A century ago, cigarettes (and chewing tobacco) were much simpler – no filters, no vent holes, fewer added chemicals (herbicides and pesticides in particular). Now, cigarettes are more addictive and deadlier than ever. According to the 50th Anniversary Surgeon General’s Report on Smoking and Health, lung cancer risk for smokers rose dramatically between 1959 and 2010. The risk for people who never smoked stayed the same. That’s true even though smokers in the 21st century smoke fewer cigarettes per day than earlier smokers. What do all those chemicals and smoke do to a patients’ oral health? Increased risk of gum inflammation, recession and disease, two times the risk of tooth loss, as well as the increased risk of oral and pharyngeal cancer. In this module, you will learn how to help patients with tobacco cessation, how to dialogue without judgment and facilitate change—even with patients who aren’t ready to quit, present a nicotine fading plan for patients preparing to quit, learn about the success/failure rates of several quit methods including cold turkey method, nicotine replacement therapies, quit-medications, acupuncture, hypnosis. Learn how to coach patients for personalized success, how and when to write prescriptions for Zyban and Chantix and discuss coordination of periodontal therapy with smoking cessation.