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Spit
tobacco affects your dental health as well as the rest of your body.
If you use smokeless tobacco and have thought about quitting, your
dentist can help. In the meantime, here are a few facts that may
help you decide to join the 200 million Americans who are tobacco-free.
What
is spit tobacco?
Spit
tobacco includes snuff, a finely ground version of processed tobacco,
and chewing tobacco in the form of shredded or pressed bricks and
cakes, Called plugs, or rope-like strands called twists. Users "pinch"
or "dip" tobacco and place a wad in their cheek or between
their lower lip and gums. In the United Kingdom, users often snort
snuff.
Isn't
it safer than smoking?
Absolutely
not. Some wrongly believe that spit tobacco is safer than smoking
cigarettes. But spit tobacco is more addictive because it contains
higher levels of addictive nicotine than cigarettes and can be harder
to quit than cigarettes. One can of snuff delivers as much nicotine
as 60 cigarettes.
About
8,000 people die every year from tobacco use. About 70 percent of
those deaths are from oral cancer. Other cancers caused by tobacco
include cancer of the pancreas, nasal cavity, urinary tract, esophagus,
pharynx, larynx, intestines and stomach. Kids who use spit tobacco
products are 4 to 6 times more likely to develop oral cancer than
non-users and tobacco juice-related cancers can form within five
years of regular use. Among high school seniors who have ever used
spit tobacco, almost three-fourths began by the ninth grade.
How does
snuff and chewing tobacco harm my dental health?
It causes
bad breath, discolors teeth and promotes tooth decay that leads
to tooth loss. Spit tobacco users have a decreased sense of smell
and taste, and they are greater risk of developing cavities. The
grit in snuff eats away at gums, exposing tooth roots which are
sensitive to hot and cold temperatures and can be painful. Sugar
in spit tobacco causes decay. Spit tobacco users also have a hard
time getting their teeth clean.
What
about mouth sores?
The
most common sign of possible cancer in smokeless tobacco users is
leukoplakia, (loo-ko-play-key-ah) a white scaly patch or lesion
inside the mouth or lips, common among many spit tobacco users.
Red sores are also a warning sign of cancer. Often, signs of precancerous
lesions are undetectable. Dentists can diagnose and treat such cases
before the condition develops into oral cancer. If a white or red
sore appears and doesn't heal, see your dentist immediately for
a test to see if it's precancerous. Spit tobacco users also should
see their dentist every three months, to make sure a problem doesn't
develop.
Studies have found that 60 to 78 percent of spit tobacco users have
oral lesions.
What
are double dippers?
Double
dippers, who mix snuff and chewing tobacco, are more likely to develop
precancerous lesions than those who use only one type of spit tobacco.
Long term snuff users have a 50 percent greater risk of developing
oral cancer than non-users, and spit tobacco users are more likely
to become cigarette smokers.
How do
you kick the habit?
Your
dentist can help you kick your spit tobacco habit. In addition to
cleaning teeth and treating bad breath and puffy, swollen gums associated
with tobacco use, your dentist may prescribe a variety of nicotine
replacement therapies, such as the transdermal nicotine patch or
chewing gum that helps to wean addicted snuff dippers or tobacco
chewers.
Nicotine
patches are worn for 24 hours over several weeks, supplying a steady
flow of nicotine. The four brands of patches are Habitrol, Nicoderm,
Nicotrol, and Prostep. Over the course of treatment the amount of
nicotine in the patch decreases. The nicotine patch has a 25 percent
success rate. Or you may try nicotine gum therapy on your quit day.
One piece of gum is slowly chewed every 1-2 hours. Each piece should
be discarded after 20-30 minutes.
Make
goals
Make
the following goals to quit and never resume chewing or dipping:
Pick a date and taper use as the date nears. Instead of using
spit tobacco, carry substitutes like sugarless gum, hard sugarless
candy and sunflower seeds.
Cut back on when and where you dip and chew. Let friends and
family know that you're quitting and solicit their support. If they
dip and chew, ask them not to do it around you.
Make a list of three situations you're most likely to dip
and chew, and make every effort to avoid using tobacco at those
times.
Switch to a lower nicotine brand to help cut down your dose.
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