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Published online by Cambridge University Press: 28 November 2017
Introduction: Behavioural dependency, such as oral and hand fixation, can hinder cessation efforts when nicotine replacement therapy is used as a stand-alone intervention. We here present a case report of one of several patients who has successfully achieved smoking cessation utilizing oral hygiene therapy (OHT).
Case description: The patient is a 52-year-old male with a 25-year smoking habit of two packs daily. Previous attempts at smoking cessation were unsuccessful with various nicotine replacement therapies (NRTs). After introducing interdental cleaning device and modifying tooth-brushing techniques during oral hygiene therapy, the patient reported frequent use of toothpaste and using the device to satisfy his oral-hand fixation to successfully quit smoking.
Conclusion: Oral hygiene therapy may enhance smoking cessation in select patients who are more behavioural dependent than nicotine dependent. Future studies are needed to develop evidence-based individualized intervention to include OHT as part of the interdisciplinary approach for smoking cessation.