Clearing the smoke: are tobacco cessation interventions by the dental team successful?

Autor: Linden J; Public Dental Officer, Howden Dental Centre, Livingston, NHS Lothian, Scotland. john.linden1@nhslothian.scot.nhs.uk., Fletcher R; Post Dental Core Training Fellow in OMFS, St John's Hospital, Livingston, NHS Lothian, Scotland.
Jazyk: angličtina
Zdroj: Evidence-based dentistry [Evid Based Dent] 2023 Dec; Vol. 24 (4), pp. 190-191. Date of Electronic Publication: 2023 Aug 29.
DOI: 10.1038/s41432-023-00926-z
Abstrakt: Aims: This study aimed to assess the outcomes of tailored tobacco cessation interventions in a dental clinic setting over one year.
Design: This interventional study recruited 1206 tobacco users who attended a smoking cessation clinic within an Oral Medicine Department in Bangalore, India. Baseline characteristics were recorded followed by a tailored smoking cessation intervention, delivered by trained faculty members and students. This followed the 3Es and 6As model - including a combination of personalised counselling, pharmacotherapy and one year follow up.
Case Selection: 1206 participants were recruited. 95% were already receiving treatment within the dental hospital and 5% were walk-in patients, attempting to quit tobacco use. Participants who had been smoking or using smokeless tobacco more than twice daily for greater than 6 months were included in the study. Participants were excluded from the study if they were currently using nicotine replacement therapy (NRT) or non-NRT therapy for tobacco cessation, pregnant and lactating women, a recent history of myocardial infarction or a history of gastric ulcers.
Results: Outcomes were categorised into the following four groups; Complete abstinence, Harm reduction (>50% reduction), No change and lost to follow up. Of the patients who completed the 12 month follow up, 18% quit tobacco use (n = 180), 34.2% reduced their tobacco usage by greater than 50% (n = 342), 41.5% exhibited no change (n = 415) and 6.2% relapsed (n = 62). Salivary nicotine levels were used to confirm self-reported abstinence.
Conclusion: This study shows that dental professional led tobacco cessation programmes can be successful in supporting patients to quit or reduce tobacco usage.
(© 2023. The Author(s), under exclusive licence to British Dental Association.)
Databáze: MEDLINE
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