CONCLUSION Although tobacco use is declining in adults, it is on the rise in youth. The use of ATPs by young patients is particularly concerning. Considering that tobacco use in adulthood generally begins in adolescence, oral health professionals are ideally positioned to offer preventive messages to middle and high school students. Such educational messages can have a lasting impact and prevent tobacco use into adulthood. The health implications of tobacco use, including ATPs, are serious. By intervening to prevent and reduce its use, oral health professionals can help patients avoid preventable disease. D The answer sheet and further instructions are located on the tear-out card that appears on page 37, or take the test online at DecisionsInDentistry.com. CE QUESTIONS 1. Ninety percent of adult tobacco users start the habit before they turn 18. True False 2. Which type of tobacco is most commonly used by adults? A. Water pipe B. Cigarettes C. Cigars D. Smokeless tobacco 3. Which of the following can be classified as an alternative tobacco product? A. Cigars B. Snus C. Dissolvables D. All of the above 4. What percentage of high school students report using electronic nicotine delivery systems? A. 1% to 5% B. 5% to 10% C. 14% to 16% D. 16% to 20% 5. Which name is used for water pipe tobacco? A. Maassel B. Shisha C. Narghile D. All of the above 6. In addition to the well-known negative health effects of tobacco use, nicotine exposure significantly harms the developing adolescent brain. True False 7. Which of the following is a health effect of hookah smoking? A. Impaired cardiovascular and respiratory health B. High blood pressure C. Decreased immunity D. All of the above 8. Highlighting which of the following effects may be most meaningful to young tobacco users? A. Resultant teeth staining and breath malodor B. Increased risk of chronic obstructive pulmonary disease C. High blood pressure D. Decreased immunity 9. 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