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S. Sinha



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    P2.05 - Poster Session/ Prevention and Tobacco Control (ID 216)

    • Event: WCLC 2015
    • Type: Poster
    • Track: Prevention and Tobacco Control
    • Presentations: 1
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      P2.05-007 - Role of Carbon Monoxide Analyser and NRT in Smoking Cessation (ID 853)

      09:30 - 09:30  |  Author(s): S. Sinha

      • Abstract
      • Slides

      Background:
      Tobacco consumption is increasing day by day world wide. In developed countries, the pattern of using tobacco is in the form of smoke where as in developing or underdeveloped countries both form (smoke & smokeless) of tobacco is in use. In developing countries like India, more than 2200 people are dying daily because of consuming tobacco in various forms, data issued by WHO & GATS. Dentist can play an important role in tobacco cessation , as they closely deal the patient of any gender and of any age groups. Smoking is very common among age of 20-45 years. Most of the dental problems arises during this age group and may be because of smoking. Dentist can counsel and motivate the patient by taking case history of the patient on Dental chair to quit this habit. He can use Carbon Monoxide analyser as a helping tool to tell the amount of carbon monoxide in patients lungs. CO analyser can be used as threating tool for smokers and later we can advice Nicotine replacement therapy according to the dependency on nicotine.

      Methods:
      Carbon monoxide analyser is a device which is used to measure the amount of carbon monoxide in smokers lung. It is of various types:- a) CO analyser with USB port which can be attached to Computer and printer ,b) Baby Carbon monoxide analyser. Benefit of CO analyser with USB port- it can be used in clinic and we can save data as clinic record and can give print out to the patient as their motivational agent. where as Baby CO analyser can be used for masses in camps. It immedidiately show the level of CO through their indicator lights. CO Analyser parts , it consists of D piece and instrument body. 1st step- ask the patient to take deep breath and hold it for 15 seconds then patient will blow the air slowly in D piece which is attached to anlyser , aiming to empty the lungs completely. The instrument will then display the level of Carbon monoxide by the relevant indicatror lights. CO is calculated in PPM. Normal Range - a) 0-6ppm- Normal (green light - less then 1 cigarette): b) 7-10ppm- Orange light (light smoker- 2-5 cigarette ) ; c) 11-15ppm- regular smoker (red light) ; d) 16-25ppm- red light with beep sound( chronic smoker). After this, we can do nicotine urine test by centrifugal method and prescibing the NRT products depending upon the investigation result. NRT is of differnt types- Gums, Patch, Nicotine nasal spray, Lozenges,Inhaler, etc.

      Results:
      CO anlyser can be helpful in knowing "SWOT" analysis of the patient. It will be a beneficial tool in counselling and helping the smokers to quit the habit. "SWOT - Strength, Weakness,Opportunity, Threatning analysis.

      Conclusion:
      By using CO analyser & NRT, we can help tobacco user to quit the habit by eliminating the exposure to 2nd hand smoke, prevent quiting among young and adults. Prevent initiation among youths at Dental clinics.

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