Chan H L, Chan Alice K Y, Chu C H, Tsang Y C
Faculty of Dentistry, The University of Hong Kong, The Prince Philip Dental Hospital, Sai Ying Pun, Hong Kong SAR, China.
Front Oral Health. 2023 Sep 21;4:1266467. doi: 10.3389/froh.2023.1266467. eCollection 2023.
Integration of smoking cessation program into routine oral health care has been advocated by World Health Organization since it brings extensive benefits to oral health. By tobacco cessation, patients are less prone to progression of periodontal disease, have less future tooth loss, have reduced risks of oral mucosal lesions and head and neck cancers. Evidence indicates that dentists are in a favorable position to deliver effective smoking cessation advice to improve patients' oral health. This article aims to present the current situation of smoking cessation in dental setting, including dental management of smoking patients, perceptions of dentists and dental students towards smoking cessation, challenges dental professionals face when carrying out cessation interventions. Patients' perspectives are also evaluated to provide a clearer picture of smoking cessation practice in the dental field. Review of past surveys show most patients welcome smoking cessation advice from dental practitioners. Meanwhile dentists may have wrong assumption that patients would disapprove them if they advise patient to quit smoking. On top of that, main obstacles identified are lack of training, inadequate treatment time and insufficient knowledge towards smoking cessation guidelines and referral routes. With regard to the potential barriers, evidence demonstrates that more trainings on smoking cessation strategies are needed. Future research in this aspect is also indicated to further foster the practice of smoking cessation counselling in dental setting.
世界卫生组织一直主张将戒烟项目纳入常规口腔保健，因为这能给口腔健康带来诸多益处。通过戒烟，患者患牙周病进展的可能性降低，未来牙齿脱落的情况减少，患口腔黏膜病变和头颈癌的风险降低。有证据表明，牙医处于提供有效戒烟建议以改善患者口腔健康的有利位置。本文旨在介绍牙科环境中戒烟的现状，包括吸烟患者的牙科管理、牙医和牙科学生对戒烟的看法、牙科专业人员在实施戒烟干预时面临的挑战。还评估了患者的观点，以便更清楚地了解牙科领域的戒烟实践。对过去调查的回顾显示，大多数患者欢迎牙科从业者提供的戒烟建议。与此同时，牙医可能存在错误的假设，即如果他们建议患者戒烟，患者会不赞成。除此之外，已确定的主要障碍包括缺乏培训、治疗时间不足以及对戒烟指南和转诊途径的了解不足。关于潜在障碍，有证据表明需要更多关于戒烟策略的培训。这方面的未来研究也被指出，以进一步促进牙科环境中戒烟咨询的实践。
