Consensus Report: 2nd European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals
Consensus Report: 2nd European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals
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DOI：
10.1922/idj_2531ramseier04
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发表时间：
2010-02-01
影响因子：
3.3
通讯作者：
Lahtinen, Aira
中科院分区：
文献类型：
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作者：
Ramseier, Christoph A.;Warnakulasuriya, Saman;Lahtinen, Aira
烟草使用已被确定为口腔疾病如癌症和牙周病的主要危险因素。与继续吸烟的患者相比，戒烟（TUC）与癌前病变逆转的可能性、牙周治疗后的改善结果以及更好的牙周状况有关。因此，帮助烟草使用者戒烟已成为口腔健康专业人员和牙科一般实践的责任的一部分。TUC应包括行为支持，如果伴随药物治疗，更有可能成功。人们普遍认为，适当补偿工会大会咨询将给予口腔保健专业人员更大的激励，以提供这些措施。因此，TUC相关的补偿应向所有牙科专业人员提供，并与其他治疗干预措施保持适当的关系。敦促国际和国家口腔卫生专业人员协会作为倡导者，促进人口、社区和个人的主动行动，支持烟草使用预防和戒烟（TUPAC）咨询，包括将其纳入本科和研究生牙科课程。为了促进口腔卫生专业人员采用TUPAC策略，我们提出了一种护理模式，包括1）基本护理：对牙科诊所的所有患者进行简短干预，以识别烟草使用者，评估戒烟准备情况，并请求允许在后续访问时重新寻址，2）中级护理：干预措施包括（简短）动机访谈，以建立戒烟准备，争取资源支持改变，并包括戒烟药物，和3）高级护理：强化干预，制定详细的戒烟计划，包括使用合适的药物治疗。为了确保有效的TUC成为标准护理的一部分，应定期实施并向所有口腔健康专业人员提供继续教育课程和更新。
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.