Tobacco cessation in dental settings: research findings and future directions

Tobacco cessation in dental settings: research findings and future directions
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DOI:
10.1080/09595230500459495
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发表时间:
2006-01-01
影响因子:
3.8
通讯作者:
Andrews, JA
Andrews, JA
中科院分区:
医学3区
文献类型:
--
作者:
Gordon, JS;Lichtenstein, E;Andrews, JA

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与吸烟和使用无烟烟草有关的危害已经有充分的记录。除了与许多癌症和冠状动脉疾病有关外,烟草还在许多口腔疾病的病因学中发挥作用。牙科保健从业人员是一个基本上未开发的资源,为吸烟患者提供建议和简短的咨询,有充分的理由相信他们可以有效。来自七项随机试验的数据表明,有充分的证据表明基于牙科诊所的干预措施的有效性,但将这些戒烟活动付诸实践的速度缓慢。关于烟草干预措施的传播的有限研究是有希望的,但有必要开发和评估新的方法,以鼓励通过,实施和维持烟草干预措施到日常牙科护理。目前正在进行的几项研究可能有助于提高办公室戒烟计划的有效性,并将其推广到日常牙科护理中。如果牙科医生定期为患者提供戒烟帮助,即使成功率不高,对公共卫生的影响也将是巨大的。研究人员和临床医生必须继续共同努力,在每次临床治疗中普遍采用有效的戒烟干预措施。
The hazards associated with cigarette smoking and smokeless tobacco use have been well documented. In addition to its association with many cancers and coronary conditions, tobacco plays a role in the aetiology of a number of oral morbidities. Dental care practitioners are a largely untapped resource for providing advice and brief counselling to tobacco-using patients, and there are good reasons to believe that they can be effective. Data from seven randomised trials indicate there is ample evidence for the efficacy of dental office-based interventions, but adoption of these tobacco cessation activities into practice has been slow. The limited research on dissemination of tobacco interventions is promising, but there is a need to develop and evaluate new methods for encouraging adoption, implementation and maintenance of tobacco interventions into routine dental care. Several studies currently under way may help to increase the effectiveness and dissemination of office-based tobacco cessation programmes into routine dental care. If dental practitioners provided cessation assistance routinely to their patients and achieved even modest success rates, the public health impact would be enormous. Researchers and clinicians must continue to work together towards universal adoption of effective tobacco cessation interventions at each clinical encounter.