Ordell S, Ekbäck G. Smoking cessation and associated dental factors in a cohort of smokers born in 1942: 5 year follow up. Int Dent J 2019; 69: 107-112.

Older patients are receptive to the information given.

The World Health Organisation estimates that the percentage of deaths attributable to tobacco in older people is 14% (60-69 years of age), 13% (70-79) and 10% (80+). The rates are generally higher for men. Smoking cessation advice given in dental practices is considered to be effective but restraints include time limitations and lack of remuneration.

Cross sectional postal surveys collected data on smoking habits from a cohort born in 1942 in two Swedish districts considered representative of the Swedish population as a whole. Data were analysed from surveys in 2007 and 2012. Response rates exceeded 70% in both years.

The smoking cessation rate of the sample cohort was 28%. Smoking cessation was associated with being able to recall information being given at a dental office and with bleeding gums. Females and not living in a city were also significantly associated with smoking cessation.

A short intervention about tobacco usage within the context of dental appointments is effective in this age group, and the increased likelihood of bleeding gums due to nicotine reduction should be mentioned in counselling.