Tobacco Cessation Counseling for Hygienists
Deliver brief, effective tobacco cessation counseling using the evidence-based ask-advise-refer framework.

A High-Impact Intervention
Tobacco use is a leading modifiable risk factor for periodontal disease and oral cancer. Brief counseling by the hygienist is a high-impact intervention that fits within the appointment.
The Ask-Advise-Refer Framework
- Ask every patient about tobacco use at every visit.
- Advise clearly and personally on the benefits of quitting.
- Refer to cessation resources and follow up at the next visit.
Non-Judgmental Delivery
Deliver the message without judgment. Patients who feel shamed disengage; patients who feel supported are more likely to attempt quitting.
Practical Takeaway
Use ask-advise-refer at every visit, deliver the message without judgment, and follow up at the next appointment to reinforce the support.
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