This is not the most recent version of the article. View current version (13 JUN 2012)

Intervention Review

Interventions for tobacco cessation in the dental setting

  1. Alan Carr1,*,
  2. Jon Ebbert2

Editorial Group: Cochrane Tobacco Addiction Group

Published Online: 25 JAN 2006

Assessed as up-to-date: 7 JUL 2006

DOI: 10.1002/14651858.CD005084.pub2


How to Cite

Carr A, Ebbert J. Interventions for tobacco cessation in the dental setting. Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD005084. DOI: 10.1002/14651858.CD005084.pub2.

Author Information

  1. 1

    Mayo Clinic, Department of Dental Specialities, Rochester, USA

  2. 2

    Mayo Clinic, Department of Primary Care Internal Medicine, Rochester, MN, USA

*Alan Carr, Department of Dental Specialities, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Carr.Alan@mayo.edu.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 25 JAN 2006

SEARCH

This is not the most recent version of the article. View current version (13 JUN 2012)

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

Tobacco use has significant adverse effects on oral health. Oral health professionals in the dental office or community setting have a unique opportunity to increase tobacco abstinence rates among tobacco users.

Objectives

This review assesses the effectiveness of interventions for tobacco cessation offered to cigarette smokers and smokeless tobacco users in the dental office or community setting.

Search methods

We searched the Cochrane Tobacco Addiction group Specialized Register (CENTRAL), MEDLINE (1966-April 2006), EMBASE (1988-April 2006), CINAHL (1982-April 2006), Healthstar (1975-April 2006), ERIC (1967-April 2006), PsycINFO (1984-April 2006), National Technical Information Service database (NTIS, 1964-April 2006), Dissertation Abstracts Online (1861-April 2006), Database of Abstract of Reviews of Effectiveness (DARE, 1995-April April 2006), and Web of Science (1993-April 2006).

Selection criteria

We included randomized and pseudo-randomized clinical trials assessing tobacco cessation interventions conducted by oral health professionals in the dental office or community setting with at least six months of follow up.

Data collection and analysis

Two authors independently reviewed abstracts for potential inclusion and abstracted data from included trials. Disagreements were resolved by consensus.

Main results

Six clinical trials met the criteria for inclusion in this review. Included studies assessed the efficacy of interventions in the dental office or a school community setting. All studies assessed the efficacy of interventions for smokeless tobacco users, one of which included cigarettes smokers. All studies employed behavioural interventions and only one offered pharmacotherapy as an interventional component. All studies included an oral examination component. Pooling of the studies suggested that interventions conducted by oral health professionals increase tobacco abstinence rates (odds ratio [OR] 1.44; 95% confidence interval [CI]: 1.16 to 1.78) at 12 months or longer. Heterogeneity was evident (I2 = 75%) and could not be adequately explained through subgroup or sensitivity analyses.

Authors' conclusions

Available evidence suggests that behavioural interventions for tobacco use conducted by oral health professionals incorporating an oral examination component in the dental office and community setting may increase tobacco abstinence rates among smokeless tobacco users. Differences between the studies limit the ability to make conclusive recommendations regarding the intervention components that should be incorporated into clinical practice.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Can interventions delivered by dental professionals help tobacco users to quit

As well as the well-known harmful effects of smoking on respiratory and cardiovascular systems, tobacco use is associated with an increased risk for oral disease, including oral cancer and periodontal disease. Dental professionals are in a unique position to help tobacco users who present for dental care by providing cessation assistance. We identified and pooled six studies that showed a benefit of tobacco cessation counseling by dental professionals. The odds ratio was 1.44 (95% confidence interval 1.16 to 1.78) at 12 months, in favour of counseling, compared with usual care or no contact. The major implications of these findings are for smokeless tobacco users in the dental settings, as we found limited evidence for the effectiveness of similar interventions for cigarette smokers.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

在牙科促進戒菸

抽菸顯著有害於口腔健康.牙醫診所或社區醫院的口腔衛生專家有絕佳機會增加戒菸率.

目標

本回顧評估在牙醫診所或社區醫院,對抽菸者和無煙煙草使用者使用促進戒菸方式的療效

搜尋策略

搜尋Cochrane Tobacco Addiction group Specialized Register (CENTRAL), MEDLINE (1966April 2006), EMBASE (1988April 2006), CINAHL (1982April 2006), Healthstar (1975April 2006), ERIC (1967April 2006), PsycINFO (1984April 2006), National Technical Information Service database (NTIS, 1964April 2006), Dissertation Abstracts Online (1861April 2006), Database of Abstract of Reviews of Effectiveness (DARE, 1995April April 2006), and Web of Science (1993April 2006).

選擇標準

納入隨機和半隨機試驗,評估在牙醫診所或社區醫院,口腔衛生專家使用的促進戒菸方式,追蹤期至少六個月.

資料收集與分析

兩個檢閱者獨立檢查可能納入試驗的摘要,由納入的試驗擷取資料.對意見不同的地方取得共識.

主要結論

6試驗符合納入條件.納入的試驗評估在牙醫診所或社區學校評估無煙煙草戒除計畫的療效,其中一個包含抽菸者.所有試驗都使用行為介入,一個試驗同時提供藥物.所有試驗都包含口腔檢查.資料統合後顯示:口腔衛生專家介入12個月時和之後戒菸率增加(OR 1.44; 95% CI: 1.16 to 1.78).有明顯異質性(I2 = 75%)又不能由分群分析或敏感度分析充分解釋.

作者結論

現有證據顯示在牙醫診所或社區衛生所,由口腔衛生專家施行行為治療,輔以口腔檢查,可以增加戒菸率.因為試驗差異的限制,無法得到臨床治療上應該採取的介入建議

翻譯人

本摘要由成功大學附設醫院尹子真翻譯。

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。

總結

牙醫進行戒菸諮詢可幫助抽菸者戒菸.抽菸副作用除了眾所皆知呼吸和心血管副作用外,也有會增加如口腔癌和牙周病等口腔疾病的風險.牙醫可扮演特殊角色,幫助看牙的抽菸者戒菸.我們合併找到的6個研究,顯示牙醫提供諮詢與一般照護或沒有與抽菸者聯繫相比,可幫助戒菸:12個月OR為1.44 (95% CI 1.16 to 1.78).這些研究主要對象為無菸香菸使用者,對抽菸者的效過證據有限.