Nicotine replacement (gum/lozenge/patch)
Smoking-cessation aid
Brand names: Nicorette, NicoDerm
Oral health effects
Oral irritation / dry mouth; supports perio healing (cessation)
Gum/lozenges can cause local mucosal irritation, hiccups, and dry mouth, but enabling smoking cessation substantially improves periodontal and oral-cancer risk.
Clinical management: Encourage cessation; manage local irritation; reinforce the periodontal benefit of quitting.
Sources
- A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea: A Systematic Review Sponsored by the World Workshop on Oral Medicine VI. Wolff A, Joshi RK, Ekström J, et al. Drugs in R&D, 2017.