Published: 2022-01-28

Role of dental practitioner in smoking cessation interventional programs

Rajeh Mohammed Al-sharif, Mohamed Ibrahim Homadi, Huda Abdullah Alsakran, Mohammed Ahmed Alqarni, Amr Hamdi Almaliki, Elaf Ahmed Alkuwaiti, Dina Abdulwahab Bawahab, Rashid Abdullah Alshehri, Azza Anas Abudawood, Abdulaziz Talal Albishri, Alyyan Mohammed Alqahtani


Oral cancer, periodontitis, reduced response to periodontal therapy, implant failure, tooth loss, dental caries, delayed wound healing, chronic candidiasis, staining, halitosis and premalignant tissue alteration are all caused or linked to smoking and smokeless tobacco use. Importantly, smoking cessation therapies (both brief and extensive) have been proved to be a very cost-effective method of prolonging life and lowering disease. Health care providers, notably dentists and dental hygienists, are responsible for providing smoking cessation care to individuals with oral difficulties. The purpose of this research was to review the available information about the effectiveness of dental practitioners in smoking cessation interventional programs. According to the existing literature, dental practitioners can play an essential role in the control and spread of tobacco-related oral disorders by including smoking cessation interventional programs. The negative health impacts of tobacco use as well as the benefits of quitting tobacco use and tobacco cessation counselling, should all be part of the dentist office's arsenal. Dental professionals are in a unique position to assist tobacco users seeking dental care by assisting them in quitting smoking.


Dental practitioner, Smoking cessation, Oral cancer, Tobacco use, Interventional programs

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WHO report on the Global Tobacco Epidemic, 2021. Available at: bitstream/handle/10665/343287/9789240032095-eng.pdf. Accessed on 3 July 2021.

Centres for Disease Control and Prevention. Oral Health Surveillance Report: Trends in Dental Caries and Sealants, Tooth Retention, and Edentulism, United States, 1999-2004 to 2011-2016. Atlanta, GA: Centres for Disease Control and Prevention, US Dept. of Health and Human Services; 2019. Available at: publications/OHSR-2019-index.html. Accessed on 3 July 2021.

Chaturvedi P, Singh A, Chien C, Warnakulasuriya S. Tobacco related oral cancer. Brit Med J. 2019;365:2142.

Brothwell DJ, Armstrong KA. Smoking cessation services provided by dental professionals in a rural Ontario health unit. J Canadian Dent Assoc. 2004;70(2):94-8.

National Institute for Clinical Excellence (NICE). Measuring effectiveness and cost-effectiveness: the QALY. April 2010. Available at: https://www.nice. Accessed on 3 July 2021.

Fiorini T, Musskopf ML, Oppermann RV, Susin C. Is there a positive effect of smoking cessation on periodontal health? A systematic review. J Periodontol. 2014;85(1):83-91.

Tomar SL. Dentistry’s role in tobacco control. J Am Dent Assoc. 2001;132:30-5.

National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. 1989.

Position paper: tobacco use and the periodontal patient. Research, science and therapy committee of the American academy of periodontology. Periodontol. 1999;70(9):1419-27.

American Dental Association. 1997 survey of current issues in dentistry: tobacco use cessation efforts among dentists. Chicago: ADA Survey Center; 1998.

Tomar SL, Husten CG, Manley MW. Do dentists and physicians advise tobacco users to quit. JADA. 1996;127(2):259-65.

Fiore M, Bailey WC, Cohen SJ. Treating tobacco use and dependence: clinical practice guideline. Rockville Md: U. S. Department of Health and Human Services, Public Health Service; 2000.

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(1):52-64.

American Dental Association. Summary of policy and recommendations regarding tobacco 1964-present. 2009.

Gordon JS, Andrews JA, Albert DA, Crews KM, Payne TJ, Severson HH. Tobacco cessation via public dental clinics: results of a randomized trial. Am J Public Health. 2010;100(7):1307-12.

Bhat N, Jyothirmai-Reddy J, Gohil M, Khatri M, Ladha M, Sharma M. Attitudes, practices and perceived barriers in smoking cessation among dentists of Udaipur city, Rajasthan, India. Addict Health. 2014;6(1-2):73-80.

Nohlert E, Öhrvik J, Tegelberg A, Tillgren P, Helgason AR. Long-term follow-up of a high- and a low-intensity smoking cessation intervention in a dental setting: a randomized trial. BMC Public Health. 2013;13:592.

Carr AB, Ebbert J. Interventions for tobacco cessation in the dental setting. Cochrane Database Syst Rev. 2012;2012(6):005084.

Vivian IG, Ainamo BA, Ainamo A, Carr AB, Fundak A, Koerber A, et al. Improving the effectiveness of tobacco use cessation (TUC). Int Dent J. 2010;60(1):50-9.

Malhotra R, Kapoor A, Grover V, Kaushal S. Nicotine and periodontal tissues. J Indian Soc Periodontol. 2010;14(1):72-9.

Darby ML, Walsh MM. Tobacco cessation. Dental hygiene theory and practice. 2nd ed. Philadelphia: W. B. Saunders; 2003.

Bolin A, Lavstedt S, Frithiof L, Henrikson CO. Proximal alveolar bone loss in a longitudinal radiographic investigation: IV: smoking and some other factors influencing the progress in individuals with at least 20 remaining teeth. Acta Odontol Scand. 1986;44(5):263-9.

Saito A, Nishina M, Murai K, Mizuno A, Ueshima F, Makiishi T, et al. Health professional's perceptions of and potential barriers to smoking cessation care: a survey study at a dental school hospital in Japan. BMC Res Notes. 2010;3:329.

Gonseth S, Abarca M, Madrid C, Cornuz J. A pilot study combining individual-based smoking cessation counselling, pharmacotherapy, and dental hygiene intervention. BMC Pub Health. 2010;10:348.

Ohida T, Sakurai H, Mochizuki Y, Kamal AM, Takemura S, Minowa M, et al. Smoking prevalence and attitudes toward smoking among Japanese physicians. JAMA. 2001;285(20):2643-8.

Naito T, Miyaki K, Naito M, Yoneda M, Suzuki N, Hirofuji T, et al. Parental smoking and smoking status of Japanese dental hygiene students: a pilot survey at a dental hygiene school in Japan. Int J Environ Res Public Health. 2009;6(1):321-8.

Binnie VI, McHugh S, Jenkins W, Borland W, Macpherson LM. A randomised controlled trial of a smoking cessation intervention delivered by dental hygienists: a feasibility study. BMC Oral Health. 2007;7:5-10.

Martin LM, Bouquot JE, Wingo PA, Heath CW. Cancer prevention in the dental practice: oral cancer screening and tobacco cessation advice. J Public Health Dent. 1996;56(6):336-40.

Lancaster T, Stead L, Silagy C, Sowden A. Effectiveness of interventions to help people stop smoking: findings from the Cochrane Library. BMJ. 2000;321(7257):355-8.

Keat RM, Fricain J, Catros S, et al. The dentist's role in smoking cessation management: a literature review and recommendations: part 1. Dent Update. 2018;45(3).

Omaña-Cepeda C, Jané-Salas E, Estrugo-Devesa A, Chimenos-Küstner E. Effectiveness of dentist’s intervention in smoking cessation: a review. J Clin Experiment Dentist. 2016;8(1):78-83.