Evidence summary: is smoking cessation an effective and cost-effective service to be introduced in NHS dentistry?

Nasser, Mona

doi:10.1038/sj.bdj.2011.117

Cited by 16 publications

(17 citation statements)

References 23 publications

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“…Guidelines on tobacco use have been available for more than a decade, but systematic reviews involving tobacco use cessation in the dental setting have only been published in recent years [22,27,[69][70][71]. The inclusion of dentists in the guidelines for tobacco control is emphasized since the maintenance of oral health is directly related to the cessation of the use of tobacco and its derivatives.…”

Section: Discussionmentioning

confidence: 99%

“…They include the lack of time, fear of the patient's reaction or resistance in accepting the approach, fear that the patient will lose trust in the professional, difficulty in addressing the topic, also being a smoker, lack of knowledge about the topic, lack of reimbursement, and fear of the reaction of colleagues [9,14,16,17,27,28,39,[41][42][43][46][47][48][49][50][51][52][53][54][55][56]. Once receiving training on tobacco cessation the graduation students and dental health professionals perceive significantly reduction on the pointed barriers [43].…”

Section: Barriers and Facilitators To Tobacco Use Cessation In Dentistrymentioning

confidence: 99%

“…Illustrating the awareness of the scientific community about this issue and the importance of the problem on oral health are described in the systematic reviews [5,11,19,22,27,[69][70][71][72] and guidelines [18,42,58,73] published about tobacco use cessation in dental setting compelling the best evidences and giving advices about the needs in this area.…”

Section: Systematic Reviewsmentioning

confidence: 99%

“…The demonstration of a cause-effect relationship between oral alterations and tobacco use and the benefits of dental treatment may encourage patients to quit smoking. Interventions performed by oral health professionals are effective and can improve the knowledge about the risks of smoking and increase tobacco abstinence rates [14,[22][23][24][25][26][27][28][29][30][31][32].…”

Section: The Role Of Dentists In Tobacco Use Controlmentioning

confidence: 99%

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

Almeida

Bandeira

Carta

et al. 2017

BDS

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24 ResumoObjetivo: O uso do tabaco é a principal causa de doenças evitáveis no mundo. A consulta odontológica representa uma oportunidade de abordar os fumantes no controle do uso do tabaco. Embora esta conclusão seja bem conhecida, a intervenção para cessação tabágica entre dentistas permanece menos explorada do que o esperado. Este estudo avaliou artigos publicados sobre intervenções entre dentistas e profissionais de saúde dentária na cessação do tabagismo e discute as barreiras a serem superadas para atingir esse objetivo. Material e Métodos: As bases de dados Medline (PubMed), Scopus, Web of Science, Cochrane Reviews, LILACS e Google Scholar foram pesquisadas por artigos publicados em inglês entre janeiro de 2010 e dezembro de 2016 usando os seguintes termos MeSH: tobacco use cessation, smoking cessation, tobacco use disorder and dentistry. A busca manual complementar para potenciais artigos foi feita verificando-se referências bibliográficas. Resultados: setenta e duas publicações foram elegíveis e os resultados foram divididos em oito categorias: 1) o papel dos dentistas no controle do uso do tabaco; 2) conhecimento sobre tratamento e intervenções sobre uso do tabaco; 3) características da abordagem do dentista aos fumantes; 4) barreiras e facilitadores; 5) intervenções futuras para cessação do tabagismo, 6) reembolso de intervenções de tabaco, 7) pesquisas e 8) revisões sistemáticas e diretrizes. Conclusão: Os dentistas desempenham um papel importante na prevenção e controle do tabagismo. O treinamento na cessação do uso do tabaco tem aumentado nas últimas décadas. Ensinar a lidar com o tabagismo em cursos de graduação deve ser uma prioridade para os próximos anos, de modo que uma nova geração de dentistas incorpore ABsTRACTObjective: Tobacco use is the leading cause of preventable illness in the world. The dental office represents an opportunity to smokers approach 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. Material and Methods: 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. Results: 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 intervention...

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Section: Discussionmentioning

confidence: 99%

Section: Barriers and Facilitators To Tobacco Use Cessation In Dentistrymentioning

confidence: 99%

Section: Systematic Reviewsmentioning

confidence: 99%

Section: The Role Of Dentists In Tobacco Use Controlmentioning

confidence: 99%

See 2 more Smart Citations

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

Almeida

Bandeira

Carta

et al. 2017

BDS

View full text Add to dashboard Cite

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“…In summary, the knowledge about cost-effectiveness of smoking cessation interventions in dental care is incomplete. 15 The majority of cost-effectiveness studies of smoking cessation treatments use mathematical modelling based on simulation techniques. 16 Different models have been developed to reflect the influence of smoking and smoking cessation on future health risks.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Economic Evaluation Of A Brief Counselling For Smoking Cessation In Dentistry – A Case Study Comparing Two Health Economic Models

et al. 2017

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Objectives This study aimed to compare the costeffectiveness estimates of a brief counselling of smoking cessation in dentistry by using two different health economic models. Design and outcome measures Intervention effectiveness was estimated in a cluster randomised controlled trial. The number of quitters was estimated based on 7-day abstinence and on smoking reduction at follow-up. Health economic evaluation was performed using two models: (1) a population-based model employing potential impact fractions and (2) a Markov model estimating the cost-effectiveness of the intervention for the actual participants. The evaluation was performed from healthcare and societal perspectives, and health gains were expressed in quality-adjusted life-years (QALYs). Setting Dental clinics in Sweden.

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Motivation to smoking cessation in head and neck cancer and dysplasia patients in confrontation with the attitudes of otorhinolaryngologists in delivering anti-smoking therapies

Rzepakowska

Marcinkiewicz

Žůrek

et al. 2021

Eur Arch Otorhinolaryngol

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Objectives The aim of the study was to determine the influence of oral, oropharyngeal, laryngeal and hypopharyngeal dysplasia and cancer diagnosis on motivation to smoking cessation in patients. Consecutively, we assessed the competence of ENT specialists in counseling anti-smoking therapies. Methods Questionnaire of expected support, Schneider motivation test and Fagerström Test for Nicotine Dependence (FTND) were administered to 50 smoking patients. The online survey was collected from 152 ENT doctors. Results Mean FTND score was 4.58 and Heaviness of Smoking Index (HSI) was 3.1. Patients with oral cavity and oropharyngeal cancer showed the greatest dependence to nicotine 7.67 and 5.25, respectively, and with hypopharyngeal cancer had the lowest 3.5, (p = 0.039). The ranges of HSI were significantly higher for younger patients (p = 0.036). 35 patients were adequately motivated to quit smoking, and their mean age was statistically higher (p = 0.05). Self-reported motivation to smoking cessation was 76%. Of 152 surveyed doctors, only 39% declared knowledge of the diagnostic and therapeutic cessation interventions. 75% showed interest in the training programs.

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Evidence summary: is smoking cessation an effective and cost-effective service to be introduced in NHS dentistry?

Cited by 16 publications

References 23 publications

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

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

Economic Evaluation Of A Brief Counselling For Smoking Cessation In Dentistry – A Case Study Comparing Two Health Economic Models

Motivation to smoking cessation in head and neck cancer and dysplasia patients in confrontation with the attitudes of otorhinolaryngologists in delivering anti-smoking therapies

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