Intensive smoking-cessation intervention in the dental setting.
Smoking exerts detrimental effects on dental treatment and oral health. Our goal was to evaluate effectiveness in terms of the abstinence rate in smoking-cessation intervention delivered by dental professionals. Individuals who were willing to quit smoking were randomly assigned to either an intervention or a non-intervention group. Intensive intervention was provided, consisting of 5 counseling sessions, including an additional nicotine replacement regimen. Reported abstinence was verified by the salivary cotinine level. Thirty-three persons in the intervention and 23 in the non-intervention group started the trial. On an intent-to-treat basis, 3-, 6- and 12-month continuous abstinence rates in the intervention group were 51.5%, 39.4%, and 36.4%, respectively, while the rates in the non-intervention group were consistent at 13.0%. Adjusted odds ratios (95% confidence interval) by logistic stepwise regression analyses were 7.1 (1.8, 28.5), 8.9 (1.7, 47.2), and 6.4 (1.3, 30.7), respectively. Intensive smoking-cessation intervention in the dental setting was therefore effective.
Hanioka
T
T
Department of Preventive and Public Health Dentistry, Fukuoka Dental College, 2-15-1 Tamura, Sawara-ku, Fukuoka 814-0193, Japan. haniokat@college.fdcnet.ac.jp
Ojima
M
M
Tanaka
H
H
Naito
M
M
Hamajima
N
N
Matsuse
R
R
D000279:Administration, Cutaneous; D000328:Adult; D003376:Counseling / Q000379:methods*; D003729:Dental Care / Q000379:methods*; D003752:Dental Health Services; D003756:Dental Hygienists; D003812:Dentist-Patient Relations; D003815:Dentists; D006801:Humans; D057194:Intention to Treat Analysis; D009538:Nicotine / Q000008:administration & dosage; D018722:Nicotinic Agonists / Q000008:administration & dosage; D010043:Outcome and Process Assessment, Health Care; D019239:Practice Patterns, Dentists'; D015397:Program Evaluation; D016037:Single-Blind Method; D016540:Smoking Cessation / Q000379:methods*; D014029:Tobacco Use Disorder / Q000628:therapy
D018722:Nicotinic Agonists; D009538:Nicotine