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JADA Continuing Education

The role of the general practitioner in smoking-cessation activities and diabetes management

Background. Advances in understanding the relationship between oral disease and systemic conditions need to be translated into clinical practice. Relevant here is assessing dentists’ active involvement in in-office smoking-cessation activities and management of the patient with type 1 or type 2 diabetes.

Methods. The authors mailed a survey to a net sample of 132 active general practitioners (GPs) in the northeastern United States during fall 2002. They drew a random sample of GPs listed in the designated states from the 2001 American Dental Association directory. They received 105 responses, for a response rate of 80 percent.

Results. With regard to smoking-cessation activities and management of diabetic patients, a majority of GPs reported having a lack of knowledge, viewed such activities as peripheral to their role and disagreed that colleagues and/or patients expected them to perform such activities. More GPs performed both activities on an assessing/advising basis than on an active management basis.

Conclusion. Results suggest that approaches to changing dentists’ behavior should aim not only at increasing knowledge but at overcoming attitudes and orientations associated with actively managing patients who smoke and patients who have diabetes.

Practice Implications. The profession’s growing evidence base supports an increased primary and preventive care role for dentists. This role affords them opportunities to expand the bounds of dental practice, improve therapeutic outcomes and promote patients’ overall health.

Key Words: Smoking-cessation activities; managing patients with diabetes

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