Consensus Report: 2nd European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals.
Tobacco use has been identified as a major risk factor for oral disorders such as cancer and periodontal disease. Tobacco use cessation (TUC) is associated with the potential for reversal of precancer, enhanced outcomes following periodontal treatment, and better periodontal status compared to patients who continue to smoke. Consequently, helping tobacco users to quit has become a part of both the responsibility of oral health professionals and the general practice of dentistry. TUC should consist of behavioural support, and if accompanied by pharmacotherapy, is more likely to be successful. It is widely accepted that appropriate compensation of TUC counselling would give oral health professionals greater incentives to provide these measures. Therefore, TUC-related compensation should be made accessible to all dental professionals and be in appropriate relation to other therapeutic interventions. International and national associations for oral health professionals are urged to act as advocates to promote population, community and individual initiatives in support of tobacco use prevention and cessation (TUPAC) counselling, including integration in undergraduate and graduate dental curricula. In order to facilitate the adoption of TUPAC strategies by oral health professionals, we propose a level of care model which includes 1) basic care: brief interventions for all patients in the dental practice to identify tobacco users, assess readiness to quit, and request permission to re-address at a subsequent visit, 2) intermediate care: interventions consisting of (brief) motivational interviewing sessions to build on readiness to quit, enlist resources to support change, and to include cessation medications, and 3) advanced care: intensive interventions to develop a detailed quit plan including the use of suitable pharmacotherapy. To ensure that the delivery of effective TUC becomes part of standard care, continuing education courses and updates should be implemented and offered to all oral health professionals on a regular basis.
Ramseier
Christoph A
CA
Department of Periodontology, School of Dental Medicine, University of Berne, Berne, Switzerland. christoph.ramseier@zmk.unibe.ch
Warnakulasuriya
Saman
S
Needleman
Ian G
IG
Gallagher
Jennifer E
JE
Lahtinen
Aira
A
Ainamo
Anja
A
Alajbeg
Ivan
I
Albert
David
D
Al-Hazmi
Nadia
N
Antohé
Magda Ecaterina
ME
Beck-Mannagetta
Johann
J
Benzian
Habib
H
Bergström
Jan
J
Binnie
Viv
V
Bornstein
Michael
M
Büchler
Silvia
S
Carr
Alan
A
Carrassi
Antonio
A
Casals Peidró
Elias
E
Chapple
Ian
I
Compton
Sharon
S
Crail
Jon
J
Crews
Karen
K
Davis
Joan Mary
JM
Dietrich
Thomas
T
Enmark
Birgitta
B
Fine
Jared
J
Gallagher
Jennifer
J
Jenner
Tony
T
Forna
Doriana
D
Fundak
Angela
A
Gyenes
Monika
M
Hovius
Marjolijn
M
Jacobs
Annelies
A
Kinnunen
Taru
T
Knevel
Ron
R
Koerber
Anne
A
Labella
Roberto
R
Lulic
Martina
M
Mattheos
Nikos
N
McEwen
Andy
A
Ohrn
Kerstin
K
Polychronopoulou
Argy
A
Preshaw
Philip
P
Radley
Nicki
N
Rosseel
Josine
J
Schoonheim-Klein
Meta
M
Suvan
Jean
J
Ulbricht
Sabina
S
Verstappen
Petra
P
Walter
Clemens
C
Warnakulasuriya
Saman
S
Wennström
Jan
J
Wickholm
Seppo
S
Zoitopoulos
Liana
L
D003376:Counseling; D003797:Dental Staff; D005060:Europe; D006291:Health Policy; D006801:Humans; D007347:Insurance, Dental; D009062:Mouth Neoplasms / Q000209:etiology; D010353:Patient Education as Topic; D010510:Periodontal Diseases / Q000209:etiology; D020340:Tobacco Use Cessation / Q000191:economics / Q000379:methods; D014029:Tobacco Use Disorder / Q000150:complications