Oral health and smoking Information for you Follow us on Twitter @NHSaaa FindVisit our us website: on Facebook www.nhsaaa.net/better-health at www.facebook.com/nhsaaa FollowVisit our us on website: Social Media www.nhsaaa.net @AyrshireandArranOHI @NHSOHI All our publications are available in other formats Steps for good oral health: • Keep sugary snacks and drinks to mealtimes • Brush teeth twice a day using 1450ppm fluoride toothpaste • Visit the dentist regularly 2 How can smoking affect my oral health? Most people are now aware that smoking is bad for their health. It can cause many different medical problems and in some cases fatal diseases. However, many people don’t realise the damage that smoking does to their mouth, gums and teeth. Smoking can lead to tooth staining, gum disease, tooth loss, bad breath (halitosis), reduced sense of taste and smell, reduced blood supply to the mouth and in more severe cases mouth cancer. Can smoking lead to gum disease? Patients who smoke are more likely to produce bacterial plaque, which leads to gum disease. The gums are affected because smoking causes a lack of oxygen in the bloodstream, so the infected gums fail to heal. Smoking can lead to an increase in dental plaque and cause gum disease to progress more quickly than in non-smokers. 3 Smoking can mask problems with your gums, and often when you stop smoking your gums will begin to bleed. For more information see the ‘Gum disease, sensitivity and erosion’ leaflet. Gum disease still remains the most common cause of tooth loss in adults. Why are my teeth stained? One of the effects of smoking is staining on your teeth due to the tar in the cigarette. It can make your teeth yellow in a very short time, and heavy smokers often complain that their teeth are almost brown after years of smoking. How is smoking linked with cancer? Most people know that smoking can cause lung and throat cancer, but many people are still unaware that it is one of the main causes of mouth cancer, too. Every year thousands of people die in the UK from mouth cancer. Smoking and drinking alcohol presents a much higher risk. Cigarette smoking and pipe smoking can cause cancer of the palate, tongue, lips and cheeks, while chewing tobacco also carries an increased risk. For further information see our leaflet ‘If in doubt - get it checked out’. 4 Are there special dental products I can use? There are special toothpastes for people who smoke. They are sometimes a little more abrasive than ordinary toothpastes and should be used with care. Your dentist may recommend that you use these toothpastes along with your usual 1450ppm fluoride toothpaste. There are several whitening toothpastes on the market. Although they do not affect the natural colour of the teeth, they may be effective at removing staining and therefore may improve the overall appearance of your teeth. How often should I visit my dentist? It is important that you visit the dentist regularly. This will allow the dentist to check your teeth and examine your lips, tongue cheeks and soft tissues so that any other conditions can be spotted early. You should visit the dentist as often as they recommend. Will I need any extra treatment? People who smoke are more likely to have stained teeth and therefore may need appointments more often with the dental hygienist who can provide further treatment, thorough cleaning and to keep a closer check on your oral hygiene. 5 Your dental hygienist will be able to advise you on how often you should visit, although this should usually be every three to six months. Your dentist may also be able to put you in touch with organisations and self help groups who will have the information to help you stop smoking. Why should I give up smoking? • You will have fresher smelling breath • Your appearance will improve. • Your teeth will no longer be nicotine stained • In a few weeks of stopping smoking you may have a better sense of taste and smell • Children are great imitators and may be encouraged to take up smoking because they are copying you For advice and information on stopping smoking call the local Quit Your Way on 0800 783 9132 or the National Quit Your Way on 0800 84 84 84. 6 If you have any concerns please contact your own dentist first or the Dental Advice Line for urgent care or advice on weekdays, 8.30am to 6pm 01563 50 79 50 or NHS 24 for dental emergencies out-of-hours 111 A list of NHS dentists who are available for patients to access can be found on our NHS Public Website page – see front of page of this leaflet for details For other oral health leaflets contact the Oral Health Improvement Team on 01292 616812 or [email protected] 7 We are happy to consider requests for this publication in other languages or formats such as large print. Translations Easy to read Audio BSL Large print Braille Call: 01563 825856 Email: [email protected] Tell us what you think... If you would like to comment on any issued raised by this document, please complete this form and return it to our Feedback and Complaints team: PO Box 13, Eglinton House, Ailsa Hospital, Dalmellington Road, Ayr KA6 6AB. Alternatively, you can call free on 0800 169 1441 or email [email protected] Name _____________________________________________________________ Address _____________________________________________________________ _____________________________________________________________ Comment _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Last reviewed: July 2019 Leaflet reference: MIS11-023-GD PIL code: PIL19-0052.