The National Cancer Institute’s Invitation to Dental Professionals in Smoking Cessation

Mecklenburg, Robert E.

doi:10.14219/jada.archive.1990.0284

Cited by 6 publications

(4 citation statements)

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“…In the United States, in particular, the National Cancer Institute (NCI) through its smoking, tobacco, and cancer program, supports dentist involvement in tobacco use intervention. 85 The NCI's Community Intervention Trial for Smoking Cessation (COMMIT, the largest smoking intervention trial in the world) includes dentist involvement in the implementation of a complex intervention protocol in partnership with diverse community organizations and groups.86 A larger project designed to reach 50,000,000 citizens (the America Stop Smoking Intervention Study, or ASSIST), involving entire states and large metropolitan areas, also calls upon the dental profession to participate in implementing comprehensive tobacco prevention and control plans.87 The American Dental Association has also explicitly recognized the key role of oral health care providers in the prevention of smoking-related illnesses,88-89 and has recently provided both a clinical practice guideline on smoking and a dental procedure code for tobacco counseling aimed at the control and prevention of oral disease (code #01320). An official position paper on the subject has also been prepared by The American Academy of Periodontology.90 The significant emphasis that has been placed on the role of oral health care providers in smoking cessation counseling is reflected by the indications of an encouraging percentage of U.S. dentists and dental hygienists who address smoking issues with at least some of their patients.91 100 In the majority of the other industrialized countries, however, the paucity of available data and the substantially lower percentage of dentists engaged in smoking counseling testify to a less mature awareness of both society and the profession towards this problem and the potential beneficial impact of smoking counseling delivered by the dental profession.…”

Section: Should Tobacco Counseling Be a Component Of Periodontal Thermentioning

confidence: 99%

Cigarette Smoking and Periodontal Diseases: Etiology and Management of Disease

1998

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Cigarette smoking has long been suspected to be associated with a variety of oral conditions including periodontal diseases. Experimental evidence accumulated over the last 2 decades has indicated that cigarette smoking is probably a true risk factor for periodontitis. This environmental exposure has been associated with 2- to 3-fold increases in the odds of developing clinically detectable periodontitis. Smokers have both increased prevalence and more severe extent of periodontal disease, as well as higher prevalence of tooth loss and edentulism, compared to non-smokers. The greater severity of periodontal destruction may be partly accounted for by the reported increases in the rate of periodontal disease progression. The noxious effect of smoking has been shown to be dose dependent and to be particularly marked in younger individuals; in these subjects, up to 51% of the observed risk of periodontitis was associated with smoking. Much of the literature has also indicated that smokers affected with periodontitis respond less favorably to both non-surgical, surgical, and regenerative periodontal treatments. The success rate of dental implants has also been shown to be compromised in smokers. Furthermore, longterm studies have pointed out that smoking was associated with recurrence of periodontitis during periodontal maintenance; the effect appeared to be dose dependent, with heavy smokers (> 10 cigarettes/day) presenting with higher levels of disease progression. The indication that previous smokers have lower levels of risk for periodontitis compared to current smokers is considered to be the strongest available evidence that smoking cessation will result in improved periodontal health and that smoking cessation counseling should be an integral part of periodontal therapy and prevention. So far, however, no randomized controlled clinical trial establishing the effect of smoking cessation and/or reduction on the periodontal outcomes has been reported. Given the present state of uncertainty about the periodontal benefits, but in light of the established general health gains for the patient that could be derived from a smoking cessation program, practitioners are incorporating smoking cessation counseling as an integral part of periodontal therapy. Furthermore, smoking status represents a key parameter to assess the periodontal risk of an individual subject and therefore to make evidence-based clinical decisions.

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Section: Should Tobacco Counseling Be a Component Of Periodontal Thermentioning

confidence: 99%

Cigarette Smoking and Periodontal Diseases: Etiology and Management of Disease

1998

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“…In the North Karelia Youth Project, intervention with 15‐year follow‐up resulted in 22% lower lifetime cigarette consumption in intervention groups compared with control groups (100). The importance of dentists has also been recognized (64), and their involvement in community‐based smoking cessation has begun (42, 97). Regarding tobacco counselling dentists have proved to be successful in tobacco cessation among adolescents (27, 85) but the level of activity can be considerably improved (22, 32, 93).…”

Section: Practical Approachesmentioning

confidence: 99%

Health promotion and behavioral approaches in the prevention of periodontal disease in children and adolescents

Kallio

2001

Periodontology 2000

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“…37 These results have led the National Cancer Institute (NCI) to conclude that physicians and dentists should provide tobacco control services. 38 The NCI has supported trials involving over 30,000 patients from which the efficacy, effectiveness, and cost-effectiveness of clinician cessation services have been demonstrated. [31][32][33] From these studies the NCI has published protocols for clinician-delivered cessation services.…”

Section: Adolescent Tobacco Usementioning

confidence: 99%

“…27,[39][40][41][42][43] These studies and the COMMIT program 44 were precursors to the larger American Stop Smoking Intervention Study (ASSIST). 38 The ASSIST program was designed to reduce tobacco use in seven-teen states by community interventions and policy changes. 45 By 1996, cigarette consumption of AS-SIST states was 7 percent less than non-ASSIST states.…”

Section: Adolescent Tobacco Usementioning

confidence: 99%

The Feasibility and Efficacy of Tobacco Use Prevention in Orthodontics

Hovell

Jones

Adams

2001

Journal of Dental Education

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SMILES PLUS was the first study to extend the clinician-delivered logic model to prevention of tobacco use among adolescents. This multi-site trial with 154 participating offices, based on social learning theory and a behavioral ecological model, was designed to test whether orthodontists can prevent preteens from initiating smoking. The study found that orthodontists do not automatically adhere to anti-tobacco prevention services. Social learning variables can enhance both adherence to counseling guidelines and content of counseling to increase prevention effects. Providing financial incentives, tracking prescriptions, prompting positive feedback from patients, and adopting anti-tobacco counseling models in the office are likely to enhance anti-tobacco preventive services. Training orthodontists to be comfortable when advising nonsmoking youth not to start and to use social consequences to justify youth avoidance of tobacco might increase adherence to protocols and make their counseling more powerful. Adolescent smokers prior to intervention were more likely to start other risky behaviors later. Preventing tobacco use may halt additional risk behaviors and thereby reduce morbidity/mortality even more than expected from tobacco control alone.

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The National Cancer Institute’s Invitation to Dental Professionals in Smoking Cessation

Cited by 6 publications

References 0 publications

Cigarette Smoking and Periodontal Diseases: Etiology and Management of Disease

Cigarette Smoking and Periodontal Diseases: Etiology and Management of Disease

Health promotion and behavioral approaches in the prevention of periodontal disease in children and adolescents

The Feasibility and Efficacy of Tobacco Use Prevention in Orthodontics

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