Intensive smoking-cessation intervention in the dental setting

J Dent Res. 2010 Jan;89(1):66-70. doi: 10.1177/0022034509350867.

Abstract

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.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Cutaneous
  • Adult
  • Counseling / methods*
  • Dental Care / methods*
  • Dental Health Services*
  • Dental Hygienists
  • Dentist-Patient Relations*
  • Dentists
  • Humans
  • Intention to Treat Analysis
  • Nicotine / administration & dosage
  • Nicotinic Agonists / administration & dosage
  • Outcome and Process Assessment, Health Care
  • Practice Patterns, Dentists'
  • Program Evaluation
  • Single-Blind Method
  • Smoking Cessation / methods*
  • Tobacco Use Disorder / therapy

Substances

  • Nicotinic Agonists
  • Nicotine