Swiss Cancer League National Stop Smoking Program „Smoking is harmful… Let it be“ C.A....
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Transcript of Swiss Cancer League National Stop Smoking Program „Smoking is harmful… Let it be“ C.A....
Swiss Cancer League
National Stop Smoking Program„Smoking is harmful… Let it be“
C.A. Ramseier / N. Mattheos / I. Needleman / R. Watt / S. Wickholm
University of MichiganSchool of Dentistry,Ann Arbor, USA
Consensus Report of the 1st European Workshop on Tobacco Use Prevention and
Cessation for Oral Health Professionals
• First evidence for ANUG
Cigarette smoking of more than 10 cigarettes per day may increase the risk for the development of the Vincent disease (ANUG) 4 to 7 times.
(Pindborg 1947)
Detrimental effects of tobacco use on oral health
The dentist‘s role in helping patients to stop smoking
Christen AG, JADA, 1970
Arden G. Christen, DDS, MSD, Zaragoza AFB, Spain
„Many patients want to quit smoking but simply do not know how. The dentist can help them if he has studied the scientific evidence of the health consequences of smoking and is himself a nonsmoker.“
The dentist‘s role in helping patients to stop smoking
Christen AG, JADA, 1970
Arden G. Christen, DDS, MSD, Zaragoza AFB, Spain
• Involvement of the dentist
• Formulating an active program
• Community responsibility
• Resource material for the dentist
First National Dental Symposium on Smoking Cessation: Helping Dental Patients to Quit Smoking
McCann Tobacco Use and Oral Health
Barbara Gebert et al. Dentists as smoking cessation counselors
Roger H. Secker-Walker et al. A statewide survey of dentists‘ smoking cessation advice
Stuart J. Cohen et al. Helping smokers quit: a randomized controlled trial with private practice dentists
Michael J Geboy Dentists‘ involvement in smoking cessation counseling: a review and analysis
April 1989, Chicago, USA
Special Section: IADR Symposium on Tobacco Use, Prevention, and Cessation
John C. Greene Tobacco Use, Prevention, and Cessation: Introduction to the Special Section
David M. Burns Reducing Tobacco Use: What Works in the Population?
Michael Kotylar Managing Nicotine Addiction
Shirley C. Gelskey Impact of a Dental/Dental Hygiene Tobacco-Use Cessation Curriculum on Practice
Saman Warnakulasuriya Effectiveness of Tobacco Counseling
Stuart A. Gansky et al. Oral Screening and Brief Spit Tobacco Cessation Counseling: A Review and Findings
Alice M. Horowitz Where from Here?
March 2002, San Diego, USA
European Workshop on Oral Care and General Health
April, 2003, Munchenwiler, Switzerland
Opportunities for the Dental Hygienists in Health Education in the New Century - a meeting for educators
Renvert S Systemic Diseases and Destructive Periodontal Diseases
Persson GR Periodontal Risk Management (PRM)
Moinyhan P Nutritional Impact on Oral Health Promotion
Sicillia A Oral Hygiene Revisited
Ramseier CA Smoking Prevention and Cessation
1st European Workshop on Tobacco use Prevention and Cessation for Oral Health Professionals
October 2005, Munchenwiler, Switzerland
Participants
October 2005, Munchenwiler, Switzerland
Rolf Attström (Switzerland, Sweden)
Habib Benzian (France, corresponding participant)
Viv Binnie (Schottland)
Michael Bornstein (Switzerland)
Elias Casals Peidró (Spain)
Arden Christen (USA)
Thomas Dietrich (USA, Germany)
Jacquelyn Fried (USA)
Angela Fundak (Switzerland)
Christine Gafner (Switzerland)
Marjolijn Hovius (The Netherlands)
Martin Janda (Sweden)
Ron Knevel (The Netherlands)
Kerstin Knutsson (Sweden)
Eva Lädrach (Switzerland)
Sabine Ledderhose (Switzerland)
Nikos Mattheos (Switzerland, Greece)
Bernard McCartan (Ireland)
Andy McEwen (United Kingdom)
Joan McGowan (USA)
Robert Mecklenburg (USA)
Luigi Minenna (Italy)
Ian Needleman (United Kingdom)
Tim Newton (United Kingdom)
Kerstin Öhrn (Sweden)
Susan Padrutt (Switzerland)
Lena Persson (Sweden)
Argy Polychronopoulou (Greece)
Nicki Radley (United Kingdom)
Christoph Ramseier (USA, Switzerland)
Ulrich Peter Saxer (Switzerland)
Meta Schoonheim-Klein (The Netherlands)
Gay Sutherland (United Kingdom)
Jeanie Suvan (United Kingdom)
Clemens Walter (Switzerland)
Saman Warnakulasuriya (United Kingdom)
Richard Watt (United Kingdom)
Seppo Wickholm (Sweden)
• Public Health Aspects Watt R. et al.
• Evaluation of Tobacco use Needleman I. et al. Cessation Counseling in the Dental Office
• Undergraduate Education Ramseier C.A. et al.
• Continuing Education Wickholm S. et al.
• Evaluation of Education Mattheos N. et al.
Working group position papers
Consensus report: First European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals.
Care pathway
Ramseier CA, Mattheos N, Needleman I, Watt R, Wickholm S.
Oral Health Prev Dent. 2006;4(1):7-18.
Publication
Public Health Aspects of Tobacco Control in Dental Practices
• FDI - WHO Framework Convention on Tobacco Control (FCTC)
• Oral health professionals have a unique role to play in Tobacco control
• Policies, organisational, and educational initiatives need to be implemented
• Compensation systems, cessation procedure code need to be used
Ramseier CA et al., Oral Health Prev Dent. 2006;4(1):7-18.
Evaluation of Tobacco Use Cessation (TUC) in the Dental Office
• Available evidence for behavioural change support combined with pharmacotherapy
• Feasibility of such interventions in dental settings needs to be established
• TUC should be embedded in standard care in dental practice
• Team approach in the dental setting is essential for effective TUC
• Funding for further research:- Outcomes of TUC in dental settings- Implementation and feasibility of different TUC models- Barriers to TUC in dental settings- Effect of TUC on oral health outcomes
Ramseier CA et al., Oral Health Prev Dent. 2006;4(1):7-18.
Education of Tobacco Use Prevention and CessationUndergraduate education
• Implementation of TUC in undergraduate dental and dental hygiene curriculum needs to be promoted
• Curriculum content should be interdisciplinary, including:- Biological effects of tobacco use- Tobacco culture and psychosocial aspects of tobacco use- Prevention and treatment of tobacco use and dependence- Clinical skills training for TUC
• Supportive environment for TUC should be created with:- Tobacco-free policies- Encouraging staff, faculty, and students to enter individual tobacco
cessation programs
Ramseier CA et al., Oral Health Prev Dent. 2006;4(1):7-18.
Education of Tobacco Use Prevention and CessationContinuing education (CE)
• The majority of dental personnel currently practicing without education of TUC
• CE courses that specifically address practitioners and the entire dental team must be designed and offered regularly
• CE courses should be multi-disciplinary
• Strategies to implement tobacco use prevention and cessation into practice:
- Tobacco interventions is an ethical and professional responsibility- Best interests of the dental practice
Ramseier CA et al., Oral Health Prev Dent. 2006;4(1):7-18.
Education of Tobacco Use Prevention and CessationEvaluation of undergraduate and continuing education
• Competent TUC skills should be evaluated at undergraduate, graduate, and continuing education level
• Assessment of knowledge base:- Multidisciplinary- Comprehensive
• Assessment of clinical skills:- Throughout the entire curriculum
- In CE courses:- Assessment of pre-course knowledge and skills- Evaluation of the entire CE course by the participants- Assessment of the clinical practice implementation process
Ramseier CA et al., Oral Health Prev Dent. 2006;4(1):7-18.
Acknowledgements
Swiss Cancer League
National Stop Smoking Program„Smoking is harmful… Let it be“
Oral B Laboratories
Pfizer Inc.
Quintessence Publishing group
Christoph A. Ramseier
Thank you very much!
Swiss Cancer League
National Stop Smoking Program„Smoking is harmful… Let it be“
University of MichiganSchool of Dentistry,Ann Arbor, USA