Leukemia Stomach Kidney • Pancreas Colon Bladder Cervix e— Chronic Diseases Stroke • Blindness • Gun infection • Aortic rupture • Heart disease • Pneumonia • Hardening of the arteries Chronic lung disease & asthma Reduced fertility Hip fracture.

• Chanae the way you smoke: Change the hand that you hold the cigarette Create non-smoking areas in the home Only smoke in areas that feel uncomfortable to you Do not allow other people to smoke with you • Change your routine Take a different route to work Drink tea instead of coffee Eat breakfast in a different place 88.

Nicotine withdrawal: the 4'D's Drink water slowly Deep breathe. Do something else (eg exercise) Delay acting on the urge to smoke.

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..

Contains present in tobacco.

1. Nicotine (the addictive drug that produces the effects in the brain that people are looking for). 2. Hydrogen cyanide. 3. Formaldehyde 4. Lead 5. Arsenic 6. Ammonia.

Various tobacco containing products.

Thank you. The end.