The tobacco-using client: clinical issues.

Dental hygienists must be aware of the clinical ramifications of tobacco use. By pointing out tobacco-induced periodontal alterations to clients, a teachable moment begins. When clients see deleterious changes occurring in their own oral cavities, their habits become personalized. Then they can begin to claim ownership of their habit and consider other alternatives. Caring, empathetic, and non-judgmental communication can help steer the client to the path of cessation. For clients not ready to abstain, the dental hygienist's appropriate clinical interventions and educational messages will help preserve the periodontium to the best extent possible. It is critical that clients realize that continued tobacco use will only exacerbate a preexisting periodontal condition. Thus, the tobacco-using client presents challenging educational and clinical opportunities for the dental hygienist.