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ORAL IMPLICATIONSOF TOBACCO ANDDRUG USEPresented By:Carol Roberton, BS, RDHPierce College Dental Hygiene ProgramFeb. 9, 2018
Oral Health Implications ofE-Cigarettes, Hookahs &Bidis
What are ElectronicCigarettesElectronic nicotine-deliverysystem (ENDS)A cigarette-like experiencevia a battery-operatedatomizerVaporizes liquid-basednicotine from a smallcartridge when the userinhales
What are ElectronicCigarettesDelivers a chemical mixture typically composedof nicotine, propylene glycol and flavoringsconcentration in the liquid-filled cartridges canrange from nicotine-free loads of 0.0% to as muchas 5.4% nicotineMay be a gateway tocigarette smoking!
What are HookahsSmoking flavored nicotine through awater pipeSmoking can last up to an hour--takedeeper breathsMay inhale the equivalent of 100 or morecigarettes’ worth of smoke within hourCharcoal used to keep tobacco burning,inhaling Polyaromatic Hydrocarbons(PAH) & Carbon Monoxide (C0) --bothhave carcinogenic properties
What are BidisSmall, thin, hand-rolled cigarettesimported from India and otherSoutheast Asian countriesTobacco wrapped in a tendu ortemburni leaf and secured with acolorful string at one or both ends3 to 5 tx concentration of nicotine,tar & carbon monoxide thancigarettes
What are BidisDo not stay lit consistently, sosmokers draw deeply to keepthem burning .High risk of nicotine addictionGenerate toxic second handsmoke
Oral Implications:Electronic CigarettesHPV 16 Infection--Sharing e-cigarettes
Oral Implications:Electronic Cigarettes The most harmful Oral Consequence ofHPV is:Esophageal Cancer
Oral Implications:Hookahs Oral CancerPeriodontal DiseaseHerpes SimplexHepatitis (B, C)
Oral Implications:BidisOral CancerPeriodontal DiseaseDental DecayStained Teeth
Oral Cancer 34,000 Americans will bediagnosed with oral cancer thisyear Cause over 8,000 deathsannually killing roughly 1 person per hour24 hours per day
Oral Health Implications ofMethamphetamine andHeroin Addiction
Meth & Heroin MouthsRapid OnsetAcute Disease ProcessOften Associated With PainDevastating Consequences
Meth & Heroin MouthsDry MouthDecreased salivation caused bydrug toxinsSigns and SymptomsSmooth, shiny tongueTrouble with speechTrouble swallowingTrouble chewing
Meth & Heroin MouthsRampant Tooth DecayDestructive disease process of toothstructureSymptomsRotting/ “Inside Out”Dark/ Black PigmentIn Between Front Teethcheek side of back teeth
Meth & Heroin MouthsBruxism/Clenching/GrindingPara-functional habit of the muscles of themouthDue to the stimulant natureof drugsIrreversible EffectsDamaged tooth structureBone irritated and resorbed
Meth & Heroin MouthsOral Tissues UlcersCaustic chemicals and heat of bothdrugs (if smoking)--traumatic ulcers
Meth & Heroin Mouths InfectionsCandidiasis- ThrushHerpes
Meth & Heroin Mouths:A Cascade of Problems!Meth & HeroinMouths
QUESTIONS
Thank You!Pierce College Dental Hygiene Program
ReferencesAi Doan, Li Wendy, Vu MichelleMethamphetamine Abuse & Oral HealthJADA. Vol 8 (3), 2014., 1-14Henry R, Henderson R. The rise of e-cigarettes. Dimensions of Dental Hygiene.2014;12(5):46–50.Priscilla Callahan-LyonElectronic Cigarettes: Human Health EffectsTobacco Control 2014; ii23-ii40 doi:10.1136/tobaccocontrol-2013-051470World Health Organization. Backgrounder on WHO Report on Regulation of ECigarettes and Similar Products. Available. Accessed November 3, 2014.Trophimus Gnanabagyma JayakaranThe Effects of Drugs on the Oral Cavity- A ReviewJ. Pharm. Sci & Res. Vol. 6(2), 2014., 89-96
Pierce College Dental Hygiene Program. References. Ai Doan, Li Wendy, Vu Michelle Methamphetamine Abuse & Oral Health. . Henry R, Henderson R. The rise of e-cigarettes. Dimensions of Dental Hygiene. 2014;12(5):46-50. Priscilla Callahan-Lyon. Electronic Cigarettes: Human Health Effects Tobacco Control 2014; ii23-ii40 doi:10.1136 .
