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This chapter summarizes current knowledge applicable to this role for the dental health professional, with content encompassing the following topics: The physical and psychological effects of smoking and tobacco use The basic principles involved in a smoking cessation program Approaches used for smoking cessation and the success rates for each Available nicotine replacement products and how they are used Drugs used in smoking cessation programs and how they are used The basics of counseling and other support for the patient who wishes to stop smoking Systemic and Oral Effects of Smoking Cigarette smoking is a major risk factor for stroke, myocardial infarction, peripheral vascular disease, aortic aneurysm, and sudden death