Public health aspects of tobacco control revisited (original) (raw)
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International dental journal, 2010
Tobacco use has been identified as a major risk factor for oral disorders such as cancer and periodontal disease. Tobacco use cessation (TUC) is associated with the potential for reversal of precancer, enhanced outcomes following periodontal treatment, and better periodontal status compared to patients who continue to smoke. Consequently, helping tobacco users to quit has become a part of both the responsibility of oral health professionals and the general practice of dentistry. TUC should consist of behavioural support, and if accompanied by pharmacotherapy, is more likely to be successful. It is widely accepted that appropriate compensation of TUC counselling would give oral health professionals greater incentives to provide these measures. Therefore, TUC-related compensation should be made accessible to all dental professionals and be in appropriate relation to other therapeutic interventions. International and national associations for oral health professionals are urged to act ...
Chapter - 7 Tobacco and Oral Health
Book: Advances in Dental Sciences, 2022
Tobacco's negative effects on oral health, in whole or in part, are wellknown, and there is strong evidence that tobacco usage has a significant impact on oral health. As evidenced in the previous studies about the direct effect of tobacco on dental health, by the relationship between oral mucosal changes and tobacco smoking. While other changes show the changes in appearance of the teeth and tissues, such as gingival recession, smoker’s melanosis, hairy black tongue and tooth discolouration. Numerous pharmacological and non-pharmacological strategies have been reported to treat tobacco dependence. But what appears to be lacking here is the lack of awareness among tobacco users about the harmful effects of tobacco and if known then knowledge gap about the various cessation strategies as well as their acceptance. It is the professional responsibility of the physician to inform his patients of the dangers and ill effects of tobacco smoking as well as inform the patients adequately and encourage them either to reduce or stop tobacco consumption completely. Dentists may also take an active role in nicotine replacement counselling. Tobacco cessation should be incorporated as an essential teaching element of the dental undergraduate curriculum, especially when it comes to the diagnosis and prevention of tobacco-induced complications. Close collaboration of both dentists and physicians as a team with tobacco cessation programmes is advocated to reduce tobacco use and quitting.
Tobacco cessation activities of UK dentists in primary care: Signs of improvement
British Dental Journal, 2006
Objective To investigate attitudes and opinions of the members of the British Dental Association towards implementing tobacco cessation strategies in dental practices. Design and method Questions about tobacco and tobacco cessation were asked on the September 2002 BDA Omnibus survey. The survey was sent out to a random sample of 1,500 BDA members, excluding retired members, overseas members and students. After two reminder circulations, 870 completed questionnaires were received, giving a response rate of 58%. Results The survey results revealed good awareness amongst respondents of the health risks of tobacco. One fifth of respondents said that patients had asked them for advice on tobacco cessation. The majority (64%) of respondents stated that they gave advice on tobacco cessation 'fairly regularly' or 'always' (whether asked or not) and 37% of respondents recommended over-the-counter nicotine replacement therapy. Overall, 68% of respondents agreed that offering patients advice about tobacco cessation was the duty of every dentist. The most common barriers to a successful tobacco cessation campaign were perceived to be the amount of time required, lack of reimbursement, lack of training, lack of patient education materials and lack of knowledge of available referral resources. Nearly all respondents (92%) said that their practice was a completely smoke-free environment, and 66% of respondents had never used tobacco. The majority of respondents displayed patient education materials in their practice waiting/reception areas less than 60% of the time, and nearly a quarter (23%) never had them available. The survey revealed that most respondents did not feel particularly well prepared to assist patients in quitting tobacco, but 70% of respondents said they would be willing to cooperate with a campaign to inform all tobacco using patients about the advantages of tobacco cessation. Respondents felt that leaflets for patients, staff training and posters in the practice would contribute to the success of the campaign. Conclusion Members of the dental team are very willing to implement tobacco cessation strategies in the dental practice. Most dentists feel that promotion of tobacco cessation is an important part of the duty of a dentist, but they feel inadequately prepared to deliver such advice. The major barriers to delivering successful tobacco cessation campaigns are the amount of time required, lack of reimbursement, lack of training, lack of patient education materials and lack of knowledge of available referral resources. The majority of dentists have received no training in tobacco cessation strategies. They feel that staff training and free availability of more patient education materials (leaflets, posters, etc) would help promote the success of such a campaign.
Role and Prevention of Tobacco for Oral Health Care. Where Are We Now
2015
Tobacco use in India continues to promote various diseases and kill several individual but still no significant steps are been taken to get rid of this threat. Not only cancer but tobacco plays as the key factor for various diseases. While the impact of tobacco use on health is alarming, being free from tobacco use and its various form can let us away from several effects. Quitting tobacco and getting away from chronic oro‐facial pain, oral and pharyngeal (throat) cancer, oral tissue lesions, birth defects such as cleft lip and palate, and other diseases are going our major goal in near future.
Prevalence of tobacco use among dental patients and their knowledge of its health effects.
Abstract OBJECTIVES: The objective of this study was to determine the prevalence of tobacco use in dental patients, to compare the knowledge of the effects of tobacco in tobacco users and nonuser, to determine their source of information, and to obtain their opinion on strategies that may be used to reduce or stop tobacco consumption. MATERIALS AND METHODS: A descriptive cross-sectional survey of 400 patients attending the University of Benin Teaching Hospital dental clinic for treatment was carried out using a self-administered questionnaire. RESULTS: The result revealed that the prevalence of tobacco use is 4.25% and that tobacco was consumed in the form of cigarette in 94% of cases. Only a small percentage of the respondents (0.3%) had a poor knowledge of both the tobacco effect on general and oral health. Although 26.5% claimed to have multiple source of information on the effect of tobacco on health but the media was the highest single source (23.5%). Banning of sales of tobacco products was suggested by 30.5% of the respondents, 19.8% suggested that doctor should educate patients on the health effect of tobacco, and 17.8% feel that to discourage tobacco use, multiple strategies should be used. CONCLUSION: There is a need for health workers to lay more emphasis on the rare complications of tobacco use. The use of multiple regulatory strategies should be employed to reduce the overall adverse health impact of tobacco and the media can play a great role.
Curriculum survey on tobacco education in European dental schools
BDJ, 2012
have stagnated. 1-4 In addition, the WHO estimated that tobacco-use costs economies hundreds of billions of dollars in lost wages and increased healthcare costs. In the UK alone, smoking-attributable hospital admissions cost the NHS an estimated one billion pounds in 2006. 5 WHO's 2008-2013 action plan for the global strategy for the prevention and control of non-communicable diseases 6 gives a high priority to promote interventions to reduce the main shared risk factors for non-communicable diseases, including tobacco use. Significant savings in healthcare and avoiding preventable deaths requires further policies and education to reduce smoking prevalence. The impact of tobacco use on general and oral health has been well studied over the past few years. Thus it has been well established that tobacco use has a detrimental effect on both oral mucosa and periodontal tissues, while quitting tobacco has been demonstrated to be beneficial for