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David Albert, DDS, MPH, Angela Ward, BA, RDH, Kavita Ahluwalia, DDS, MPH and Donald Sadowsky, DDS, MPH, PhD

The authors are with the Division of Community Health, Columbia University School of Dental and Oral Surgery, New York, NY. David Albert is also with the Division of Health Administration, Mailman School of Public Health, Columbia University, and Donald Sadowsky is also with the Division of Sociomedical Sciences, Mailman School of Public Health, Columbia University.

Correspondence: Requests for reprints should be sent to Donald Sadowsky, DDS, MPH, PhD, Columbia University School of Dental and Oral Surgery, Division of Community Health, 630 W 168th St, New York, NY 10032 (e-mail: ds8{at}columbia.edu).

Objectives. This study assessed the tobacco cessation knowledge, attitudes, and behaviors of dentists participating in a large managed care dental plan.

Methods. Participating dentists in 4 states were surveyed via mail.

Results. Dentists' perceived success in helping patients quit using tobacco was highly correlated with discussion of specific strategies for quitting, advice about the use of nicotine gum, and time spent counseling patients. Dentists who were confident about their smoking cessation knowledge frequently advised patients to quit and spent more time counseling patients about tobacco cessation.

Conclusions. Tobacco cessation is not a routine part of dental practice. Knowledge, time spent counseling patients, and specific strategies for quitting were associated with dentists' perceptions of success. (Am J Public Health. 2002;92:997–1001)

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