WTS database | WHO FCTC

Title	Pub Year	Author	SearchLink Sort descending
Total prohibition of smoking but not partial restriction effectively reduced exposure to tobacco smoke among restaurant workers in Finland	2013	Finnish Institute of Occupational Health (FIOH), Helsinki, Finland, reijula@student.uef.fi.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of occupational medicine and environmental health Periodical, Abbrev. Int.J.Occup.Med.Environ.Health Pub Date Free Form Oct Volume 26 Issue 5 Start Page 682 Other Pages 692 Notes LR: 20151119; JID: 9437093; 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); 2013/05/03 [received]; 2013/09/05 [accepted]; 2014/01/25 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1896-494X; 1232-1087 Accession Number PMID: 24326912 Language eng SubFile Journal Article; IM DOI 10.2478/s13382-013-0145-8 [doi] Output Language Unknown(0) PMID 24326912 Abstract OBJECTIVES: To assess work-related exposure to tobacco smoke in Finnish restaurants, a series of nationwide questionnaire surveys were conducted among restaurant workers and the levels of indoor air nicotine concentrations were measured in restaurants. The survey aimed to evaluate the impact of the smoke-free legislation in general and in particular after the total smoking ban launched in 2007. MATERIALS AND METHODS: In 2003-2010, four national questionnaire surveys were conducted among restaurant workers and the concentration of nicotine in indoor air was measured in different types of restaurants, bars and nightclubs. RESULTS: Between 2003 and 2010, the proportion of restaurant workers reporting occupational exposure to tobacco smoke dropped from 59% to 11%. Among pub workers, the decrease was from 97% to 18% and in workers of dining restaurants from 49% to 10%, respectively. The median concentration of nicotine in indoor air of all restaurants decreased from 11.7 mug/m(3) to 0.1 mug/m(3). The most significant decrease was detected in pubs where the decrease was from 16.1 mug/m(3) to 0.1 mug/m(3). Among all restaurant workers, in 2003-2010 the prevalence of daily smokers was reduced from 39% to 31% in men and from 35% to 25% in women. CONCLUSION: Total prohibition of smoking but not partial restriction in restaurants was effective in reducing work-related exposure to tobacco smoke. Strict tobacco legislation may partly be associated with the significant decrease of daily smoking prevalence among restaurant workers. Descriptors Links Book Title Database Publisher Data Source Authors Reijula,J., Johnsson,T., Kaleva,S., Tuomi,T., Reijula,K. Original/Translated Title URL Date of Electronic 20140125 PMCID Editors
Social norms and attitudes linked to waterpipe use in the Eastern Mediterranean Region	2013	Department of Health Promotion and Community Health, Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon.; Department of Health Promotion and Comm	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Social science & medicine (1982) Periodical, Abbrev. Soc.Sci.Med. Pub Date Free Form Dec Volume 98 Issue Start Page 125 Other Pages 134 Notes CI: Copyright (c) 2013; JID: 8303205; OTO: NOTNLM; 2013/03/05 [received]; 2013/07/10 [revised]; 2013/09/06 [accepted]; 2013/09/18 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1873-5347; 0277-9536 Accession Number PMID: 24331890 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1016/j.socscimed.2013.09.007 [doi] Output Language Unknown(0) PMID 24331890 Abstract Waterpipe tobacco smoking (WTS) is on the rise globally, particularly among vulnerable populations such as youth and women. Increasing knowledge about toxicant yield from waterpipe tobacco and deleterious health effects points to the potential for a health epidemic. WTS is often viewed as a safe alternative to cigarette smoking. Though the original objective of the research was to explore the social norms and attitudes that lead to waterpipe being a more acceptable form of tobacco smoking for women than cigarettes in the Eastern Mediterranean Region, the use of a qualitative research methodology resulted in rich data that helped to understand more generally the phenomenon of waterpipe smoking. Both focus group discussions (FGDs) and key informant interviews were used. Participants were recruited to represent genders, various age groups, socioeconomic status, waterpipe smoking status, and residents of urban and rural areas. A total of 81 FGDs and 38 in-depth interviews were conducted in 2007. Thematic analysis was used to analyze the transcripts. A total of ten themes emerged: socio-cultural norms, gender differences, motivation to smoke, sensory characteristics of waterpipe, metaphors, consumerism, indicators of dependence, comparison between cigarettes and waterpipe, health effect of smoking, and intervention. Results indicated that WTS has socio-cultural dynamics associated with it that are far more pronounced than health considerations. An increased socio-cultural acceptability, the perceived reduced harm and the advent of the fruity Moassel tobacco are among the many reasons for WTS acceptability. Findings point to the need for a unified strategy to address this health issue at all levels of the ecological framework and have important implications for future policy and practice. Descriptors Links Book Title Database Publisher . Published by Elsevier Ltd Data Source Authors Afifi,R., Khalil,J., Fouad,F., Hammal,F., Jarallah,Y., Abu Farhat,H., Ayad,M., Nakkash,R. Original/Translated Title URL Date of Electronic 20130918 PMCID Editors
The Sexunzipped trial: young people's views of participating in an online randomized controlled trial	2013	e-Health Unit, Research Department of Primary Care and Population Health, University College London, London, United Kingdom.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of medical Internet research Periodical, Abbrev. J.Med.Internet Res. Pub Date Free Form 12-Dec Volume 15 Issue 12 Start Page e276 Other Pages Notes LR: 20151119; ISRCTN/ISRCTN55651027; GR: G0701749/Medical Research Council/United Kingdom; JID: 100959882; OID: NLM: PMC3868966; OTO: NOTNLM; 2013/04/03 [received]; 2013/09/06 [accepted]; 2013/08/14 [revised]; epublish Place of Publication Canada ISSN/ISBN 1438-8871; 1438-8871 Accession Number PMID: 24334198 Language eng SubFile Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM DOI 10.2196/jmir.2647 [doi] Output Language Unknown(0) PMID 24334198 Abstract BACKGROUND: Incidence of sexually transmitted infections (STIs) among young people in the United Kingdom is increasing. The Internet can be a suitable medium for delivery of sexual health information and sexual health promotion, given its high usage among young people, its potential for creating a sense of anonymity, and ease of access. Online randomized controlled trials (RCTs) are increasingly being used to evaluate online interventions, but while there are many advantages to online methodologies, they can be associated with a number of problems, including poor engagement with online interventions, poor trial retention, and concerns about the validity of data collected through self-report online. We conducted an online feasibility trial that tested the effects of the Sexunzipped website for sexual health compared to an information-only website. This study reports on a qualitative evaluation of the trial procedures, describing participants' experiences and views of the Sexunzipped online trial including methods of recruitment, incentives, methods of contact, and sexual health outcome measurement. OBJECTIVE: Our goal was to determine participants' views of the acceptability and validity of the online trial methodology used in the pilot RCT of the Sexunzipped intervention. METHODS: We used three qualitative data sources to assess the acceptability and validity of the online pilot RCT methodology: (1) individual interviews with 22 participants from the pilot RCT, (2) 133 emails received by the trial coordinator from trial participants, and (3) 217 free-text comments from the baseline and follow-up questionnaires. Interviews were audio-recorded and transcribed verbatim. An iterative, thematic analysis of all three data sources was conducted to identify common themes related to the acceptability and feasibility of the online trial methodology. RESULTS: Interview participants found the trial design, including online recruitment via Facebook, online registration, email communication with the researchers, and online completion of sexual health questionnaires to be highly acceptable and preferable to traditional methods. Incentives might assist in recruiting those who would not otherwise participate. Participants generally enjoyed taking part in sexual health research online and found the questionnaire itself thought-provoking. Completing the sexual health questionnaires online encouraged honesty in responding that might not be achieved with other methods. The majority of interview participants also thought that receiving and returning a urine sample for chlamydia testing via post was acceptable. CONCLUSIONS: These findings provide strong support for the use of online research methods for sexual health research, emphasizing the importance of careful planning and execution of all trial procedures including recruitment, respondent validation, trial related communication, and methods to maximize follow-up. Our findings suggest that sexual health outcome measurement might encourage reflection on current behavior, sometimes leading to behavior change. TRIAL REGISTRATION: International Standard Randomized Controlled Trial Number (ISRCTN): 55651027; http://www.controlled-trials.com/isrctn/pf/55651027 (Archived by WebCite at http://www.webcitation.org/6LbkxdPKf). Descriptors Links Book Title Database Publisher Data Source Authors Nicholas,A., Bailey,J.V., Stevenson,F., Murray,E. Original/Translated Title URL Date of Electronic 20131212 PMCID PMC3868966 Editors
Monochloramine and chlorine dioxide for controlling Legionella pneumophila contamination: biocide levels and disinfection by-product formation in hospital water networks	2013	Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Via Campi 287, I-41125 Modena, Italy E-mail: isabella.marchesi@unimore.it.; Department of Diagnostic, Clinical and Public Health Medicine, University of	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of water and health Periodical, Abbrev. J.Water.Health. Pub Date Free Form Dec Volume 11 Issue 4 Start Page 738 Other Pages 747 Notes JID: 101185420; 0 (Chloramines); 0 (Chlorine Compounds); 0 (Disinfectants); 0 (Oxides); 10599-90-3 (chloramine); 8061YMS4RM (chlorine dioxide); ppublish Place of Publication England ISSN/ISBN 1477-8920; 1477-8920 Accession Number PMID: 24334848 Language eng SubFile Journal Article; IM DOI 10.2166/wh.2013.079 [doi] Output Language Unknown(0) PMID 24334848 Abstract Legionella colonization in hospital hot water distribution networks was evaluated following 36 months of continuous treatment with monochloramine and compared with chlorine dioxide. Nitrite, nitrate, chlorite, chlorate, bromide, trihalomethanes and haloacetic acids as well as the biocide concentration at sampled points were measured. Only 8/84 samples treated with monochloramine were found contaminated and after the first 8 months of treatment no Legionella was isolated. Chlorine dioxide was associated with a strong reduction in Legionella contamination compared to pre-treatment, but differences according to the device were observed. Monochloramine between 2 and 3 mg l(-1) and chlorine dioxide between 0.50 and 0.70 mg l(-1) were needed to control Legionella colonization. Comparing no- and post-flush samples, a higher frequency of no-flush positive samples was noted using chlorine dioxide, suggesting an increased risk for patients when they open the tap. No increase in chlorite levels and no water nitrification occurred by using monochloramine. Chlorite at levels exceeding the limit requested for drinking water was measured when chlorine dioxide was applied. In conclusion, we highlight that continuous injection of monochloramine should be considered as an effective alternative to chlorine dioxide in controlling legionellae contamination inside hospital water distribution systems. Descriptors Links Book Title Database Publisher Data Source Authors Marchesi,I., Ferranti,G., Bargellini,A., Marchegiano,P., Predieri,G., Stout,J.E., Borella,P. Original/Translated Title URL Date of Electronic PMCID Editors
No sisyphean task: how the FDA can regulate electronic cigarettes	2013	Seton Hall University School of Law, USA. jordan.paradise@shu.edu	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Yale journal of health policy, law, and ethics Periodical, Abbrev. Yale J.Health.Policy.Law.Ethics Pub Date Free Form Summer Volume 13 Issue 2 Start Page 326 Other Pages 374 Notes JID: 101134827; ppublish Place of Publication United States ISSN/ISBN 1535-3532; 1535-3532 Accession Number PMID: 24340824 Language eng SubFile Journal Article; IM DOI Output Language Unknown(0) PMID 24340824 Abstract The adverse effects of smoking have fostered a natural market for smoking cessation and smoking reduction products. Smokers attempting to quit or reduce consumption have tried everything: "low" or "light" cigarettes; nicotine-infused chewing gum, lozenges, and lollipops; dermal patches; and even hypnosis. The latest craze in the quest to find a safer source of nicotine is the electronic cigarette. Electronic cigarettes (e-cigarettes) have swept the market, reaching a rapidly expanding international consumer base. Boasting nicotine delivery and the tactile feel of a traditional cigarette without the dozens of other chemical constituents that contribute to carcinogenicity, e-cigarettes are often portrayed as less risky, as a smoking reduction or even a complete smoking cessation product, and perhaps most troubling for its appeal to youth, as a flavorful, trendy, and convenient accessory. The sensationalism associated with e-cigarettes has spurred outcry from health and medical professional groups, as well as the Food and Drug Administration (FDA), because of the unknown effects on public health. Inhabiting a realm of products deemed "tobacco products" under recent 2009 legislation, e-cigarettes pose new challenges to FDA regulation because of their novel method of nicotine delivery, various mechanical and electrical parts, and nearly nonexistent safety data. Consumer use, marketing and promotional claims, and technological characteristics of e-cigarettes have also raised decades old questions of when the FDA can assert authority over products as drugs or medical devices. Recent case law restricting FDA enforcement efforts against e-cigarettes further confounds the distinction among drugs and medical devices, emerging e-cigarette products, and traditional tobacco products such as cigarettes, cigars, and smokeless tobacco. This Article investigates the e-cigarette phenomenon in the wake of the recently enacted Family Smoking Prevention and Tobacco Control Act of 2009 (TCA). It examines the tumultuous history of attempts at tobacco regulation by reflecting on the history of Congressional activity to regulate tobacco sales and promotion. Furthermore, this Article suggests a feasible approach to strengthening regulation of e-cigarettes under the existing statutory framework. This approach includes increased scrutiny of manufacturer and distributor claims that trigger drug and medical device provisions, utilization of new tobacco product and modified risk tobacco product provisions, and promulgation of new FDA regulations and guidance specifically directed at e-cigarettes. Descriptors Links Book Title Database Publisher Data Source Authors Paradise,J. Original/Translated Title URL Date of Electronic PMCID Editors
Exploring the relationship between cigarette prices and smoking among adults: a cross-country study of low- and middle-income nations	2014	Centers for Disease Control and Prevention, Atlanta, GA;	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco Periodical, Abbrev. Nicotine Tob.Res. Pub Date Free Form Jan Volume 16 Suppl 1 Issue Start Page S10 Other Pages 5 Notes JID: 9815751; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 24343955 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1093/ntr/ntt170 [doi] Output Language Unknown(0) PMID 24343955 Abstract INTRODUCTION: Evidence on the relationship between cigarette prices and adult smoking in low- and middle-income countries (LMICs) is relatively limited. This study offers new descriptive evidence on this relationship using data from a set of 13 LMICs. METHODS: We use Global Adult Tobacco Survey (GATS) cross-country data from approximately 200,000 participants aged 15 and older. Estimates on the relationship between prices and adult smoking were obtained from logit models of smoking participation and ordinary least squares models of conditional cigarette demand. RESULTS: Higher prices were associated with lower demand across countries, in terms of both smoking prevalence and daily number of cigarettes smoked among smokers. Our estimates suggest that the total price elasticity of cigarette demand in LMICs is approximately -0.53. We find that higher socioeconomic status (SES), represented through wealth and education effects is associated with lower chance of smoking overall, but among existing smokers, it may be associated with a larger number of cigarettes smoked. CONCLUSIONS: After controlling for a set of individual demographic and country characteristics, cigarette prices retain a significant role in shaping cigarette demand across LMICs. Because higher SES is associated with a reduced chance of smoking overall but also with increased daily consumption among current smokers, optimal tobacco tax policies in LMICs may face an added need to accommodate to shifting SES structures within the populations of these countries. Descriptors Links Book Title Database Publisher Data Source Authors Kostova,D., Tesche,J., Perucic,A.M., Yurekli,A., Asma,S., GATS Collaborative Group Original/Translated Title URL Date of Electronic PMCID Editors
A multiyear assessment of hookah use prevalence among Florida high school students	2014	Department of Behavioral Science and Community Health, College of Public Health and Health Professions, University of Florida, Gainesville, FL;	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco Periodical, Abbrev. Nicotine Tob.Res. Pub Date Free Form Mar Volume 16 Issue 3 Start Page 373 Other Pages 377 Notes JID: 9815751; 2013/12/17 [aheadofprint]; ppublish Place of Publication England ISSN/ISBN 1469-994X; 1462-2203 Accession Number PMID: 24346322 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI 10.1093/ntr/ntt188 [doi] Output Language Unknown(0) PMID 24346322 Abstract INTRODUCTION: The purpose of this study was to assess the prevalence of hookah use among Florida high school students over time. Alternative tobacco products, including hookah, pose a public health threat to tobacco prevention efforts, especially among adolescents. METHODS: Florida Youth Tobacco Survey data, representing all public high school students in the state, were analyzed to assess the prevalence of lifetime and current hookah use and were compared by demographic groups. Multiple years of data (2007-2012) were examined to assess changes over time. RESULTS: During the past 6 years, there was an increase in lifetime hookah use among Florida high school students. While males remained at a higher rate overall, female adolescents increased at a faster rate. Hispanic and non-Hispanic White respondents reported increased trends as well. Current use trends did not change over 4 years, remaining at about 8%. CONCLUSIONS: Hookah is a new tobacco product in the United States that appears attractive to youth, with dramatic increases among the state population. While cigarette use among youth is declining in Florida, the increasing uptake of alternative tobacco products may lessen the overall public health gains for tobacco use. There is a need for continued monitoring of hookah use among the adolescent population, for both prevention and cessation efforts as well as policy interventions to address this emerging trend. Descriptors Links Book Title Database Publisher Data Source Authors Barnett,T.E., Forrest,J.R., Porter,L., Curbow,B.A. Original/Translated Title URL Date of Electronic 20131217 PMCID Editors
The Effect of Exposure to Pro-Tobacco Advertising on Experimentation With Emerging Tobacco Products Among U.S. Adolescents	2014	Harvard School of Public Health, Boston, MA, USA iagaku@post.harvard.edu.; Harvard School of Public Health, Boston, MA, USA University of Pretoria, Pretoria, South Africa.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Health education & behavior : the official publication of the Society for Public Health Education Periodical, Abbrev. Health Educ.Behav. Pub Date Free Form Jun Volume 41 Issue 3 Start Page 275 Other Pages 280 Notes CI: (c) 2013; JID: 9704962; OTO: NOTNLM; 2013/12/16 [aheadofprint]; ppublish Place of Publication United States ISSN/ISBN 1552-6127; 1090-1981 Accession Number PMID: 24347143 Language eng SubFile Journal Article; IM DOI 10.1177/1090198113511817 [doi] Output Language Unknown(0) PMID 24347143 Abstract INTRODUCTION: This study assessed the influence of exposure to pro-tobacco advertisements on experimentation with emerging tobacco products among U.S. adolescents aged >/=9 years, in Grades 6 to 12. METHOD: Data were obtained from the 2011 National Youth Tobacco Survey. Multivariate logistic regression was used to measure the association between experimentation with snus and e-cigarettes and exposure to pro-tobacco advertisements from three sources: over the Internet, in newspapers/magazines, and at retail stores. RESULTS: After controlling for sociodemographic characteristics and current use of other tobacco products, the odds of experimenting with snus were 1.36 (95% confidence interval [CI] = 0.88-3.16), 2.03 (95% CI = 1.30-3.17), and 3.24 (95% CI = 2.07-5.07), among students exposed to one, two, or all three types of pro-tobacco advertisements, respectively, compared with those exposed to none. Similar results were obtained for e-cigarettes. CONCLUSION: Stronger restrictions on tobacco advertisements, in concert with increased tobacco taxes and warning about the dangers of tobacco, use may help reduce youth tobacco use. Descriptors Links Book Title Database Publisher Society for Public Health Education Data Source Authors Agaku,I.T., Ayo-Yusuf,O.A. Original/Translated Title URL Date of Electronic 20131216 PMCID Editors
Waterpipe smoking among middle and high school Jordanian students: patterns and predictors	2013	Department of Community and Mental Health, Faculty of Nursing, Hashemite University, Zarqa, P.O. Box 150459, 13115, Jordan. sukaina-alzyoud@hu.edu.jo.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of environmental research and public health Periodical, Abbrev. Int.J.Environ.Res.Public.Health. Pub Date Free Form 12-Dec Volume 10 Issue 12 Start Page 7068 Other Pages 7082 Notes LR: 20151119; JID: 101238455; OID: NLM: PMC3881154; 2013/10/21 [received]; 2013/11/27 [revised]; 2013/11/28 [accepted]; epublish Place of Publication Switzerland ISSN/ISBN 1660-4601; 1660-4601 Accession Number PMID: 24351734 Language eng SubFile Journal Article; IM DOI 10.3390/ijerph10127068 [doi] Output Language Unknown(0) PMID 24351734 Abstract Despite the increase in attention to waterpipe tobacco smoking, the patterns and predictors of this method of tobacco use among Jordanian youth are not well known. The current study was conducted to assess the patterns and the predictors of waterpipe tobacco smoking among school aged students in one of Jordan's Central Governorates. A cross-sectional survey was conducted to investigate the patterns and predictors of waterpipe tobacco smoking among youth (grades 6, 8, 10 and 12). Using a multistage random sampling more than 1,000 students was selected. Data were collected using the Arabic Youth Tobacco Use Composite Measure (YTUCM). Waterpipe smoking was assessed for "past 12 months", "past month" and "past week". Students' ages ranged from 11 to 18 years, (mean age +/- 14.7; SD +/- 1.9 years). The percentage of girls who smoked waterpipe was greater for all frequencies of use than it was for boys. Age, gender, and belief that smoking makes more friends were predictors of smoking among study participants. This is the first known study to examine waterpipe smoking among youth aged 11 and 12. Our findings illustrate the need for public health campaigns to reach and educate youth, their families, teachers and school systems regarding the growing recognized health risks of waterpipe smoking. Descriptors Links Book Title Database Publisher Data Source Authors Alzyoud,S., Weglicki,L.S., Kheirallah,K.A., Haddad,L., Alhawamdeh,K.A. Original/Translated Title URL Date of Electronic 20131212 PMCID PMC3881154 Editors
Routine prophylaxes every 3 months improves chronic periodontitis status in type 2 diabetes	2014	Currently, Department of Research and Postgraduate Studies, Faculty of Dentistry, University Andres Bello, Santiago, Chile; previously, Department of Conservative Dentistry, Faculty of Dentistry, University of Chile, Santiago, Chile.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of periodontology Periodical, Abbrev. J.Periodontol. Pub Date Free Form Jul Volume 85 Issue 7 Start Page e232 Other Pages 40 Notes JID: 8000345; 0 (Hemoglobin A, Glycosylated); 0 (Hypoglycemic Agents); OTO: NOTNLM; 2013/12/19 [aheadofprint]; ppublish Place of Publication United States ISSN/ISBN 1943-3670; 0022-3492 Accession Number PMID: 24354651 Language eng SubFile Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; D; IM DOI 10.1902/jop.2013.130400 [doi] Output Language Unknown(0) PMID 24354651 Abstract BACKGROUND: Periodontitis and type 2 diabetes mellitus (T2DM) are major health problems, especially in low-income populations with little access to dental care. Low-cost models for treatment of periodontal disease have not been tested in controlled studies in low-income populations. Dental prophylaxis, which includes removal of supragingival calculus and plaque, has been shown to arrest the progression of periodontitis. A controlled clinical trial was conducted to determine the effect of dental prophylaxis on periodontitis in T2DM. METHODS: Twenty-six patients with T2DM and chronic periodontitis (CP) and 26 without T2DM with CP were selected. Periodontal probing depth (PD), gingival bleeding on probing (BOP), clinical attachment level (CAL), and surfaces with plaque were recorded at baseline and 3, 6, and 9 months after initial treatment. All the participants received instructions on oral hygiene and one session of dental prophylaxis at baseline and every 3 months. Glycated hemoglobin (HbA1c) levels were measured at baseline and every 3 months in patients with T2DM. RESULTS: A significant improvement of PD, BOP, and sites with plaque was observed 3 months after treatment in patients with T2DM (P = 0.001). In controls, mean PD significantly improved after 6 months compared with baseline (P = 0.001). No significant improvement of CAL occurred in either group. No significant differences in periodontal parameters between the groups were detected, and no participant showed progression of CP during the 9-month study period. Dental prophylaxis did not influence HbA1c levels, and no association among HbA1c concentration, pretreatment metabolic status, and severity of CP was found. CONCLUSION: Routine prophylaxes every 3 months significantly improve periodontal health and prevent progression of CP in both poorly controlled and well-controlled patients with T2DM. Descriptors Links Book Title Database Publisher Data Source Authors Lopez,N.J., Quintero,A., Casanova,P.A., Martinez,B. Original/Translated Title URL Date of Electronic 20131219 PMCID Editors

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