Module 2: Ask, Advise, Assist, Refer Module 3: Quit Smoking Medications Module 4: Smokeless Tobacco, Dental Health Intervention and E-cigarettes Module 5: Office Systems and Creating a Quit Plan Babalola Faseru, MD, MPH Department of Preventive Medicine and Public Health University of Kansas Medical Center Objectives Types of Smokeless Tobacco Prevalence, Health Effects, and How to Treat Ask, Advise, Refer Model for Dental Practice E-cigarettes What we know What we dont know What do you tell your patients Babalola Faseru, MD, MPH Department of Preventive Medicine and Public Health University of Kansas Medical Center Smokeless TobaccoHarmful & Highly Addictive Types of smokeless tobacco Snus (snoose)Scandinavian moist powder tobacco product (place under upper lipless need to spit) SnusAmerican similar to Scandinavian but no regulation Dipping tobacco moist snuff (lower lip and gums) causes excess saliva, could require spitting Nasal Snuff Finely ground dry form of tobacco snuffed through the nose Chewing tobacco long strands placed between cheeks, gum, or teeth (plugs, wads, chew) Dissolvables strips, sticks, orbs and compressed tobacco lozenges HEALTH EFFECTS OF Smokeless tobacco Cancer Risk Smokeless tobacco contains 28 carcinogens Increases the risk of developing several cancers Oral Health Dangers Increases the risk of developing precancerous mouth lesions Strongly associated with recession of the gums
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In 2002, when then chancellor Gordon Brown sought to impose a maximum guideline of 800 cigarettes, an opposition campaign won enthusiastic support from sections of the media
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While vaping offers an alternative to smoking, is it cheaper than smoking
While Altrias CEO Howard Willard has said of the investment, We are taking significant action to prepare for a future where adult smokers overwhelmingly choose non-combustible products over cigarettes, public health advocates see it another way
