The School of Dentistry, Queen's University Belfast, Health Sciences Building, 97 Lisburn Road, Belfast, BT9 7BL.
Br Dent J. 2009 Dec 12;207(11):E22; discussion 542-3. doi: 10.1038/sj.bdj.2009.1135.
Smoking is correlated with a large number of oral conditions such as tooth staining and bad breath, periodontal diseases, impaired healing of wounds, precancer and oral cancer. These effects are often visible and in the early stages they are reversible after cessation of smoking. Dentists, as part of the health profession, are frequently in contact with the general population and there is evidence that they are as effective in providing smoking cessation counselling as any other healthcare group.
Patients' knowledge of the effects of smoking and their attitudes towards the role of dentists in smoking cessation activities were analysed via a self-completing questionnaire and compared depending on their smoking status (smokers and non-smokers).
The results show that patients hold very positive attitudes towards dentists' role in smoking cessation. The results also show that although patients have a good knowledge of the effects of smoking on general health, smokers are significantly less aware of the relationship between smoking and gum disease and on wound healing.
Dentists should inform their patients about the oral effects of smoking and strongly advise them not to smoke, especially in patients diagnosed with periodontal disease and requiring surgical procedures.
吸烟与许多口腔状况有关,如牙齿染色和口臭、牙周病、伤口愈合受损、癌前病变和口腔癌。这些影响通常是可见的,在早期阶段,停止吸烟后它们是可以逆转的。牙医作为医疗保健专业人员的一部分,经常与普通大众接触,有证据表明,他们在提供戒烟咨询方面与任何其他医疗保健群体一样有效。
通过自填式问卷分析患者对吸烟影响的了解程度以及他们对牙医在戒烟活动中作用的态度,并根据其吸烟状况(吸烟者和非吸烟者)进行比较。
结果表明,患者对牙医在戒烟中的作用持有非常积极的态度。结果还表明,尽管患者对吸烟对一般健康的影响有很好的了解,但吸烟者对吸烟与牙龈疾病和伤口愈合之间的关系明显认识不足。
牙医应告知患者吸烟对口腔的影响,并强烈建议他们不要吸烟,尤其是在被诊断患有牙周病和需要手术的患者中。