Tobacco use adversely affects both a patient's oral health & his or her overall health & well-being. Dentists are trained to detect adverse oral conditions associated with tobacco use. Simple, brief tobacco use intervention services can be merged smoothly & appropriately into clinic schedules. This manual proposes methods for making patient advice part of a routine dental office visit. 66 million Americans use tobacco. Of these 54 million are smokers & 12 million use smokeless tobacco, i.e. chew or snuff. This manual emphasizes the need for helping patients who use tobacco in any form (smoked or smokeless). References.How To Help Your Patients Stop Using Tobacco A Manual For The Oral Health Team, was published 1998 under ISBN 9781568061115 and ISBN 1568061110.