Department of Ambulatory Care and Community Medicine, Lausanne University Hospital, 1011 Lausanne, Vaud, Switzerland.
BMC Public Health. 2010 Jun 17;10:348. doi: 10.1186/1471-2458-10-348.
Dentists are in a unique position to advise smokers to quit by providing effective counseling on the various aspects of tobacco-induced diseases. The present study assessed the feasibility and acceptability of integrating dentists in a medical smoking cessation intervention.
Smokers willing to quit underwent an 8-week smoking cessation intervention combining individual-based counseling and nicotine replacement therapy and/or bupropion, provided by a general internist. In addition, a dentist performed a dental exam, followed by an oral hygiene treatment and gave information about chronic effects of smoking on oral health. Outcomes were acceptability, global satisfaction of the dentist's intervention, and smoking abstinence at 6-month.
39 adult smokers were included, and 27 (69%) completed the study. Global acceptability of the dental intervention was very high (94% yes, 6% mostly yes). Annoyances at the dental exam were described as acceptable by participants (61% yes, 23% mostly yes, 6%, mostly no, 10% no). Participants provided very positive qualitative comments about the dentist counseling, the oral exam, and the resulting motivational effect, emphasizing the feeling of oral cleanliness and health that encouraged smoking abstinence. At the end of the intervention (week 8), 17 (44%) participants reported smoking abstinence. After 6 months, 6 (15%, 95% CI 3.5 to 27.2) reported a confirmed continuous smoking abstinence.
We explored a new multi-disciplinary approach to smoking cessation, which included medical and dental interventions. Despite the small sample size and non-controlled study design, the observed rate was similar to that found in standard medical care. In terms of acceptability and feasibility, our results support further investigations in this field.
ISRCTN67470159.
牙医通过提供有关烟草引起的各种疾病的有效咨询，处于向吸烟者提供戒烟建议的独特位置。本研究评估了将牙医纳入医疗戒烟干预措施的可行性和可接受性。
愿意戒烟的吸烟者接受了为期 8 周的戒烟干预，包括由普通内科医生提供的基于个体的咨询以及尼古丁替代疗法和/或安非他酮。此外，牙医进行了口腔检查，随后进行了口腔卫生处理，并提供了有关吸烟对口腔健康的慢性影响的信息。结果是可接受性，对牙医干预的总体满意度以及戒烟的 6 个月的成功率。
共纳入 39 名成年吸烟者，其中 27 名（69％）完成了研究。对牙医干预的总体可接受性很高（94％的人是，6％的人主要是）。参与者将在口腔检查时的烦恼描述为可接受（61％的人是，23％的人主要是，6％的人大多否，10％的人否）。参与者对牙医咨询，口腔检查以及由此产生的激励作用提供了非常积极的定性评价，强调了口腔清洁和健康的感觉，从而鼓励了戒烟。在干预结束时（第 8 周），17 名（44％）参与者报告戒烟。6 个月后，有 6 名（15％，95％CI 3.5 至 27.2）报告了持续的戒烟成功。
我们探索了一种新的多学科戒烟方法，其中包括医疗和牙科干预措施。尽管样本量小且研究设计非对照，但观察到的成功率与标准医疗护理中的成功率相似。就可接受性和可行性而言，我们的结果支持该领域的进一步研究。
ISRCTN67470159。
