Oral (oral cavity and oropharyngeal) cancers are some of the most preventable types of cancer, and over 90% of all oral cancer cases could be avoided.
We know that dentists and their teams play a vital role in ensuring oral cancers are detected early, and can help to save people's lives.
And yet, oral cancers continue to rise across the four UK countries:
Public Health England's Stoptober campaigns aims to support people to quit smoking, and dentists can take part by encouraging their patients to do so.
Free resources are available from the campaign's website, including posters that can be ordered online.
Quitting smoking: Starting the conversation
The NICE guideline on stop smoking interventions and services was updated in March 2018.
Some of the new recommendations for healthcare workers include:
- At every opportunity ask people if they smoke, and advise them to stop smoking in a way that best suits their preferences
- Refer people who want to stop smoking to the local Stop Smoking Services
- Offer advice on using nicotine-containing products on general sale, including NRT and nicotine-containing e-cigarettes.
- Explain that a combination of varenicline and behavioural support or a combination of short-acting and long-acting NRT are likely to be most effective.
NICE also recommends that all healthcare professions should be trained to offer Very Brief Advice (VBA) – there's a free short training module available from the National Centre for Smoking Cessation and Training. Public Health England's Smokefree and Smiling guidance provides advice tailored specifically to dentists.
What about e-cigarettes: are they recommended?
The RCGP and NICE now also recommend that e-cigarettes should be discussed as an option for smoking cessation when appropriate.
Stop Smoking Services are the most effective way for smokers to quit, but as access to these services varies and they may not be suitable for everyone, they are suggesting that e-cigarettes might be an appropriate option to try.
As e-cigarettes are a new technology, there is not yet enough evidence to prove their long-term safety, and the BDA's Health and Science Committee has a watching brief on this. We will keep you updated with any new evidence (make sure you are signed up to our regular enewsletters; update your preferences at MyBDA).
More tools for dentists and their teams on smoking cessation
Cancer Research UK also has a free enewsletter, Cancer Insight, which you can sign up to, with best practice advice on important cancer-related topics, as well as evidence, training materials, tools and patient resources.
Don't forget to use our free oral cancer toolkit for dentists and their teams, developed in conjunction with CRUK. It will help you to identify, diagnose and refer, in accordance with the current NICE guidance.
Arianne Matlin, Head of Health and Science Policy
Campaigning for better oral health
We campaign on a range of issues to get better working lives for dentists and we work to improve the oral health of the nation.
Find out more about our work on sugar and children's oral health, teeth whitening, antibiotic prescribing, and oral cancer.