Nasry H A, Preshaw P M, Stacey F, Heasman L, Swan M, Heasman P A
School of Dental Sciences, University of Newcastle Upon Tyne.
Br Dent J. 2006 Mar 11;200(5):272-5; discussion 265. doi: 10.1038/sj.bdj.4813307.
There are limited data on the utility of dental professionals in providing smoking cessation counselling in the UK.
The purpose of this study was to determine quit rates for smokers with chronic periodontitis who were referred to a dental hospital for treatment.
Forty-nine subjects with chronic periodontitis who smoked cigarettes were recruited. All subjects received periodontal treatment and smoking cessation advice as part of an individual, patient-based programme provided by dental hygienists trained in smoking cessation counselling. Smoking cessation interventions included counselling (all patients), and some patients also received nicotine replacement therapy (NRT) and/or Zyban medication. Smoking cessation advice was given at each visit at which periodontal treatment was undertaken (typically four to six visits) over a period of 10-12 weeks. Smoking cessation advice was also given monthly during the programme of supportive periodontal care over the following nine months. Smoking status was recorded at three, six and 12 months and was confirmed with carbon monoxide (CO) monitors and salivary cotinine assays.
Forty-one per cent, 33%, 29% and 25% of patients had stopped smoking at week four, months three, six and 12, respectively. Gender, age, the presence of another smoker in the household, and baseline smoking status (determined using subject-reported pack years of smoking) were not significant predictors of quit success (P < 0.05). Baseline CO levels were significantly associated with quit success, however, and were significantly higher in those subjects who continued to smoke compared to those subjects who were quitters at week four, month three and month six (P < 0.05).
Success rates in quitting smoking following smoking cessation advice given as part of a periodontal treatment compared very favourably to national quit rates achieved in specialist smoking cessation clinics. The dental profession has a crucial role to play in smoking cessation counselling, particularly for patients with chronic periodontitis.
在英国，关于牙科专业人员提供戒烟咨询服务的效用的数据有限。
本研究的目的是确定被转诊至牙科医院接受治疗的慢性牙周炎吸烟者的戒烟率。
招募了49名患有慢性牙周炎且吸烟的受试者。所有受试者均接受了牙周治疗和戒烟建议，这是由接受过戒烟咨询培训的牙科保健员提供的基于个体患者的项目的一部分。戒烟干预措施包括咨询（所有患者），部分患者还接受了尼古丁替代疗法（NRT）和/或安非他酮药物治疗。在为期10 - 12周的牙周治疗期间，每次进行牙周治疗时（通常为四至六次就诊）都给予戒烟建议。在接下来九个月的牙周支持治疗期间，每月也会提供戒烟建议。在第3、6和12个月记录吸烟状况，并通过一氧化碳（CO）监测仪和唾液可替宁检测进行确认。
分别有41%、33%、29%和25%的患者在第4周、3个月、6个月和12个月时戒烟。性别、年龄、家中是否有其他吸烟者以及基线吸烟状况（通过受试者报告的吸烟包年数确定）并非戒烟成功的显著预测因素（P < 0.05）。然而，基线CO水平与戒烟成功显著相关，与在第4周、3个月和6个月时戒烟的受试者相比，继续吸烟者的基线CO水平显著更高（P < 0.05）。
作为牙周治疗一部分所提供的戒烟建议后的戒烟成功率与专业戒烟诊所的全国戒烟率相比非常有利。牙科专业在戒烟咨询中具有关键作用，特别是对于慢性牙周炎患者。
