What smoking habits or products should I include in classifying my patients Smoking History in a Perio Risk Assessment? What about pipe smoking or chewing tobacco?
For PreViser use, based on current research, a “smoker” is limited to cigarette smoking. Other forms of tobacco could be deleterious but there is insufficient evidence at this time to include them in a Risk Assessment. Therefore, do not include cigar or pipe smoking, chewing tobacco, or other activities in classifying a patient’s “Smoking History.” If the patient has ever smoked a cigarette, you should choose “Former Smoker.” Note this is different than the questions you are asked for an Oral Cancer Risk Assessment, where you are asked separately about various types of tobacco use.
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