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Study on Short Term Smoking Cessation Treatment in Dental Hospitals in Korea  

Song, Je-Il (Department of Oral Medicine, School of Dentistry and Medical Laser Research Center, Dankook University)
Lee, Gi-Ho (Department of Oral Medicine, School of Dentistry and Medical Laser Research Center, Dankook University)
Kim, Mee-Eun (Department of Oral Medicine, School of Dentistry and Medical Laser Research Center, Dankook University)
Kim, Ki-Suk (kimks@dankook.ac.kr)
Publication Information
Journal of Oral Medicine and Pain / v.35, no.4, 2010 , pp. 245-258 More about this Journal
Abstract
Smoking has been identified not as a major risk factor for circulatory and respiratory diseases but also as causes of various oral diseases. A number of clinical studies and regional health surveys have found an association between smoking and poor oral health status and between smoking and prognosis of dental treatments. However, there is few studies about status of smoking cessation treatment and policies in dentistry in Korea. The purpose of this study was to investigate the smoking patterns of outpatients and outcomes of short-term smoking cessation treatment in dental hospitals in Korea and, subsequently, to seek further smoking cessation services in dentistry. This study was sponsored by Korean Dental Association (KDA) and department of culture and welfare. 825 dental patients were voluntarily participated in a 4-week smoking cessation program with nicotine patch and 297 participants of them completed on smoking-related questionnaires. All participants were recruited from outpatients of 11 dental university hospitals (primarily in the department of oral medicine, oral surgery and periodontology) in Korea during 3-month period from October 2009 to January 2010. The Questionnaires included demographics, duration of smoking, heavy smoking index (HSI), number of thinking of quit smoking, duration of stop smoking and reasons to smoking, awareness of smoking effects on oral health, and their success rate after 4 weeks of nicotine patch program was investigated. The statistical analysis was carried by SPSS version 18.0 program and Chi-square test. According to the results of this study, male in their 30s to 50s were the most prevalent of all the participants and duration of smoking increased with age. Attempt rate to quit smoking (Quit smoking) was the highest in 30s and 40s with duration of quit smoking ranging 1 to 3 months. Emotional stresswas the most frequently reported reason for smoking, followed by habit and pleasure in order. All age group showed high HIS over 71% and awareness of smoking effects on oral diseases such as oral soft tissue diseases, periodontal diseases and dental caries was found relatively high (50~60%) Periodontal implant was the main reason for participation in the smoking cessation services in dental clinics and the success rate of, 4-week nicotine patch program of all the participants was 29.4%, extremely low compared to that of medical clinics. Systemic education for dentists to be able to provide interventions to quit smoking including counseling with the 5As'and development of available measures for smokers is needed as considered that the low success rate of the smoking cessation services in dentistry could be explained mainly by lack of dentists' strategies, experience and attention. Awareness and attention of dentists should be emphasized and their participation be encouraged by long-term, multidisciplinary policies such as establishment of insurance fee, which would made a considerable progress in preventing smoking-related oral diseases and promoting public oral health.
Keywords
Dentistry; Smoking; Smoking cessation program;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Khalaf FA, Mohamed AM, Jassem MA et al. Dental patient awareness of smoking effects on oral health: Comparison of smokers and non-smokers. Journal of Dentistry 2006;34(3):173-178.   DOI   ScienceOn
2 Powe BD, Finnie R. Knowledge of oral cancer risk factors among African Americans: do nurses have a role? Oncology Nursing Forum 2004;31(4):785-791.   DOI   ScienceOn
3 Klein I, Nagler RM, Toffler R et al. Effect of cigarette smoke on oral peroxidase activity in human saliva: Role of hydrogen cyanide. Free Radical Biology & Medicine 2003;35(11):1448-1452.   DOI   ScienceOn
4 Heng CK, Badner VM, Clemens D et al. The relationship of cigarette smoking to postoperative complication from dental extraction among female inmates. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104(6):757-762.   DOI   ScienceOn
5 Chung KC, Kowalski CP, Kim HM et al. Maternal cigarette smoking during pregnancy and the risk of having a child with cleft lip and palate. Plast reconstr surge 2000: 105(2):485-491.   DOI   ScienceOn
6 Baig MR, Rajan M. Effects of smoking on the outcome of implant treatment: A literature review. Indian J Dent Res 2007;18(4):190-195.   DOI   ScienceOn
7 Watt R et al. Helping smokers to stop: A guide for the dental team. London, 1999, Health Education Authority.
8 Gross AJ, Lackland DT, Tu DS. Oral cancer and smokeless tobacco: Literature review and metaanalysis. Environment International 1995;21(4): 381-394.   DOI   ScienceOn
9 김동기, 김진선, 성진효. 일부 지역사회에서 구강건강관리인력의 금연지도활동에 관한 조사 연구. 대한구강보건학회지 2003;27(4):511-525.
10 김혜양, 이선경, 박용덕. 공중보건치과의사의 근무현황과 업무수행에 관한 조사연구. 대한구강보건학회지 2008;32(1):86-95.
11 Telivuo M, Kallio P, Berg MA, Korhonen HJ, Murtomaa H. Smoking and oral health: population survey in Finland. Journal of Public Health Dentistry 1995;55(3):133-138.   DOI   ScienceOn
12 Kim CH, Seo HG. The factors associated with success of smoking cessation at smoking-cessation clinic. J Korean Acad Fam Med 2001;22(11):1603-1611.
13 Kim JS, Lim SH, Lee DU et al. Smoking types and smoking cessation rate. J Korean Acad Farm Med 2004;25:388-391.
14 American Academy of Family Physicians. http:// familydoctor.org/handouts
15 조경숙, 송태민. 보건소 금연클리닉의 금연성공률과 비용효과 분석. 보건복지포럼-정책분석 2006;65-77.
16 Banoczy J, Gintner Z, Dombi C. Tobacco use and oral leukoplakia. J Dent Educ 2001;65(4):322-327.
17 Thomson WM, Broadbent JM, Welch D et al. Cigarette smoking and periodontal disease among 32-year-olds: a prospective study of a representative birth cohort. J Clin Periodontol 2007;34(10):828-834.   DOI   ScienceOn
18 박주희, 김영남, 유자혜 등. 한국 성인에서 흡연과 치주낭 형성의 관련성. 대한구강보건학회지 2005;29(3):293-3y01.
19 Kan YK, Rungcharassaeng K, Lozada JL et al. Effects of smoking on implant success in grafted maxillary sinuses. J Prosthet Dent 1999;82(3):307-311.   DOI   ScienceOn
20 Sadetzki S, Oberman B, Mandelzweig L et al. Smoking and risk of parotid gland tumors. A nationwide case-control study. Cancer 2008;112(9): 1974-1982.   DOI   ScienceOn
21 Strietzel FP, Reichart PA, Kale A et al. Smoking interferes with the prognosis of dental implant treatment: a systematic review and meta-analysis. J Clin Periodontol 2007;34(6):523-544.   DOI   ScienceOn
22 Heartherton TF, Kozlowski LT, Fecker RC et al. The Fagerstrom test for nicotine dependence: a revision of the Fagerstrom tolerance questionnare. Br J Addict 1991;86(9):1119-1127.   DOI
23 이성기, 권혁중, 임대준 등. 니코틴 의존도 평가검사로서 Heavy smoking index (HIS)의 유용성. 가정의학회지 2008;29:405-411.
24 Burns JC, Williams Jr LN. A survey to determine the knowledge of military members about the hazards of tobacco use, and a resulting tobacco-hazard education project. Journal of Cancer Education 1995; 10(1):37-40.
25 Humphris GM, Field EA. An oral cancer information leaflet for smokers in primary care: result from two randomized controlled trials. Community Dentistry and Oral Epidemiology 2004;32(2):143-149.   DOI   ScienceOn
26 Lawoyin JO, Aderinokun GA, Kolude B, Adekoya SM, Ogundipe BF. Oral cancer awareness and prevalence of risk behaviors among dental patients in Southwestern Nigeria. African Journal of Medical Sciences 2003;32(2):203-207.
27 Lowry RJ, Craven MA. Smokers and drinkers awareness of oral cancer: a qualitative study using focus groups. British Dental Journal 1999;187:668-670.
28 Akerberg O: Editorial. FDI World, 1996;5:5-6.
29 박용덕, 김지현, 이선경. :치과의사의 흡연 실태 및 인식 조사. 대한구강보건학회지 2007;33(2):288-97.
30 Haas R, Haimbock W, Mailath G et al. The relationship of smoking on peri-implant tissue: A retrospective study. J Prosthet Dent 1996;76(6): 592-596.   DOI   ScienceOn
31 Hinode D, Tanabe SI, Yokoyama M et al. Influence of smoking on osseointegrated implant failure: a meta-analysis. Clin Oral Impl Res 2006;17(4):473-478.   DOI   ScienceOn
32 Johnson GK, Hill M. Cigarette smoking and the periodontal patient. J Periodontol 2004;75(2):196-209.   DOI   ScienceOn
33 Kinane DF, Chestnutt IG. Smoking and periodontal disease. Crit Rev Oral Biol Med 2000;11:356-365.   DOI   ScienceOn
34 Millar WJ, Locker D. Smoking and oral health status. JCDA 2007;73(2):155-155g.
35 Larrazabal C, Garcia B, Penarrocha M. et al. Influence of oral hygine and smoking on pain and swelling after surgical extraction of impacted mandibular third molars. J Oral Maxillofac Surg 2010;68(1):43-46.   DOI   ScienceOn
36 Takashi H, Miki O, Keiko T et al. Relationship between smoking status and tooth loss: Findings from national database in Japan. Journal of Epidemiology 2007;17(4):125-132.   DOI   ScienceOn
37 Calsina G, Ramon JM, Echeverria JJ. Effects of smoking on periodontal tissues. J Clin Periodontol 2002;29:771-776.   DOI   ScienceOn
38 서홍관, 조홍준, 김철환 등. 금연진료지침 문헌 고찰 및 근거 요약. 가정의학회지 2005;26(11) Supple:394-406.
39 Vellappally S, Fiala Z, Smejkalova J et al. Smoking related systemic and oral disease. Acta Medica 2007;50(3):161-166.
40 Halbrook JH. Nicotine addiction. In: Harrison's principles of internal medicine. 14th ed., Mc Graw-Hill, 1998;2516-2519.