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Question 1
What is tobacco cessation?
The process of stopping the use of tobacco products.
Question 2
What is the significance of the date 1/29/2022?
The date is likely the presentation date of the slide.
Question 3
What is the leading preventable cause of death in the U.S.?
Smoking
Question 4
How many people die from smoking-related causes in the U.S. each year?
Over 490,000
Question 5
What percentage of deaths in California are attributed to tobacco smoking?
Approximately 16%
Question 6
What is the professional responsibility of dentists regarding tobacco use?
Educate and advise patients regarding tobacco-related health risks and support cessation of all tobacco products.
Question 7
How does tobacco use affect oral health?
Tobacco use causes or worsens oral diseases.
Question 8
What is the impact of tobacco use on dental treatment success?
Tobacco use decreases dental treatment success.
Question 9
What is the CDT Code D1320?
Tobacco counseling for the control and prevention of oral disease
Question 10
What does using CDT Code D1320 allow for?
Better evaluation of practices
Question 11
What message does using CDT Code D1320 send to insurers?
Tobacco cessation is an integral part of oral healthcare
Question 12
What are the systemic effects of smoking tobacco?
Cancer, Pulmonary Disease, Cardiovascular Disease, Infertility, Cataract, Diabetes, Delayed Wound Healing, Osteoporosis, Negative Impact on Nearly Every Body System
Question 13
What are the effects of smoking tobacco on oral health?
Oral and Pharyngeal Cancers, Periodontal Disease, Tooth Loss, Poor Wound Healing, Implant Failure, Calculus, Staining, Mucosal Lesions (Dysplasia/Oral Leukoplakia), Halitosis, Reduced Response to Periodontal Therapy, Caries Due to Dry Mouth, Tongue Discoloration
Question 14
What is the key message about tobacco products?
No tobacco product is safe.
Question 15
What is the primary cause of damage from tobacco use?
Smoke itself.
Question 16
What is the most commonly used form of smoking tobacco?
Cigarettes.
Question 17
What are smokeless (oral) tobacco products?
Smokeless (oral) tobacco products include chewing tobacco, moist snuff, and other forms of tobacco that are not smoked.
Question 18
What are the impacts of smokeless (oral) tobacco products on oral health?
Smokeless (oral) tobacco products can cause oral cancer, tooth loss, caries, staining, and periodontal disease.
Question 19
What is the impact of cannabis use on oral health?
Cannabis use can lead to xerostomia, periodontitis, leukoplakia, an increased risk of oral cancer, and caries.
Question 20
How does cannabis smoke compare to tobacco smoke?
Cannabis smoke is similar to tobacco smoke, delivering carbon monoxide, tar, and carcinogens.
Question 21
What is the universal policy recommendation regarding cannabis use in dental practices?
Make patients aware at first health history intake that anyone under the influence of any psychoactive substance will be dismissed from their appointment for the safety of the patient and the dental team.
Question 22
What are some potential effects of cannabis use on dental patients?
Anxiety, agitation, dysphoria, impaired decision-making, and potential drug interactions (THC and epinephrine lead to tachycardia).
Question 23
What is the 5 A's Approach?
An evidence-based framework and gold standard used by health professionals for tobacco use intervention.
Question 24
What are the five steps of the 5 A's Approach?
Ask, Advise, Assess, Assist, Arrange
Question 25
What does the step 'Assess' in the 5 A's Approach entail?
Assess their willingness to quit.
Question 26
What are the '5 A's' in the context of tobacco use?
Ask, Advise, Assess, Assist, Arrange
Question 27
What are the three categories of tobacco use status?
Current, Former, Never
Question 28
What are the four aspects of tobacco use that should be documented?
Type, dose, frequency, and duration
Question 29
What are the '5 A's' in dental advice?
Advise, Assess, Advise again, Assist, Arrange
Question 30
What is the importance of empathy in dental advice?
Empathy is crucial as patients do not want to be lectured to or judged.
Question 31
What is the term for the stage where a person is not thinking about quitting?
Pre-contemplation
Question 32
What is the stage where a person is thinking about quitting but not ready to make a plan?
Contemplation
Question 33
What is the stage where a person is ready to quit in the next month?
Preparation
Question 34
What is ambivalence in the context of patients not ready to quit smoking?
Ambivalence refers to the state where patients are aware of the need to quit but struggle with the desire to continue smoking.
Question 35
What is the goal mentioned in the slide for patients who are not ready to quit smoking?
The goal is to start thinking about quitting.
Question 36
What is the purpose of Open-Ended Questions in Motivational Interviewing?
To encourage the patient to share their thoughts and feelings about their smoking habits and quitting.
Question 37
What is an example of an Affirmation in Motivational Interviewing?
The provider saying, 'Wow, you've really shown your commitment to quitting smoking. That's great! More importantly, you're willing to try again.'
Question 38
What is the goal of a Reflection in Motivational Interviewing?
To show the patient that the provider is listening and understanding their concerns.
Question 39
What is the purpose of the RELEVANCE step in the Five R's Approach?
To encourage the patient to indicate why quitting is personally relevant.
Question 40
What is the goal of the ROADBLOCKS step in the Five R's Approach?
To ask the patient to identify barriers or impediments to quitting.
Question 41
What is the significance of the REPETITION step in the Five R's Approach?
The motivational intervention should be repeated every time an unmotivated patient has an interaction with a clinician.
Question 42
What is the goal of the 5 A's approach in smoking cessation?
Achieve cessation
Question 43
What does the term 'collaborative treatment planning' refer to in the context of the 5 A's approach?
Working together with the patient to develop a quit plan
Question 44
What is the first step in providing behavioral counseling?
Help set a quit date within 30 days
Question 45
What should be reviewed during behavioral counseling?
Past quit attempts and treatment used
Question 46
What additional support can be provided during behavioral counseling?
Refer a patient to comprehensive tobacco cessation counseling or support group
Question 47
What are some coping strategies for anxiety/stress?
Breathing exercises, physical exercises, meeting with friends/family
Question 48
What are some potential triggers and coping strategies for avoiding them?
Avoid certain situations and places, avoid tobacco users, establish friendships with non-users, tell family and friends about quitting, get rid of cues or triggers, avoid alcohol, develop new ways to manage stress
Question 49
What is the purpose of Nicotine Replacement Therapy (NRT)?
To help beat the urge to use by providing therapeutic nicotine all day.
Question 50
What are the different forms of NRT mentioned in the slide?
Patch, Gum, Lozenges, Inhaler, Nasal Spray.
Question 51
What is the primary purpose of Varenicline?
Relieves withdrawal symptoms and blocks the reward from tobacco use.
Question 52
What are the two follow-up steps mentioned in the slide?
1st Follow-up within a week of quit date, 2nd Follow-up within the first month of quit date
Question 53
How can follow-up care be conducted according to the slide?
Via phone or in-person
Question 54
What is the purpose of documenting discussions in the chart?
To review progress and provide additional tobacco cessation counseling
Question 55
What is the Ask-Advise-Refer (AAR) approach?
A shortened approach for clinicians to provide cessation services in less than 3 minutes.
Question 56
What are the three steps of the Ask-Advise-Refer (AAR) approach?
Ask about tobacco use, Advise users to quit, Refer tobacco users to cessation services.
Question 57
What is the purpose of a passive referral in the context of the Tobacco Telephone Quitline?
To provide patients with a phone number to schedule a call with a trained Quit Coach.
Question 58
What is the preferred method for referring patients to the Tobacco Telephone Quitline?
Active referral, which involves directly referring patients through a web portal.
Question 59
What is the purpose of the Kick It California Referral Page?
The Kick It California Referral Page is used to collect information from referring professionals to help clients quit smoking.
Question 60
What information is required to be filled in the Referring Professional Information section?
The required information includes First Name, Last Name, Email, and Client/Organization.
Question 61
What is the patient's smoking history?
The patient smokes ½ a pack of cigarettes a day for the last 10 years.
Question 62
What are the oral and overall health impacts of tobacco and cannabis?
Tobacco and cannabis can lead to periodontal disease, carious lesions, and other oral health issues.
Question 63
What is a Substance Use Disorder (SUD)?
A SUD is a condition where a person has an uncontrollable desire to use a substance, leading to significant impairment in their daily life.
Question 64
What is the role of a dentist in managing Substance Use Disorders?
Dentists can identify signs of substance use disorders through oral health issues and provide referrals for treatment.
Question 65
What is the CDC recommendation for opioid prescribing?
Prescribe the lowest effective dose for the shortest period needed.
Question 66
How long is the recommended duration of opioid prescription for acute pain management?
3 days or less.
Question 67
What are the recommended maximum daily doses of acetaminophen and ibuprofen for adults?
Acetaminophen: 3000 mg, Ibuprofen: 3200 mg.
Question 68
What is the dosage of Advil in the 6PM regimen?
600mg
Question 69
What is the dosage of Tylenol in the 12PM regimen?
500mg
Question 70
What is the oral analgesic option for mild pain?
Ibuprofen 200-400mg as needed for pain every 4-6 hours
Question 71
What is the oral analgesic option for mild to moderate pain?
Ibuprofen 400-600mg fixed interval every 6 hours for 24 hours, then ibuprofen 400mg as needed for pain every 4-6 hours
Question 72
What is the oral analgesic option for moderate to severe pain?
Ibuprofen 400-600mg + acetaminophen 500mg fixed interval every 6 hours for 24 hours, then ibuprofen 400mg + acetaminophen 500mg as needed for pain every 6 hours
Question 73
What is the oral analgesic option for severe pain?
Ibuprofen 400-600mg plus acetaminophen 325mg with hydrocodone 5mg fixed interval every 6 hours for 24-48 hours, then ibuprofen 400-600mg + acetaminophen 500mg as needed for pain every 6 hours
Question 74
What is unsanctioned dose escalation?
Taking more medication than prescribed without the doctor's approval.
Question 75
What are prescription losses?
The unauthorized or accidental loss of a prescription medication.
Question 76
What does deteriorating social functioning refer to in the context of adverse drug-related behavior?
A decline in a person's ability to function socially due to drug use.
Question 77
What is the purpose of motivational interviewing in substance use disorder assessment?
To assess readiness to change and provide motivational support.
Question 78
What are the five steps of the OARS technique in motivational interviewing?
Open-ended questions, Affirmation, Reflection, Summarization, and Empathy.
Question 79
What is the term for the extraction of a maxillary first molar that had fractured at the gingival margin?
Endodontically treated maxillary first molar extraction
Question 80
How long ago did the patient last see the dentist for an emergency basis?
One month ago
Question 81
How many years ago did the initial examination occur?
Two years ago
Question 82
What is the purpose of the Tobacco Cessation Toolkit for CA Dental Providers?
To provide resources and guidance for dental providers in California to help patients quit smoking.
Question 83
What is the focus of the Harm Reduction: A Strategy to Improve Outcomes for Dental Patients with Substance-Use Disorders?
The focus is on strategies to improve the outcomes of dental patients with substance-use disorders by addressing their needs in a non-judgmental and supportive manner.