Gordon Judith S, Lichtenstein Edward, Severson Herbert H, Andrews Judy A
Oregon Research Institute, Eugene, Oregon 97403, USA.
Drug Alcohol Rev. 2006 Jan;25(1):27-37. doi: 10.1080/09595230500459495.
The hazards associated with cigarette smoking and smokeless tobacco use have been well documented. In addition to its association with many cancers and coronary conditions, tobacco plays a role in the aetiology of a number of oral morbidities. Dental care practitioners are a largely untapped resource for providing advice and brief counselling to tobacco-using patients, and there are good reasons to believe that they can be effective. Data from seven randomised trials indicate there is ample evidence for the efficacy of dental office-based interventions, but adoption of these tobacco cessation activities into practice has been slow. The limited research on dissemination of tobacco interventions is promising, but there is a need to develop and evaluate new methods for encouraging adoption, implementation and maintenance of tobacco interventions into routine dental care. Several studies currently under way may help to increase the effectiveness and dissemination of office-based tobacco cessation programmes into routine dental care. If dental practitioners provided cessation assistance routinely to their patients and achieved even modest success rates, the public health impact would be enormous. Researchers and clinicians must continue to work together towards universal adoption of effective tobacco cessation interventions at each clinical encounter.
与吸烟和使用无烟烟草相关的危害已有充分记录。除了与多种癌症和冠状动脉疾病有关外，烟草在许多口腔疾病的病因中也起作用。牙科保健从业者在为使用烟草的患者提供建议和简短咨询方面是一个很大程度上未被利用的资源，而且有充分理由相信他们会有效果。来自七项随机试验的数据表明，有充分证据证明基于牙科诊所的干预措施是有效的，但将这些戒烟活动应用于实践的进展一直很缓慢。关于烟草干预措施传播的有限研究很有前景，但需要开发和评估新方法，以鼓励在常规牙科护理中采用、实施和维持烟草干预措施。目前正在进行的几项研究可能有助于提高基于诊所的戒烟计划在常规牙科护理中的有效性和传播。如果牙科从业者定期为患者提供戒烟帮助，即使成功率不高，对公众健康的影响也将是巨大的。研究人员和临床医生必须继续共同努力，在每次临床接触时普遍采用有效的戒烟干预措施。
