What has not been highly publicized is the risk that tobacco-both smoked and smokeless- brings to your oral health
We stock both open pod and closed pod systems
These characteristics have been suggested to have 'lower abuse liabilities' but were regarded as less satisfying and rewarding
Due to heterogeneity and uncertainty in the data, small effect sizes, small numbers of studies or a combination of these reasons, the existing strength of evidence on the health effects of SHS was considered weak, especially for the relationship with otitis media, asthma, lower respiratory infections, breast cancer and COPD
If the smoking status is already documented, it can be asked: I see from your notes that youre a smoker, are you still smoking? If they are recorded as ex-smokers, it is vital to re-check as approximately 70% of ex-smokers will eventually relapse within a few years, further questions that can be used are: According to your records you quit smoking, how are you getting on with that? When advising it is important to take the perspective of educating not judging or coercing, for example: Ok, I am not sure whether you are aware, but there are several negative consequences to you and your baby of smoking during pregnancy, and it is entirely your choice, but we know that the best way to stop is with extra support, which is available in the NHS
