Interventions for tobacco cessation in the dental setting
1Mayo Clinic College of Medicine, Department of Dental Specialties, 200 1st Street Southwest, MN 55905, USA. carr.alan@mayo.edu
The Cochrane Database of Systematic Reviews
|January 27, 2006
Summary
Oral health professionals can boost tobacco cessation rates. Behavioral interventions including oral exams in dental settings increase abstinence, particularly for smokeless tobacco users.
Area of Science:
- Oral Health
- Public Health
- Behavioral Science
Background:
- Tobacco use poses significant risks to oral health.
- Oral health professionals are well-positioned to promote tobacco abstinence.
- Interventions in dental settings can impact tobacco cessation rates.
Purpose of the Study:
- To evaluate the effectiveness of tobacco cessation interventions.
- Focus on interventions delivered by oral health professionals.
- Targeting both cigarette and smokeless tobacco users in dental or community settings.
Main Methods:
- Systematic review of randomized and pseudo-randomized clinical trials.
- Searched multiple databases including CENTRAL, MEDLINE, EMBASE, CINAHL, and Web of Science.
- Included trials with at least six months follow-up, conducted by oral health professionals.
Main Results:
- Six trials met inclusion criteria, assessing interventions in dental or school settings.
- All studies focused on smokeless tobacco users; one included cigarette smokers.
- Behavioral interventions with oral exams increased tobacco abstinence (OR 1.44, 95% CI: 1.16 to 1.78).
Conclusions:
- Behavioral interventions by oral health professionals, including oral exams, may improve tobacco abstinence rates.
- Evidence suggests effectiveness particularly for smokeless tobacco users.
- Study variations limit definitive recommendations for clinical practice components.
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