Efficacy of Smoking Cessation Programme : Integrating into Periodontal Treatment - ประสิทธิผลของโปรแกรมการเลิกสูบบุหรี่ร่วมกับปริทันต์บำบัด

Abstract

        Smoking is recognized as the most important cause of death and disease, and one of the most risk factors for periodontal disease. Dentists, role in helping patients stop smoking integrating into  dental practice is justified but it had not been investigated in Thailand. The aim of this study was to determine the effectiveness of a brief smoking cessation programme integrated into periodontal treatment visits.

        With their written consents, thirty-five tests and thirty-seven controls were recruited from the smokers with chronic periodontitis at the Department of Oral Medicine, Faculty of Dentistry, Mahidol University. All patients received routine periodontal treatment. Test patients, in addition, received a smoking cessation programme in combination with periodontal treatment. Smoking cessation outcome was assessed using self-reported smoking : cigarettes per day, degree of nicotine dependence, verified by the expired-air carbon monoxide level with a cut-off point of 9 ppm indicating smoking. This programme was effective in getting 37 percent and 40 percent of the test patients to quit at three and six-months follow-up, respectively compared to the 2.7 percent and 5.4 percent of the control group. Among the quitters in the test group, 28.6 percent were verified as sustained abstinence at both three and six-months.

       The results indicate that a brief smoking cessation programme integrated into periodontal treatment can have a marked effect in reducing and stop tobacco consumption.

Key words: smoking, smoking cessation programme, periodontal treatment