Flow Chart Five A’s sk and document tobacco use Ex-Smoker Non-smoker Current Smoker Set dental recall appropriate to level of conﬁ dence. Assess motivation and conﬁ dence to quit, Assess - Any slips? Advise/Assist Advise/Assist Advise/Assist
Afﬁ rm decision to quit. Set a quit date and
develop plan. Offer Quitine card or Quit
and acknowledge their right to choose.
Assess nicotine dependence, recommend pharmacotherapy if required.
Follow-up appointment with GP/Pharmacist/
131 848. QUITLINE 131 848 and set dental recall time. SYMPTOMS OF QUITTING Effect on body Coping strategy
Circulation improves, increased gingival
Consider pharmacotherapy. Brief distractions
eg: 4D’s: drink water, deep breathe, do some-
thing else, delay urge to smoke. Ring the
Worse initially, body clearing respiratory tract.
Start regular exercise program. Eat sensibly,
but no serious dieting until a less stressful
period. Moderate alcohol consumption.
Sleep patterns altered, insomnia or tiredness.
Reﬂ ections of grief and (mainly) nicotine
handle stress, eg: talk to a friend. Transient
For further information go to: www.quitsa.org.au Health Beneﬁ ts of Quitting Health Beneﬁ ts of Quitting Dental Beneﬁ ts of Quitting 20 minutes
Blood pressure and pulse rate returns to normal.
• Improved gingival and oral tissue health.
Temperature of hands and feet increases to normal.
• Improved taste sensation after 48 hours.
Carbon monoxide and oxygen level in blood returns to
• Smokers’ palate disappears shortly after cessation of
Immediate risk of heart attack starts to fall. 14 days •
• Reduced risk of periodontal disease and tooth loss.
Energy and ﬁ tness level improves.
Lung function increases by up to 30%.
Most nicotine withdrawal symptoms disappear. 3 months •
- Restorative and aesthetic dentistry.
Cilia regrow in lungs, increase in their ability to handle
• Smokers’ melanosis in heavy smokers reverses after
mucus, clean themselves and reduce infection.
a year and gingival colour returns to normal.
• Oral leukoplakia may regress or disappear following
Risk of coronary heart disease is half that of smoker.
• Diminished risk of mouth, throat and oesophagus
Risk of lung cancer is 30-50% that of continuing
cancer to half that of a smoker after 5 years. 15 years • DOLLARS SAVED BY QUITTING
Risk of coronary heart disease same as a non smoker. HELP WITH QUITTING Advice from health professional, pharmacotherapy and ongoing support eg Quitline call-back program Pharmacotherapy eg nicotine patches, gum and Zyban ? (and ongoing support) Advice from health professionals (at least two sessions) Self help ( Quit book, video) PHARMACOTHERAPY FOR SMOKING CESSATION
SUITABLE ONLY FOR PATIENTS SMOKING 10 + CIGARETTES PER DAYTYPES OF THERAPY
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Patient number: Time point: Please fill in the date the questionnaire was completed: (Year-Month-Day): Personal Identification Number (Year-Month-Day-Control number) 0000-00-00-0000 Please answer the questions by marking the appropriate level with how you experienced your symptoms during the last month. Some questions may be answer