Interventions for tobacco cessation in the dental setting
1Department of Dental Specialities, Mayo Clinic, Rochester, USA.Carr.Alan@mayo.edu.
The Cochrane Database of Systematic Reviews
|June 15, 2012
Summary
Oral health professionals can increase tobacco cessation rates through behavioral interventions. These interventions, including oral examinations, are effective for both cigarette and smokeless tobacco users.
Area of Science:
- Public Health
- Oral Health
- Behavioral Science
Background:
- Tobacco use significantly harms oral health.
- Oral health professionals are well-positioned to promote tobacco cessation.
Purpose of the Study:
- To review the effectiveness of tobacco cessation interventions delivered by oral health professionals.
- To assess interventions for cigarette smokers and smokeless tobacco users in dental and community settings.
Main Methods:
- Systematic review of randomized and pseudo-randomized clinical trials.
- Searched multiple databases (CENTRAL, MEDLINE, EMBASE, etc.) for studies up to November 2011.
- Included trials with at least six months follow-up, focusing on behavioral interventions and oral examinations.
Main Results:
- Fourteen trials were included, assessing interventions in dental or community settings.
- Interventions by oral health professionals increased tobacco abstinence rates (OR 1.71).
- Effective interventions were noted for both cigarette smokers (OR 2.38 in dental settings) and smokeless tobacco users (OR 1.70).
Conclusions:
- Behavioral interventions by oral health professionals, including oral examinations, can boost tobacco abstinence.
- Consistent intervention components included brief behavioral counseling and oral examinations.
- Further research is needed to refine specific intervention recommendations for clinical practice.
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