Integration of a personalized approach for tobacco use and dependence in a dentistry setting-preliminary results
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1
University of Medicine and Pharmacy 'Grigore T.Popa', Clinic of Pulmonary Diseases, Romania
2
University of Medicine and Pharmacy 'Grigore T.Popa', Romania
3
Clinical Hospital of Pulmonary Diseases, Pulmonology 1, Romania
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A308
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ABSTRACT
Background:
Tobacco smoking is a major risk
factor for many oral cavity disorders, amongst which periodontal disease and
oral cancer - the most frequent conditions in current dentistry practice. Oral
pathology clinics lack their own smoking cessation services, and a personalized
approach of tobacco consumers addressing dentistry settings would improve their
oral health.
Aim: To design
a personalized smoke-free approach in a dentistry department and to preliminary evaluate
the effectiveness of smoking cessation counseling in a pilot group of smokers
with oral cancer.
Methods:
Screening for oral health and smoking status
of 270 patients admitted in an oral pathology university department for
periodontal disease and oral malignancies. All patients answered a personalized
oral health and tobacco use questionnaire. 59 smokers with oral cancers underwent
a specially designed 3 sessions smoking cessation counseling program (personalized
enrollment questionnaire, brief advice and counseling) with initial and in 8
weeks follow-up clinical evaluation of both smoking and oral status
Results:
Periodontal disease was more frequent in smokers (60%) with
poor oral hygiene and diet. Majority of smokers with oral cancers were men, age
average 57.2 (SD: 4.6) and 49.2 smoked > 20 cigs/day. Most frequently, oral malignancy affected the
lips and the jowl. All 59 smokers with oral cancers answered the personalized
questionnaire and attended the brief advice session, whilst 46 (78%) agreed to
try to quit smoking, with a 52.5% abstinence rate at 8 weeks follow up and a
significant oral status improvement identified in all quitters.
Conclusions:
There is a great need to design a
personalized smoke-free approach for dental patients, by routinely adding
screening and treatment of tobacco use to overall oral health evaluation.
Smoking cessation proved beneficial in the oral cancers pilot group.