June 2007

Volume 24, Issue 2

Interventions for tobacco cessation in the dental setting. A systematic review

Authors: A.B. Carr J.O. Ebbert


This paper is based on a Cochrane Review published in The Cochrane Library 2007. Issue 1. Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and The Cochrane Library should be consulted for the most recent version of the review. Oral health professionals have a unique opportunity to increase tobacco abstinence rates among patients who use tobacco. Objective: To assess the effectiveness of interventions for tobacco cessation offered to cigarette smokers and smokeless tobacco users in the dental office or community setting. Research Design: We searched standard electronic retrieval systems and databases including the specialized registers of the Cochrane Tobacco Addiction Group and the Cochrane Oral Health Group through 2006. Selection criteria included randomised and pseudo-randomised clinical trials assessing tobacco cessation interventions for tobacco users conducted by oral health professionals in the dental office or community setting. The most rigorous abstinence outcome reported with at least six months of follow-up was recorded. Data collection and analysis involved two authors who independently reviewed abstracts for inclusion and abstracted data from included trials. Results: Six clinical trials assessing the efficacy of interventions in dental office or school community settings were included. All studies assessed the efficacy of interventions for smokeless tobacco users, one also included cigarettes smokers, all employed oral exam and behavioral components, and one offered pharmacotherapy. The results showed that interventions conducted by oral health professionals increase tobacco abstinence rates (OR 1.44; 95% CI: 1.16-1.78) at 12 months or longer. Heterogeneity was evident and could not be adequately explained through subgroup or sensitivity analyses. Conclusions: Available evidence suggests that behavioral interventions for tobacco use conducted by oral health professionals incorporating an oral exam component in the dental office and community setting increase tobacco abstinence rates. Key words: behavioural intervention, dental intervention, tobacco cessation


Other articles in this issue

Article Pages Access
Editorial - Where next in oral cancer prevention and control? 66-69 Download
Interventions for tobacco cessation in the dental setting. A systematic review 70-74 Download
The cost-effectiveness of adding fluorides to milk-products distributed by the National Food Supplement Programme (PNAC) in rural areas of Chile 75-81 Download
Dietary patterns, toothbrushing habits and caries experience of schoolchildren in West Yorkshire, England. 82-87 Download
Prevalence and severity of dental caries in 5- and 12-year old children in the Veneto Region (Italy) 88-92 Download
General dental practitioner’s views on dental general anaesthesia services. 93-96 Download
Reliability methodology in caries epidemiological studies conducted in the Nordic countries between 1990 and 2001 97-104 Download
The reproducibility of the Denplan Oral Health Score (OHS®) in general dental practitioners 105-110 Download
The oral health status of postpartum mothers in South-East Hungary 111-116 Download
Challenges associated with the evaluation of a dental health promotion programme in a deprived urban area 117-121 Download
Dental caries and associated factors among young male adults between 1999 and 2003 in Southern Brazil 122-127 Download


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