Resolution of oral lesions after tobacco cessation.
BACKGROUND
Dentists and other health care professionals are familiar with the impact of tobacco on oral and general health. However, oral health care professionals do not often provide tobacco-cessation counseling to their patients, thus reflecting a significant disconnect between research and clinical practice. This report demonstrates the benefits of tobacco cessation in resolving oral lesions and improving overall periodontal and oral health.


METHODS
A 51-year-old white male presented to the University at Buffalo, School of Dental Medicine clinic requesting an oral and periodontal examination as part of a presurgical protocol prior to cardiac surgery. A review of the patient's history from a health questionnaire revealed that he was using smokeless tobacco every day. An oral examination revealed several white lesions (5 x 10 mm) on the maxillary right and left labial mucosa. The patient was provided with tobacco-cessation counseling as well as oral hygiene instructions and professional dental prophylaxis.


RESULTS
An oral examination 2 weeks after tobacco cessation revealed complete resolution of the oral lesions and overall improvement of periodontal and oral health.


CONCLUSIONS
Although the findings presented in this article are based only on a single case report, the improvement in the patient's oral health after cessation of tobacco use was dramatic and reinforces the belief that tobacco-cessation counseling should be a routine component of the standard of care for tobacco-using patients.
Shibly
Othman
O
Department of Periodontics and Endodontics, University at Buffalo, Buffalo, NY 14214, USA. shibly@buffalo.edu
Cummings
K Michael
KM
Zambon
Joseph J
JJ
D003777:Dental Prophylaxis; D005500:Follow-Up Studies; D005889:Gingival Recession / Q000209:etiology / Q000628:therapy; D006801:Humans; D007972:Leukoplakia, Oral / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene; D019226:Oral Ulcer / Q000209:etiology / Q000628:therapy; D017622:Periodontal Attachment Loss / Q000209:etiology / Q000628:therapy; D010510:Periodontal Diseases / Q000209:etiology / Q000628:therapy*; D010514:Periodontal Pocket / Q000209:etiology / Q000628:therapy; D010518:Periodontitis / Q000209:etiology / Q000628:therapy; D016540:Smoking Cessation; D014030:Tobacco, Smokeless / Q000009:adverse effects