Document Detail


Smoking cessation strategies: what works, what doesn't.
MedLine Citation:
PMID:  2404034     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Health professionals can effectively help patients quit smoking with a minimal, intervention-oriented, office-based treatment program. Clear-cut, unequivocal, unambiguous, stop-smoking advice can produce sustained, 1-year abstinence rates in the 5% range. This capability has been clearly documented for physicians. Dental literature increasingly supports the same conclusion for dentists. These studies show that although the yield from such brief advice may seem small, it is 17 times greater than the yield which results from saying nothing. Moreover, because dentists and physicians see so many patients during the course of 1 year, the potential impact of such intervention is staggering. More than 3.5 million patients could be cured of tobacco dependence annually. While specialized smoking cessation treatment programs can achieve 1 year sustained abstinence rates as high as 70%, they reach relatively few patients and can only achieve such high success rates because of the intensive, time-consuming nature of their interventions. The impact of basic dental advice can be increased during regular follow-up visits, when "teachable moments" in dental health often occur. Impact of advice on the 1-year sustained abstinence rates can be increased by arranging to see the patient at regular follow-up visits after the target quit date has been set, making certain that the medication, nicotine polacrilex, is used correctly.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
D P Sachs
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Journal of the American Dental Association (1939)     Volume:  Suppl     ISSN:  0002-8177     ISO Abbreviation:  J Am Dent Assoc     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-02-21     Completed Date:  1990-02-21     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7503060     Medline TA:  J Am Dent Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  13S-19S     Citation Subset:  D; IM    
Affiliation:
Smoking Cessation Research Institute, Palo Alto, CA.
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MeSH Terms
Descriptor/Qualifier:
Chewing Gum
Humans
Ion Exchange Resins / therapeutic use
Nicotine / analogs & derivatives,  therapeutic use
Polymethacrylic Acids / therapeutic use
Polyvinyls / therapeutic use
Smoking / therapy*
Grant Support
ID/Acronym/Agency:
1-RO1-DA04986/DA/NIDA NIH HHS
Chemical
Reg. No./Substance:
0/Chewing Gum; 0/Ion Exchange Resins; 0/Polymethacrylic Acids; 0/Polyvinyls; 54-11-5/Nicotine; 96055-45-7/nicotine polacrilex

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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