| Autor: |
PIZZO, Giuseppe, PISCOPO, Maria Ruth, LICATA, Maria Ester, DAVIS JM |
| Přispěvatelé: |
LANDOW JE, PIZZO G, PISCOPO MR, LICATA ME, DAVIS JM |
| Jazyk: |
angličtina |
| Rok vydání: |
2008 |
| Předmět: |
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| Popis: |
Tobacco is the major independent risk factor for the development of oral cancer and potentially malignant lesions. It is also involved in the pathogenesis of periodontal disease. The members of the dental team can play an effective role in tobacco preventing and cessation as they provide preventive and therapeutic services to a basically healthy population on a regular basis. In this paper, the authors present specific strategies to guide oral health professionals (i.e. dentist and dental hygienist) providing smoking cessation interventions. The “Five A’s” strategic approach represents a brief and effective protocol for smoking cessation that members of dental team can use with all patients in their office practice. This protocol involves asking each patient about tobacco use, advising users to quit, assessing their willingness to make a quit attempt, assisting them with the quitting process and arranging follow-up to prevent relapse. Intensive interventions, more effective than brief ones, can be further adopted with any smokers willing to make a quit attempt. Patients not ready to quit may be motivated to make a quit attempt by employing the “Five R’s” approach. Dental professionals can encourage their patients to identify reasons why quitting is personally relevant and the oral health risks of tobacco use; dental professionals can also rewards that patients can experience from quitting and help the patients to identify roadblocks to quitting. All patients attempting to quit should also be encouraged to use the pharmacotherapy agents. The “Stages of Change” model may be helpful to assist the clinician in assessing readiness to make a quit attempt. Tobacco users are categorised as belonging at any one time to one of five stages: Pre-contemplation (not thinking about stopping); Contemplation stopping; Preparing to stop; Action-making a quit attempt; Maintaining abstinence or relapsing. The intention is to help tobacco users move through the stages by using different interventions at different stages. Growing evidence supports the efficacy of smoking cessation counselling by oral health professionals. Dentists and dental hygienists, therefore, should be trained on smoking cessation counselling and dental offices should incorporate this service into routine patient care. While the approach to smoking intervention provides a useful framework from which to begin, special considerations need to be given when treating various categories of tobacco users such as smokeless tobacco users, adolescents and women |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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