Application in the dental office of a practical method of clinical-behavioural treatment for smoking cessation: a case report
DOI:
https://doi.org/10.15448/1980-6523.2017.3.26317Keywords:
dentistry, dental care, smoking cessation, nicotine, behaviour.Abstract
INTRODUCTION: Smoking causes harmful effects to the oral cavity, therefore dentists play an important role in helping their patients to quit. OBJECTIVE: In this article, we aimed to report the application of a practical method of clinicalbehavioural treatment for smoking cessation which was performed by a Dental Surgeon in a male patient who wanted to stop smoking. CASE DESCRIPTION: Behavioural support was based on the Standard Treatment Program (STP) recommended by an English institution specialized in preparing health professionals to promote smoking cessation. Drug support involved Nicotine Replacement Therapy (NRT) by the combination of transdermal patches and chewing gums in different stages and dosages. The Fagerström Test was used to assess the patient’s level of nicotine dependence. Abstinence was monitored by assessing the patient’s level of expired carbon monoxide using a monoximeter. Success in promoting patient’s abstinence was observed during 40 days of treatment and one year of follow-up. Conclusion: The STP behavioural support methodology combined with NRT proved to be quite feasible and promising to be used by dentists in order to treat smoking in the dental office.
References
Agnihotri R, Gaur S. Implications of tobacco smoking on the oral health of
older adults. Geriatr gerontol int. 2009; 14:526-40. http://doi.org/10.1111/ggi.12285
Reibel J. Tobacco and Oral Diseases: Update on the Evidence, with Recommendations. Med Princ Pract. 2003;12(suppl 1):22-32. http://doi.
org/10.1159/000069845
Albert D, Ward A. Tobacco cessation in the dental office. Dent clin North
Am. 2012;56:747-70. http://dx.doi.org/10.1016/j.cden.2012.07.004
Chaffee BW, Couch ET, Ryder MI. The tobacco-using periodontal patient:
role of the dental practitioner in tobacco cessation and periodontal disease management. Periodontol. 2000. 2016;71:52-64. http://doi.
org/10.1111/prd.12120
Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral oncol. 2009;45:309-16. http://dx.doi.org/10.1016/j.
oraloncology.2008.06.002
Fiore MC, Jaen CR, Baker T, Bailey WC, Benowitz N L, Curry SEEA et al..
Treating tobacco use and dependence: 2008 update. Rockville, MD: US Department of Health and Human Services, 2008.
Stead LF, Koilpillai P, Fanshawe TR, Lancaster T. Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane database syst. rev. [online]. 2016;3. http://doi.org/10.1002/14651858.CD008286.pub3
Gordon JS, Lichtenstein E, Severson HH, Andrews JA. Tobacco cessation in dental settings: research findings and future directions. Drug alcohol rev. 2006; 25:27-37.
Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century–the approach of the WHO Global Oral Health Programme. Community dent. oral epidemiol.
;31(suppl 1): 3-24. http://doi.org/10.1046/j..2003.com122.x
Rosseel JP, Jacobs JE, Hilberink SR, Maassen IM, Allard RHB, Plasschaert
AJM et al. What determines the provision of smoking cessation advice and
counselling by dental care teams? Br. dent. j. 2009;206:E13-E13. http://
doi.org/10.1038/sj.bdj.2009.272
Patel AM, Blanchard SB, Christen AG, Bandy RW, Romito LM. A survey of United States periodontists' knowledge, attitudes, and behaviours related to tobacco-cessation interventions. J. periodontol. 2011;82: 367-76. http://doi.org/10.1902/jop.2010.100405
Needleman IG, Binnie VI, Ainamo A, Carr AB, Fundak A, Koeber A et al.
Improving the effectiveness of tobacco use cessation (TUC). Int. dent. j.
; 60:50-9. http://doi.org/10.1922/IDJ_2534Needleman10
Davis JM, Ramseier CA, Mattheos N, Schoonheim-Klein M, Compton S, Al-Hazmi N et al. Education of tobacco use prevention and cessation for dental professionals – a paradigm shift. Int. dent. j. 2010;60:60-72. http://doi.org/10.1922/IDJ_2535Davis13
McEwen A. Standard Treatment Program: A guide to behavioural support
for smoking cessation. 2nd ed. UK: Department of Health, National Centre for Smoking Cessation and Training; 2014.
West R, McEwen A, Lorencato F, Michie S, Churchill S, Willis N. NCSCT Training Standards: Learning outcomes for training stop smoking specialists. 2nd ed. UK: Department of Health, National Centre for Smoking Cessation and Training; 2013.
Aveyard P, Begh R, Parsons A, West R. Brief opportunistic smoking cessation interventions: a systematic review and meta-analysis to compare advice to quit and offer of assistance. Addiction. 2012;107: 1066-73. http://doi.org/10.1111/j.1360-0443.2011.03770.x
Brothwell DJ. Should the use of smoking cessation products be promoted
by dental offices? An evidence-based report. J. Can. Dent. Assoc. 2001;67:149-52.
Lindson-Hawley N, Hartmann-Boyce J, Fanshawe TR, Begh R, Farley A, Lancaster T. Gradual Versus Abrupt Smoking Cessation. A Randomized, Controlled Noninferiority Trial. Ann Intern Med. 2016;164:585-92. http://
doi.org/10.7326/M14-2805
Binnie VI. Addressing the topic of smoking cessation in a dental setting.
Periodontol. 2000. 2008;48:170-8. http://doi.org/10.1111/j.1600-0757.2008.00257.x
Stead LF, Perera R, Bullen C, Mant D, Hartmann-Boyce J, Cahill K, Lancaster T. Nicotine replacement therapy for smoking cessation. Cochrane database syst. rev. [online]. 2012;11. http://doi.org/10.1002/14651858. CD000146.pub4
Shiffman S, West R, Gilbert DG. Recommendation for the assessment of tobacco craving and withdrawal in smoking cessation trials. Nicotine Tob Res. 2004;6:599-614. http://doi.org/10.1080/14622200410001734067
Warnakulasuriya S, Dietrich T, Bornstein MM, Peidró EC, Preshaw PM, Walter C et al. Oral health risks of tobacco use and effects of cessation. Int. dent. j. 2010;60:7-30. http://doi.org/10.1922/IDJ_2532Warnakulasuriya24
Watt RG, Daly B, Kay EJ. Prevention. Part 1: smoking cessation advice within the general dental practice. Br. dent. j. 2003;194:665-8. http://doi.org/10.1038/sj.bdj.4810266
Chandwani BP, Perry B, Scrivani S, Kulich RK. Smoking cessation in the
dental setting: a practical approach. Gen. dent. 2010;58:318-23.
Hanioka T, Ojima M, Tanaka H, Naito M, Hamajima N, Matsuse R.
Intensive smoking-cessation intervention in the dental setting. J. dent.
res. 2010;89:66-70. https://doi.org/10.1177/0022034509350867
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.
