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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease

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Smoking cessation practices in the dental setting.

Yoly M Gonzalez, Elizabeth B Lozier

General Dentistry

|January 10, 2014

Summary

Dentists can help patients quit smoking. Utilizing the Five A's protocol and nicotine replacement therapy (NRT) significantly increased smoking cessation rates, with 40% quitting when NRT was used.

Area of Science:

Public Health
Dental Medicine
Addiction Research

Background:

Cigarette smoking affects general and oral health, with 20.6% of US adults being current smokers.
Dentists play a crucial role in assessing patients' smoking status and related behaviors.
Tobacco use cessation is a significant public health concern requiring effective interventions.

Purpose of the Study:

To evaluate the effectiveness of the Five A's protocol in promoting smoking cessation among dental patients.
To assess the impact of nicotine replacement therapy (NRT) on quit rates within this patient population.
To determine 7-day point abstinence quit rates in a cohort of dental patients.

Main Methods:

A study involving 608 patients (smokers, former smokers, never smoked) utilized the Five A's protocol.

Keywords:

5A's health belief smoking smoking cessation

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Follow-up interviews were conducted to assess smoking cessation outcomes.

Data analysis compared quit rates between participants who received NRT and those who did not.

Main Results:

Of 170 current smokers, 64 (38%) had successful follow-ups.
The 7-day point abstinence quit rate was 22% for the studied smokers.
Participants receiving NRT achieved a 40% quit rate, compared to 19% for those not receiving NRT.

Conclusions:

The Five A's protocol, when combined with NRT, demonstrates significant efficacy in aiding dental patients to quit smoking.
Dentists are well-positioned to implement smoking cessation interventions.
NRT is an effective adjunct to behavioral counseling for smoking cessation in dental settings.