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Helping smokers quit: a randomized controlled trial with private practice dentists.

S J Cohen¹, G K Stookey, B P Katz

¹Department of Medicine, Indiana University School of Medicine, Indianapolis 46202.

Journal of the American Dental Association (1939)

|January 1, 1989

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Providing nicotine gum significantly boosted smoking cessation rates among patients. This intervention also increased the duration of smoking cessation counseling provided by dental professionals.

Area of Science:

Dental Public Health
Behavioral Science
Addiction Medicine

Background:

Smoking remains a significant public health concern, necessitating effective interventions within diverse healthcare settings.
Dental practitioners are uniquely positioned to address patient smoking behaviors due to frequent patient contact.

Purpose of the Study:

To evaluate the effectiveness of different interventions, including nicotine gum availability, in improving smoking cessation rates among dental patients.
To assess the impact of these interventions on the delivery of smoking cessation counseling by dental staff.

Main Methods:

A randomized controlled trial involving 50 private dental practices and their staff.
Participants were assigned to four groups receiving varying combinations of smoking management protocols, lectures, nicotine gum, chart stickers, and reminders.

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Patient smoking cessation status was assessed one year post-intervention.

Main Results:

The availability of nicotine gum significantly increased the percentage of patients who quit smoking (16.3% and 16.9% in gum-inclusive groups vs. 7.7% and 8.6% without gum).
Nicotine gum availability also led to a significant increase in the reported duration of smoking cessation counseling received by patients.
Reminder stickers alone did not show a significant impact on cessation rates compared to the control group.

Conclusions:

The availability of nicotine gum is a highly effective adjunct to smoking cessation protocols in dental settings.
Integrating nicotine replacement therapy into dental practice workflows can enhance both cessation outcomes and counseling delivery.
Further research should explore long-term adherence and cost-effectiveness of such integrated smoking cessation programs.