Navigating life together
Author Acknowledgements
BRIAN MUZYKA, DMD MS MBA
Director of Hospital Dentistry Vidant Medical Center
Associate Professor School of Dental Medicine
East Carolina University
Greenville, North Carolina
Dr. Muzyka has no relevant relationships to disclose.
The following commentary highlights fundamental and
commonly accepted practices on the subject matter. The
information is intended as a general overview and is for
educational purposes only. This information does not
constitute legal advice, which can only be provided by an
attorney.
© Metropolitan Life Insurance Company, New York, NY.
All materials subject to this copyright may be photocopied
for the noncommercial purpose of scientific or educational
advancement.
Originally published April 2008.
Updated and revised July
2011, December 2014 and December 2017.
Expiration date:
December 2020.
The content of this Guide is subject to change as new
scientific information becomes available.
Educational Objectives
Following this unit of instruction, the learner should be able to:
1.
Describe the impact smoking has on systemic and oral health.
2.
Describe the impact second hand smoke has on children.
3.
Recognize the behaviors associated with substance dependence.
4.
Recognize the symptoms associated with nicotine withdrawal.
5.
Be familiar with the stages of change model and the significance of the action stage.
6.
Be familiar with pharmacotherapy for tobacco cessation.
7.
Describe the 5A’s approach for smokers willing to quit.
8.
Describe the 5 R’s approach for smokers unwilling to quit.
Introduction
Although the number of smokers in the United States is declining, tobacco control is still an
important issue in healthcare. In 2015 there was 36.5 million adults in the United States who
smoked cigarettes. This equates to 15 of every 100 U.S. adults aged 18 years or older (15.1%)
smoking cigarettes. Smoking-related disease affects more than 16 million Americans.
1
Globally,
tobacco remains a significant health issue. Contradictory to the decline in number of smokers
in the United States, the number of smokers in Africa and the Mediterranean increased causing
an increase in the total number of tobacco smokers worldwide. In 2012 there were 967 million
smokers worldwide and in 2015 there were 1.1 billion smokers worldwide.
2
Accepted Program Provider FAGD/MAGD Credit
11/01/16 - 12/31/20.
ADA CERP is a service of the American Dental Association to assist dental
professionals in identifying quality providers of continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors,
nor does it imply acceptance of credit hours by boards of dentistry.
MetLife designates this activity for
1.0 continuing education credits
for the review of this Quality Resource Guide and successful completion of the post test.
Fourth Edition
Concerns or complaints
about a CE provider may be directed
to the provider or to ADA CERP at www.ada.org/goto/cerp.
Address comments or questions to:
DentalQuality@metlife.com
MetLife Dental Continuing Education
501 US Hwy 22, Area 3D-309B
Bridgewater, NJ
08807
Cancellation/Refund Policy:
Any participant who is not 100% satisfied with this course
can request a full refund by contacting us.
MetLife is an ADA CERP Recognized Provider.
Quality
Resource Guide
Tobacco Cessation in the Dental Office