Abstract
Aims
This study aimed to assess the outcomes of tailored tobacco cessation interventions in a dental clinic setting over one year.
Design
This interventional study recruited 1206 tobacco users who attended a smoking cessation clinic within an Oral Medicine Department in Bangalore, India. Baseline characteristics were recorded followed by a tailored smoking cessation intervention, delivered by trained faculty members and students. This followed the 3Es and 6As model – including a combination of personalised counselling, pharmacotherapy and one year follow up.
Case selection
1206 participants were recruited. 95% were already receiving treatment within the dental hospital and 5% were walk-in patients, attempting to quit tobacco use. Participants who had been smoking or using smokeless tobacco more than twice daily for greater than 6 months were included in the study. Participants were excluded from the study if they were currently using nicotine replacement therapy (NRT) or non-NRT therapy for tobacco cessation, pregnant and lactating women, a recent history of myocardial infarction or a history of gastric ulcers.
Results
Outcomes were categorised into the following four groups; Complete abstinence, Harm reduction (>50% reduction), No change and lost to follow up. Of the patients who completed the 12 month follow up, 18% quit tobacco use (n = 180), 34.2% reduced their tobacco usage by greater than 50% (n = 342), 41.5% exhibited no change (n = 415) and 6.2% relapsed (n = 62). Salivary nicotine levels were used to confirm self-reported abstinence.
Conclusion
This study shows that dental professional led tobacco cessation programmes can be successful in supporting patients to quit or reduce tobacco usage.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 4 print issues and online access
$259.00 per year
only $64.75 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Office for National Statistics. Adult Smoking Habits in Great Britain. London: Office for National Statistics; 2019.
Balogun B. The Smokefree 2030 ambition for England. London: House of Commons Library; 2023.
Sinha DN, Agarwal N, Gupta P. Prevalence of smokeless tobacco use and number of users in 121 countries. Br J Med Med Res. 2015;9:1–155.
Smittenaar CR, Petersen KA, Stewart K, Moitt N. Cancer Incidence and mortality projections in the UK until 2035. Br J Cancers. 2016;115:1147–55.
British and Irish Society of Oral Medicine. Patient Information Leaflets. BISOM. 2019. https://bisom.org.uk/wp-content/uploads/2020/08/Oral-Cancer-PIL.pdf.
Public Health England. Smokefree and smiling: helping dental patients to quit tobacco. London: Public Health England; 2014.
Hartmann-Boyce J, Lindson N, Butler AR, McRobbie H, Mullen C, Begh R, et al. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. 2021;4:CD010216.
Holliday R, Hong B, McColl E, Livingstone-Banks J, Preshaw PM. Interventions for tobacco cessation delivered by dental professionals. Cochrane Database Syst Rev. 2021;2:CD005084.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Linden, J., Fletcher, R. Clearing the smoke: are tobacco cessation interventions by the dental team successful?. Evid Based Dent 24, 190–191 (2023). https://doi.org/10.1038/s41432-023-00926-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41432-023-00926-z