The Mission to Tobacco Harm Reduction - Sunira Chandra

Saraswati Dental College & Hospital Pioneers: A Hopeful Turn in the Battle Against Tobacco Tobacco remains one of the world’s deadliest public health threats. Yet at Saraswati Dental College & Hospital, Lucknow, a transformative initiative led by the Department of Oral Medicine and Radiology is changing the game. Here, addiction is not just treated—it’s understood. The college has developed a comprehensive Tobacco Harm Reduction Model combining behavioral science, early diagnosis, and clinical care. From the first encounter at the Tobacco Desk Jockey, patients receive impactful visual education and brief consultations, helping detect early signs of leukoplakia, chronic ulcers, and oral submucous fibrosis. Patients are then directed to the Tobacco Cessation Centre, where personalized, non-judgmental strategies rooted in behavioral therapy are provided. Tools like the Smokerlyzer and cotinine tests offer real-time, visible proof of harm, motivating patients to quit. Advanced 2D & 3D imaging reveals hidden damage—bone loss, TMJ issues, oropharyngeal changes—while in-house biochemical tests (e.g., liver enzymes, hs-CRP) detect systemic effects even before symptoms arise. What sets this model apart is its dual mission: quality clinical care and academic research. Data from over 16,600+ patients informs studies that deepen global understanding of tobacco-related diseases. Leaders stress that 80% of tobacco addiction is psychological. With this insight, the focus remains on mental reconditioning, habit reversal, and sustained support. At Saraswati, harm reduction isn’t compromise—it’s a second chance. It’s proof that one breath, one conversation, one decision can transform a life.