Effects of tobacco product use on oral health and the role of oral healthcare providers in cessation: A narrative review
Open accessAbstract
Tobacco use has detrimental effects on health, including oral health. The emergence and increasing popularity of newer tobacco and nicotine products make tobacco use one of the major public health problems in the world. Tobacco use increases the risk of oral diseases such as oral cancer, oral mucosal lesions, periodontal disease, and dental caries, among many other oral diseases and conditions. The dental office is an excellent venue for providing cessation intervention. However, there is a lack of knowledge and training in tobacco use prevention among dental professionals. More efforts are needed for smoking cessation interventions in the dental office. Smoking cessation interventions provided by oral healthcare providers include brief educational, behavioral, and pharmacological interventions. This review provides an overview of the ill effects of tobacco use on oral health and the role of oral healthcare providers in managing and preventing tobacco dependence.
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The near ubiquity of nicotine screening is likely due to campaigns, awareness of quitline resources, and educational efforts.
“The near ubiquity of nicotine screening is likely a result of campaigns, awareness of quitline resources where patients can easily be referred, and educational efforts amongst dental professionals that highlight the direct relevance to oral health and promote easy to implement screening programs, such as the 5-As (Gajendra et al., 2023; Marshall et al., 2024).”
From Dental screening, counseling, and referral to treatment for substance use disorder: Survey of the National Dental Practice-Based Research Network (2026) · cites this paper as Gajendra et al., 2023
The ‘Role of oral healthcare providers in cessation’ section reports that 73% of dentists and 80% of hygienists ask about and document tobacco use. ‘Brief educational interventions’ describes the 5As model and referral to quitlines, while ‘Behavioral interventions’ says convenient quitline referrals make providers more likely to offer cessation interventions. The review does not attribute the prevalence of screening to campaigns, quitline awareness, or educational efforts. (LLM, conf=0.84)
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Cited by
Sorted by citations
McCauley, J. L., Crawford, P., Leo, M. C., McBurnie, M. A., Barton, D., Weidner, H. A., Rindal, D. B., & the National Dental PBRN Collaborative Group (2026) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.24-00383 · Cited by 1 · see citing works
- Authors
- Gajendra, S., McIntosh, S., & Ghosh, S.
- Affiliations
- University of Rochester Medicine (US)
- University of Rochester (US)
- University of the Pacific (US)
- Corresponding author
- Gajendra, Sangeeta
- Venue
- Tobacco Induced Diseases
- Publisher
- European Publishing
- Published
- 2023-01-25
- Volume
- 21
- Issue
- January
- Pages
- 1-16
- ISSN
- 1617-9625 (ISSN-L)
- PMC
- PMC9875717
- OpenAlex
- W4317939596
- Cited by
- 89
- References
- 7
- Citations by year
- 2026: 26 · 2025: 34 · 2024: 24 · 2023: 5
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Tobacco Induced Diseases (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Dentistry › Periodontics › Oral Health Pathology and Treatment
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- tobacco use, oral health, smoking cessation, oral cancer, periodontal disease, dental caries, oral lesions, nicotine products, tobacco dependence, brief behavioral intervention, dental professional training
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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