scholarly journals Challenges to be overcome: Current situation involving smoking cessation in Dental setting

2017 ◽  
Vol 20 (3) ◽  
Author(s):  
Adriana Ávila De Almeida ◽  
Celso Muller Bandeira ◽  
Celina Faig Lima Carta ◽  
Estela Kaminagakura ◽  
Janete Dias Almeida

<div class="WordSection1"><p><strong>Objective</strong><em>:</em> Tobacco use is the leading cause of preventable illness in the world. The dental office represents an opportunity to approach smokers to tobacco use control. Despite this well-known statement tobacco use cessation intervention delivered by dentists remain less explored than expected. This study evaluated published articles about interventions delivered by dentists and dental healthcare professionals on smoking cessation and discusses the barriers to be overcome to achieve this goal. <strong>Material and Methods: </strong>The Medline (PubMed), Scopus, Web of Science, Cochrane Reviews, LILACS and Google Scholar databases were searched for articles published in English between January 2010 and December 2016 using the following MeSH terms keywords: tobacco use cessation, smoking cessation, tobacco use disorder and dentistry. Complementary hand searching was done checking bibliographic references for potentially articles. <strong>Results</strong><em>:</em> Seventy-two publications were eligible and the results were divided into eight categories: 1) the role of dentists in tobacco use control; 2) knowledge about tobacco use treatment and interventions; 3) characteristics of the dentist’s approach to smokers; 4) barriers and facilitators; 5) future interventions for smoking cessation, 6) reimbursement for tobacco interventions, 7) surveys and 8) systematic reviews and guidelines. <strong>Conclusion</strong><em>:</em> Dentists play an important role in the prevention and control of smoking. Training in tobacco use cessation has been increased in the past few decades. Teaching how to deal with smoking in undergraduate courses should be a priority for the next few years, so that a new generation of dentists will incorporate into their habitual activities a natural and efficient approach to smokers.</p><p><strong>Keywords: </strong></p><p>Dentistry; Tobacco use cessation; Tobacco use disorder.</p><p> </p><p><strong>Keywords</strong></p><p>Dentistry; Smoking cessation; Tobacco use disorder.</p></div>

2017 ◽  
Vol 32 (2) ◽  
pp. 66
Author(s):  
Sílvia Ataide Pithan ◽  
Carolina Dummel ◽  
Ângela Isabel Dos Santos Dullius

OBJECTIVE: The aim of this study was to investigate the profile of smokers in a dental school in southern Brazil and their views about the role of dentists in tobacco use cessation.METHODS: A cross-sectional study was carried out with patients of a dental school, who answered a face-to-face interview. Smokers also took the Fagerström Test for Nicotine Dependence. Data was analysed using descriptive statistics and Chi Square test with a significance level of 5%.RESULTS: The sample consisted of 442 patients, and 93 patients (21.04%) were smokers. The lower the level of schooling the higher the frequency of smokers (p=0.026), and the frequency of nonsmokers was associated with higher income (p=0.021). Regarding the role of dentists in smoking cessation, 97.8% of smokers believe that the dentist should provide information and advice, but 36.6% did not receive any orientation from dentists.CONCLUSION: The study had found a higher frequency of smokers among men and an association between smoking and schooling as well as smoking and income. The majority of smokers would like to quit smoking and had tried at least once to stop. The sample believes that dentists should give information and advice about smoking cessation.


2019 ◽  
Author(s):  
David Pócs ◽  
Tímea Óvári ◽  
Csaba Hamvai ◽  
Oguz Kelemen

BACKGROUND Smoking cessation support on Facebook (FB) is a cost-effective and extensible way to reduce tobacco use among young people. Motivational interviewing (MI) is a practical counselling style in face-to-face smoking cessation support and can be useful in web-based interventions as well. OBJECTIVE This study aimed at identifying which post creation strategies based on MI could achieve positive changes in FB post characteristics and FB users’ comments. METHODS We included MI-adherent posts (N=701) which were not boosted and were targeted at tobacco users. These FB posts have been categorized into five different groups according to specific MI strategies. The control group comprised entertaining and informative posts. Primary outcomes seem to highlight how the content has stimulated interactions (engagement rate), inhibited interactions (negative feedback) or appealed to the audience of the FB page (fan-total reach ratio). The first comments received on the FB posts were evaluated and used as secondary outcomes. We applied the classification of MI approach: change talk (CT), sustain talk (ST), desire, ability, reason, need (DARN), and commitment, activation, taking steps (CAT). RESULTS FB posts which used MI strategies were associated with significantly higher engagement rate (p=.010), higher fan-total reach ratio (p<.001), and more CT (p<.001), DARN (p=.005), or CAT comments (p=.003) compared to the control group. ‘Elaborating CT’ strategies elicited considerably more CT (p<.001) and DARN comments (p=.020). ‘Affirming CT’ strategies obtained higher fan-total reach ratio (p=.011) and generated significantly more CT (p=.006) and CAT comments (p<.001). ‘Reflecting CT’ strategies received significantly higher fan-total reach ratio (p<.001). Finally, ‘relational MI’ strategies achieved significantly higher engagement rate (p<.001) compared to the control group. It should be noted that we did not find significant difference in negative feedback and the number of ST comments. CONCLUSIONS Post creation strategies based on MI stimulated interactions with FB users and generated conversation about tobacco use cessation without relevant negative feedback. Our findings suggest that MI strategies may play a remarkable role in post creation within a web-based smoking cessation intervention. In the future, these strategies could be applicable to other online platforms, such as public health websites, health blogs, mobile applications or social networking groups.


2014 ◽  
Vol 48 (1) ◽  
pp. 170-176 ◽  
Author(s):  
Barbara Vieira Cavichio ◽  
Daniele Alcalá Pompeo ◽  
Graziella Allana Serra Alves de Oliveira Oller ◽  
Lídia Aparecida Rossi

The study aimed to find scientific evidence about the duration of preoperative smoking cessation required to reduce surgical wound healing complications. An integrative review was performed in the databases, Latin American and Caribbean Literature on Health Sciences (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE), from 08/17/2012 to 09/17/2012, using the keywords: tobacco use cessation and wound healing; tobacco use cessation and preoperative period; tobacco use cessation and perioperative period (LILACS) and tobacco use cessation and perioperative period; tobacco use cessation and wound healing (MEDLINE). Out of the 81 eligible studies, 12 were included. The duration of smoking cessation needed to reduce healing complications was at least four weeks (four studies with level of evidence I, three studies with level of evidence II, two studies with level of evidence IV, and one study with level of evidence VII).


2019 ◽  
Vol 22 (9) ◽  
pp. 1533-1542 ◽  
Author(s):  
Roger Vilardaga ◽  
Javier Rizo ◽  
Paige E Palenski ◽  
Paolo Mannelli ◽  
Jason A Oliver ◽  
...  

Abstract Introduction High rates of tobacco use among people with serious mental illness (SMI), along with their unique needs, suggest the importance of developing tailored smoking cessation interventions for this group. Previous early-phase work empirically validated the design and content of Learn to Quit, a theory-based app designed for this population. Methods In a pilot randomized controlled trial, we compared the feasibility, acceptability, and preliminary efficacy of Learn to Quit versus QuitGuide, an app designed for the general population. All participants received nicotine replacement therapy and technical assistance. Daily smokers with SMI (N = 62) participated in the trial with outcomes assessed at weeks 4, 8, 12, and 16. Results Compared to QuitGuide, Learn to Quit participants had similar number of days of app use (34 vs. 32, p = .754), but larger number of app interactions (335 vs. 205; p = .001), longer durations of app use (4.24 hrs. vs. 2.14 hrs; p = .044), and higher usability scores (85 vs. 79, p = .046). At week 16, Learn to Quit led to greater reductions in cigarettes per day (12.3 vs. 5.9 for QuitGuide; p = 0.10). Thirty-day point prevalence abstinence was verified in 12% of Learn to Quit participants versus 3% of QuitGuide participants (odds ratio = 3.86, confidence interval = 0.41 to 36, p = .239). Changes in psychiatric symptoms and adverse events were not clinically significant between conditions. Conclusions This pilot trial provides strong evidence of Learn to Quit’s usability, feasibility, and safety. Preliminary evidence suggests the app may be efficacious. A randomized controlled efficacy trial is needed to test the app in a larger sample of smokers with SMI. Implications This study suggests that the Learn to Quit app is a feasible approach to deliver smoking cessation treatment in patients with co-occurring tobacco use disorder and SMI. This means that, if found efficacious, this technology could be used to deploy smoking cessation treatment to larger segments of this population, hence improving public health. Therefore, a randomized controlled trial should be conducted to examine the efficacy of this digital intervention.


BMC Genetics ◽  
2014 ◽  
Vol 15 (1) ◽  
pp. 78 ◽  
Author(s):  
Márcia Pizzo de Castro ◽  
Michael Maes ◽  
Roberta Guembarovski ◽  
Carolina Ariza ◽  
Edna Maria Reiche ◽  
...  

2011 ◽  
Vol 5 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Varun Gupta ◽  
Anmol Mathur ◽  
Amit Tirth ◽  
TL Ravishankar ◽  
Pradeep S. Tangade

ABSTRACT Objective To compare dental students’, Interns’, and Practicing Dentist's attitude towards tobacco cessation promotion in dental setting. Methods The study was conducted on BDS 3rd year students, Interns and practicing dentists of Moradabad city. A 23-item written survey was administered to all the participants. Questions focused on dental students’, Interns’, and practicing dentist's attitude towards the dental professional's responsibilities and scope of practice in promotion of tobacco cessation. Results Response rate was more than 90 percent (199/220). Respondents were 52 percent males and 48 percent females. There were 47 percent dental students, 32 percent interns and 21 percent doctors. Eighty-four percent agreed that it is within the scope of dental practice to advise patients to quit using tobacco and 82 percent agreed that tobacco cessation counseling in the dental office could impact patient's quitting. Nearly one-fifth (18 percent) were slightly or not interested in receiving tobacco cessation training. Conclusion Attitudes of the participants appear to be positive regarding the dental professional's responsibility to educate patients about the risk of tobacco use. However, some have reservations about the extent to which tobacco cessation services fit within the scope of dental practice, the efficiency of such services and the patient receptiveness.


2008 ◽  
Vol 3 (2) ◽  
pp. 71-72
Author(s):  
Steven Chung

AbstractOne of the first things I teach students about tobacco use is that it is best considered a disease, not a risk factor (Stephen Hamann, 2004).


10.21149/8209 ◽  
2017 ◽  
Vol 59 ◽  
pp. 10
Author(s):  
Indu B Ahluwalia ◽  
René A Arrazola ◽  
Corinne Graffunder

Nearly six million people worldwide die from tobacco-attributable causes every year, making tobacco the leading cause of preventable disease and death. If current trends continue, tobacco use is expected to result in one billion deaths by the end of the century, most of these in low- and middle-income countries. Cigarette smoking is the most common form of tobacco use in most countries, and the majority of adult smokers try their first cigarette before the age of 18...


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