Orthodontists' Knowledge, Attitudes and Perceptions Regarding Smoking Cessation: A Pilot Study

Authors

  • Asma Alhusna Abang Abdullah Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universiti Sains Islam Malaysia https://orcid.org/0000-0002-0340-2211
  • Noor Sam Ahmad Department of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia

DOI:

https://doi.org/10.22452/adum.vol31.9

Keywords:

dental practice, orthodontic, tobacco cessation, smoking cessation

Abstract

Smoking remains a significant addiction problem among young adults. Among dental specialists, orthodontists frequently interact with adolescents and young adults during regular monthly visits, are positioned to address this problem. This study aimed to assess the knowledge, attitudes, and perceptions of orthodontists regarding their role in addressing experimental smoking among patients. A cross-sectional survey was conducted using a validated self-administered online questionnaire. Forty-three orthodontists participated, the majority of whom were Malay (72%) and within the prime-working-age groups. Most demonstrated good knowledge of smoking-related issues and expressed confidence in detecting smoking habits and referring patients for further support (95%). However, key barriers to delivering counselling were identified, including time constraints (84%), limited access to educational materials (77%) and perceived lack of training (74%). Despite these challenges, the majority consistently communicated smoking risks (98%), referred patients (86%) and inquired about smoking status (79%). However, only 47% actively engaged in direct counselling. These findings highlight the need to address barriers, enhance training, and implement strategies to encourage active involvement in smoking cessation counselling among orthodontists. Such effort could expand comprehensive patient care and contribute to public health initiatives.

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References

Institute for Public Health (IPH). National Health and Morbidity Survey (NHMS) 2017: Adolescent Health and Nutrition Survey [internet]. Malaysia; 2017. Available from: https://iku.moh.gov.my/images/IKU/Document/REPORT/NHMS2017/NHMS2017Infographic.pdf format.

Lim KH, Sumarni MG, Kee CC, Christopher VM, Noruiza Hana M, Lim KK, et al. Prevalence and factors associated with smoking among form four students in Petaling District, Selangor, Malaysia. Trop Biomed. 2010;27(3):394-403.

Kalan ME, Bahelah R, Bursac Z, Taleb ZB, DiFranza JR, Tleis M, et al. Predictors of nicotine dependence among adolescent waterpipe and cigarette smokers: A 6-year longitudinal analysis. Drug and Alcohol Dependence. 2020;217:108346.

World Health Organization. WHO global report on trends in prevalence of tobacco use 2000-2025. [internet] World Health Organization; 2019. Available from: https://iris.who.int/bitstream/handle/10665/330221/9789240000032-eng.pdf?sequence=1 format.

Ministry of Health Malaysia. Clinical Practice Guidelines on Treatment of Tobacco Use Disorder. [internet]. Tobacco Control Unit & FCTC Secretariat Non-Communicable Disease Section Disease Control Division, Ministry of Health Malaysia. 2016. Available from: https://www.moh.gov.my/moh/resources/Penerbitan/CPG/Respiratory/CPG_TobacoDisorder.pdf format.

Kumar SKS, Zain RB. Aetiology and Risk factors for Oral Cancer – A Brief Overview. Annal of Dentistry University Malaya 2004; 11: 41–50.

Lai S, Lai H, Page JB, McCoy CB. The association between cigarette smoking and drug abuse in the United States. Journal of Addictive Diseases. 2000;19(4):11-24.

Carr AB, Ebbert J. Interventions for tobacco cessation in the dental setting. Cochrane Database of Systematic Reviews, 2012;(6).

Ahmad MN, Zulkiffli S, Kallarakkal TG. Prevalence of oral potentially malignant disorders and awareness on oral cancer among dental patients. Annals of Dentistry University of Malaya. 2016;23(1):38-47.

Sadri G, Mahjub H. Tobacco smoking and oral cancer: a meta-analysis. Journal of Research in Health Sciences. 2023;7(1):18-23.

Jiang Y, Zhou X, Cheng L, Li M. The impact of smoking on subgingival microflora: from periodontal health to disease. Frontiers in Microbiology. 2020;11:66.

Sadikin AS, Mansor H, Saub R, Vaithlingam RD. Awareness and Knowledge of Smoking and Periodontitis Among Dental Patients. Annals of Dentistry University of Malaya. 2015;22(2): 15-22.

Apatzidou DA. The role of cigarette smoking in periodontal disease and treatment outcomes of dental implant therapy. Periodontology 2000. 2022;90(1):45-61.

Rismanchian M, Givehchian P, Salmani S, Shaker F. Comparison of Hard and Soft Tissues Around Dental Implants in Smokers and Non-smokers. Dental Hypotheses. 2020;11(3):86-90.

Zhao X, Zanetti F, Wang L, Pan J, Majeed S, Malmstrom H, et al. Effects of different discoloration challenges and whitening treatments on dental hard tissues and composite resin restorations. Journal of dentistry. 2019;89:103182.

Kauss AR, Antunes M, Zanetti F, Hankins M, Hoeng J, Heremans A, et al. Influence of tobacco smoking on the development of halitosis. Toxicology Reports. 2022;9:316-322.

Berube L, Duffy VB, Hayes JE, Hoffman HJ, Rawal S. Associations between chronic cigarette smoking and taste function: results from the 2013–2014 national health and nutrition examination survey. Physiology & Behaviour. 2021;240:113554.

Alblowi JA, Mohamed H. Perception of tobacco counselling and cessation among dental practitioners. Journal of Smoking Cessation. 2021;2021:6692525.

Aljubran H, Alkoudemi M, Althunayan M, Aljeraisy A, Asiri A, Nazir M. Tobacco use and cessation counselling among dental professionals in Saudi Arabia. International Journal of Environmental Research and Public Health. 2022;19(23):16306.

Priya H, Deb Barma M, Purohit BM, Agarwal D, Bhadauria US, Tewari N, et al. Global Status of Knowledge, Attitude and Practice on Tobacco Cessation Interventions Among Dental Professionals: A Systematic Review. Tobacco Use Insights. 2022;15:1179173X221137218.

Vaithilingam RD, Noor NMM, Mustafa R, Taiyeb ATB. Practices and beliefs among Malaysian dentists and periodontists towards smoking cessation intervention. Sains Malaysiana. 2012;41(7):931-937.

Jyothish S, Athanasiou AE, Makrygiannakis MA, Kaklamanos EG. Effect of nicotine exposure on the rate of orthodontic tooth movement: A meta-analysis based on animal studies. PLOS One. 2021;17;16(2):e0247011.

Matoba H, Nishiura A, Honda Y, Fujiwara SI, Matsumoto N. Smoking cessation rescues tooth movement delays caused by tobacco smoke components. Orthodontic Waves. 2021;80(1):17-22.

Michelogiannakis D, Rossouw PE, Al-Shammery D, Akram Z, Khan J, Romanos GE, et al. Influence of nicotine on orthodontic tooth movement: A systematic review of experimental studies in rats. Archives of Oral Biology. 2018;1;93:66-73.

Clareboets S, Sivarajasingam V, Chestnutt IG. Smoking cessation advice: knowledge, attitude and practice among clinical dental students. British Dental Journal. 2010;208(4):173-177.

Ibrahim H, Norkhafizah S. Attitudes and practices in smoking cessation counselling among dentists in Kelantan. Archives of Orofacial Sciences. 2008;3(1):11-16.

Saddichha S, Rekha DP, Patil BK, Murthy P, Benegal V, Isaac MK. Knowledge, attitude and practices of Indian dental surgeons towards tobacco control: Advances towards prevention. Asian Pacific Journal of Cancer Prevention. 2010;11(4):939-942.

Alzahrani MM, Alghamdi AA, Alghamdi SA, Alotaibi RK. Knowledge and attitude of dentists towards obstructive sleep apnoea. International Dental Journal. 2022;72(3):315-321.

Mishu MP, Elsey H, Choudhury AR, Dastagir S, Khan S, Tahsin T, et al. Co-producing an intervention for tobacco cessation and improvement of oral health among diabetic patients in Bangladesh. BMC Oral Health. 2021;21(1):1-2.

Sansone L, Milani F, Fabrizi R, Belli M, Cristina M, Zagà V, et al. Nicotine: from discovery to biological effects. International Journal of Molecular Sciences. 2023;24(19):14570.

Malevolti MC, Maci C, Lugo A, Possenti I, Gallus S, Gorini G, et al. Second-hand smoke exposure and cervical cancer: A systematic review and meta-analysis. Journal of Cancer Research and Clinical Oncology. 2023;149(15):14353-63.

Wimardhani YS, Warnakulasuriya S, Wardhany II, Syahzaman S, Agustina Y, Maharani DA. Knowledge and practice regarding oral cancer: A study among dentists in Jakarta, Indonesia. International Dental Journal. 2021;71(4):309-315.

Lee SH, Cha JY, Choi SH, Kim BI, Cha JK, Hwang CJ. Effect of nicotine on orthodontic tooth movement and bone remodelling in rats. Korean Journal of Orthodontics. 2021;25;51(4):282-92.

Nayani AA, Iqbal R, Azam SI, Khan FR, Khan AH, Janjua N, et al. Association between environmental tobacco smoke and dental caries amongst 5-14 years old children in Karachi, Pakistan. Journal of Pakistan Medical Association. 2018;68(2):203.

Andayasari L, Mubasyiroh R, Nurlinawati I, Sufiawati I. Association between tobacco smoking and dental caries in the Indonesian population: results of a national study in 2018. Journal of Preventive Medicine and Public Health. 2023;56(4):357.

Petersson GH, Twetman S. Tobacco use and caries increment in young adults: a prospective observational study. BMC research notes. 2019;12:1-5.

Hugoson A, Hellqvist L, Rolandsson M, Birkhed D. Dental caries in relation to smoking and the use of Swedish snus: epidemiological studies covering 20 years (1983–2003). Acta Odontologica Scandinavica. 2012;70(4):289-296.

Vellappally S, Fiala Z, Šmejkalová J, Jacob V, Shriharsha P, Fiala Z, et al. Influence of tobacco use in dental caries development. Central European Journal of Public Health. 2007;15(3):116-121.

Madhu PP, Kumar PN, Prashant GM, Sushanth VH, Imranulla M, Nair AR. Knowledge, attitude and practice regarding tobacco cessation methods among the dental professionals: A cross-sectional study. J Oral Health Comm Dent. 2019;13:21-26.

Chaffee BW, Urata J, Couch ET, Silverstein S. Dental professionals’ engagement in tobacco, electronic cigarette, and cannabis patient counselling. JDR Clinical & Translational Research. 2020;5(2):133-45.

Yahya NA, Saub R, Md Nor M, Yusoff N. Dental patient knowledge about the effects of smoking and attitudes about the role of dentists in smoking cessation. Southeast Asian Journal of Tropical Medicine and Public Health. 2017;48(2):473-84.

Abdulateef DS, Ali A J, Abdulateef, DS, Mohesh MG. Smoking knowledge, attitude and practices among health care professionals from Sulaymaniyah City/Iraq. Tobacco Use Insights. 2016;9:1-6.

Chan HL, Chan AK, Chu CH, Tsang YC. Smoking cessation in dental setting: a narrative review on dental professionals’ attitude, preparedness, practices and barriers. Frontiers in Oral Health. 2023;4:1266467.

Holliday R, McColl E, Bauld L, Preshaw PM, Sniehotta FF, McDonald S. Perceived influences on smoking behaviour and perceptions of dentist‐delivered smoking cessation advice: A qualitative interview study. Community dentistry and oral epidemiology. 2020;48(5):433-9.

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Published

2024-12-27

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Section

Original/Research Article