Anti-smoking programmes in dentistry: A comparative analysis of approaches in Ukraine and the EU countries

Authors

DOI:

https://doi.org/10.11603/ijmmr.2413-6077.2026.1.16485

Keywords:

integrated frequency/ABC/VEN analysis, medicinal prescriptions, anti-bacterial agents, antimicrobial resistance, pharmaceutical provision optimisation

Abstract

The aim of the study was to compare approaches to tobacco smoking prevention in dental practice in Ukraine and the European Union countries. The study was carried out as an analytical review of the literature with elements of comparative analysis, within which 38 sources were processed for the period 2005-2026; the analysis studied the dental consequences of tobacco smoking and approaches to preventive counselling, the practices of Ukraine and the European Union countries were compared, and the generalisation formulated common features, differences, and directions for adapting European experience. The analysis of the sources showed that tobacco smoking and the use of alternative nicotine products are associated with a complex of dental changes that include periodontal tissues, oral mucosa, oral hygiene status, dental hard tissues and restorative materials. It was found that dental practice has a preventive potential for early detection of tobacco use, brief counselling and support for smoking cessation, however, the level of formalisation of such interventions is uneven. In Ukraine, the general regulatory framework for tobacco control is more clearly presented, while in the European Union countries, professional guidelines, educational support and structured counselling models are more clearly traced. It was determined that the most realistic directions for adapting European experience to Ukrainian dental practice are standardisation of preventive counselling, routine assessment of tobacco status, professional training of dentists and implementation of brief clinical algorithms. The results confirmed the feasibility of integrating anti-smoking interventions into routine dental practice and adapting structured European approaches to the Ukrainian context. The obtained data can be used by dentists, teachers of higher medical education institutions, health care organisers, developers of clinical recommendations and postgraduate training programmes to improve preventive counselling, professional algorithms of actions and organisation of anti-smoking interventions in dental care

Received: 20.01.2025 | Revised: 21.04.2026 | Accepted: 26.05.2026

Author Biography

  • Bohdan Kravchenko, P. Shupyk National Healthcare University of Ukraine

    Postgraduate Student, Dentist 04112, 9 Dorohozhytska Str., Kyiv, Ukraine

References

World Health Organization. WHO European Region has the highest rate of tobacco use in the world, with an alarming rise in young people using e-cigarettes, global report warns [Internet]. 2025 October 8 [cited 2026 April 14]. Available from: https://www.who.int

World Health Organization. Tobacco and nicotine product use among adults in Ukraine – findings from a sociological survey among adults aged 18 years and over - comparative analysis of the 2023 and 2024 survey rounds [Internet]. 2025 September 1 [cited 2026 April 14]. Available from: https://www.who.int

Lisetska IS, Rozhko MM. Smoking as a risk factor for periodontal tissue diseases. Mod Ped. Ukr. 2020;6(110):36–43.

DOI: 10.15574/SP.2020.110.36 DOI: https://doi.org/10.15574/SP.2020.110.36

Kuzniak NB, Kiiun ID, Soltys OM, Vatamaniuk NV, Kavchuk OM. Structure and prevalence of periodontic tissue diseases in smokers using tobacco heating products. Ukr Dent Almanac. 2022;1:20–4. DOI: 10.31718/2409- 0255.1.2022.03 DOI: https://doi.org/10.31718/2409-0255.1.2022.03

Kryvenko LS, Tishchenko OV, Lepilina KM. Influence of alternative smoking methods on the features of objective and subjective indicators of oral health. Prob Cont Med Educ Sci. 2020;2(38):20–3. DOI: 10.31071/ promedosvity2020.02.020 DOI: https://doi.org/10.31071/promedosvity2020.02.020

Kravchenko B. Comparative analysis of statistical data and oral hygiene indices among different groups of smokers.

Bull Med Biol Res. 2025;7(4):8–19. DOI: 10.63341/bmbr/4.2025.08 DOI: https://doi.org/10.63341/bmbr/4.2025.08

Lisetska IS, Rozhko MM. Oral hygiene status and the level of sanitary-hygienic knowledge in adolescents and young adults who smoke. Therapeutics. 2022;2(4):28–32. DOI: 10.31793/2709-7404.2021.2-4.28 DOI: https://doi.org/10.31793/2709-7404.2021.2-4.28

Boychenko OM, Bublii TD, Kyrylenko AO. Prevalence of dental diseases in young people. Bull Prob Biol Med.

;4(179):142–4. DOI: 10.29254/2523-4110-2025-4-179/addition-142-144 DOI: https://doi.org/10.29254/2523-4110-2025-4-179/addition-142-144

Vasylyshyn YaT. Analysis of periodontal tissue status in young people who use electronic smoking devices. Chernivtsi: Bukovyn State Medical University, 2025.

Kravets OV, Yekhalov VV, Sedinkin VA, Romanyuta IA. Dental and anesthesiology problems in nicotine dependents (literature review). Oral Gen Health. 2024;5(2):66–75. DOI: 10.22141/ogh.5.2.2024.193 DOI: https://doi.org/10.22141/ogh.5.2.2024.193

Zanetti F, Zhao X, Pan J, Peitsch MC, Hoeng J, Ren Y. Effects of cigarette smoke and tobacco heating aerosol on color stability of dental enamel, dentin, and composite resin restorations. Act Dent. 2020;5:8–14. DOI: 10.3290/j. qi.a41601

World Health Organization. Tobacco control in Ukraine: Assessment of current status of tobacco control and opportunities for further development. 2020 [cited June 1 2026]. Available from: https://iris.who.int

Law of Ukraine No. 2899-IV “On Measures to Prevent and Reduce the Use of Tobacco Products and Their Harmful Effects on the Health of the Population” [Internet]. 2005 September 22 [cited 2026 April 14]. Available from: https:// zakon.rada.gov.ua/laws/show/2899-15

Council of the European Union. Council Recommendation on smoke-and aerosol-free environments replacing Council Recommendation 2009/C 296/02 (legal basis proposed by the Commission: Article 168(6)TFEU) – adoption [Internet]. 2024 November 14 [cited 2026 April 16]. Available from: https://data.consilium.europa.eu

FDI World Dental Federation. Tobacco cessation guidance: For oral health professionals [Internet]. [cited 2026 April 14]. Available from: https://www.fdiworlddental.org

FDI World Dental Federation. FDI policy statement: The role of oral health practitioners in tobacco cessation [Internet]. [cited 2026 April 15]. Available from: https://www.fdiworlddental.org

Ford PJ, Rich AM. Tobacco use and oral health. Addiction. 2021;116(12):3531–40. DOI: 10.1111/add.15513 DOI: https://doi.org/10.1111/add.15513

Apatzidou DA. The role of cigarette smoking in periodontal disease and treatment outcomes of dental implant therapy. Periodontol 2000. 2022;90(1):45–61. DOI: 10.1111/prd.12449 DOI: https://doi.org/10.1111/prd.12449

Schwarz C, Hajdu AI, Dumitrescu R, Sava-Rosianu R, Bolchis V, et al. Link between oral health, periodontal disease, smoking, and systemic diseases in Romanian patients. Healthcare. 2023;11(16):2354. DOI: 10.3390/ healthcare11162354 DOI: https://doi.org/10.3390/healthcare11162354

Cichońska D, Kusiak A, Goniewicz ML. The impact of e-cigarettes on oral health – a narrative review. Dent J.

;12(12):404. DOI: 10.3390/DJ12120404 DOI: https://doi.org/10.3390/dj12120404

Irusa KF, Vence B, Donovan T. Potential oral health effects of e‐cigarettes and vaping: A review and case reports. J Esthet Restor Dent. 2020;32(3):260–4. DOI: 10.1111/jerd.12583 DOI: https://doi.org/10.1111/jerd.12583

Camoni N, Conti G, Esteves-Oliveira M, Carvalho TS, Roccuzzo A, Cagetti MG, et al. Electronic cigarettes, heated tobacco products, and oral health: A systematic review and meta-analysis. Appl Sci. 2023;13(17):9654. DOI: 10.3390/ app13179654 DOI: https://doi.org/10.3390/app13179654

Alblowi JA, Mohamed H. Perception of tobacco counseling and cessation among dental practitioners. J Smoking Cessat. 2021;2021:e15. DOI: 10.1155/2021/6692525 DOI: https://doi.org/10.1155/2021/6692525

Chaffee BW, Urata J, Couch ET, Silverstein S. Dental professionals’ engagement in tobacco, electronic cigarette, and cannabis patient counseling. JDR Clin Transl Res. 2020;5(2):133–45. DOI: 10.1177/2380084419861384 DOI: https://doi.org/10.1177/2380084419861384

Amaral AL, da Costa Andrade PA, Lwaleed BA, Andrade SA. Impacts of smoking on oral health – what is the role of the dental team in smoking cessation? Evid Based Dent. 2023;24:186–7. DOI: 10.1038/s41432-023-00930-3 DOI: https://doi.org/10.1038/s41432-023-00930-3

Gajendra S, McIntosh S, Ghosh S. Effects of tobacco product use on oral health and the role of oral healthcare providers in cessation: A narrative review. Tob Induc Dis. 2023;21:12. DOI: 10.18332/tid/157203 DOI: https://doi.org/10.18332/tid/157203

Byakodi J. Tobacco cessation – role of dentist. PriMera Sci Med Pub Health. 2024;5(1):29–35

Bendotti H, McGowan K, Lawler S. Utilisation of a brief tobacco smoking cessation intervention tool in public dental services. Health Promot J Aust. 2021;32(2):367–77. DOI: 10.1002/hpjA.448 DOI: https://doi.org/10.1002/hpja.448

Holliday R, Wilson N, Ryan V, Butcher C, Homer T, Watts P, et al. ENHANCE-D: Protocol for a pragmatic, 3-arm, randomised controlled trial comparing the impact of enhanced smoking cessation interventions to very brief advice for adult smokers in dental care settings. Trials. 2025;26(1):261. DOI: 10.1186/s13063-025-08954-Z DOI: https://doi.org/10.1186/s13063-025-08954-z

Demchenko I, Vasylkivskyi P. Mechanisms for supporting individuals who want to quit smoking in Ukrain. Zenodo.

;13–20. DOI: 10.5281/zenodo.15855594

Kiiun ID. Features of the course and prevention of periodontal tissue diseases when using modern devices for heating tobacco in young people. Chernivtsi: Bukovyn State Medical University, 2024.

Mišković I, Kuiš D, Špalj S, Pupovac A, Prpić J. Periodontal health status in adults exposed to tobacco heating system aerosol and cigarette smoke vs. non-smokers: A cross-sectional study. Dent J. 2024;12(2):26. DOI: 10.3390/ dj12020026 DOI: https://doi.org/10.3390/dj12020026

Beklen A, Yildirim BG, Mimaroglu M, Yavuz MB. The impact of smoking on oral health and patient assessment of tobacco cessation support from Turkish dentists. Tob Induc Dis. 2021;19:49. DOI: 10.18332/tid/136418 DOI: https://doi.org/10.18332/tid/136418

Olczak-Kowalczyk D, Tomczyk J, Gozdowski D, Kaczmarek U. Cigarette smoking as an oral health risk behavior in adolescents: A cross-sectional study among Polish youths. Anthropol Rev. 2020;83(1):53–64. DOI: 10.2478/anre- 2020-0007 DOI: https://doi.org/10.2478/anre-2020-0007

More AB, Rodrigues A, Sadhu BJ. Effects of smoking on oral health: Awareness among dental patients and their attitude towards its cessation. Indian J Dent Res. 2021;32(1):23–6. DOI: 10.4103/ijdr.ijdr_711_18 DOI: https://doi.org/10.4103/ijdr.IJDR_711_18

Niemczyk S, Niemczyk W, Prokurat M, Grudnik K, Kuleszyński M, Niciejewskaet E, et al. Impact of e-cigarettes on the oral health – literature review. Pol Merkur Lek. 2023;51(3):271–5. DOI: 10.36740/merkur202303115 DOI: https://doi.org/10.36740/Merkur202303115

Bilynskyi O, Kobaka K, Honcharuk-Khomyn M, Hanhur I, Izai M. The impact of electronic nicotine delivery systems on oral health. Mod Med Pharm Psychol Health. 2025;2(20):128–32. DOI: 10.32689/2663-0672-2025-2-18 DOI: https://doi.org/10.32689/2663-0672-2025-2-18

Gupta S, Sahni V, Emma R, Gospodaru S, Bordeniuc G, Fala V, et al. E-cigarettes and heated tobacco products impact on dental color parameters. Heliyon. 2024;10(3):e24084. DOI: 10.1016/j.heliyon.2024.E24084 DOI: https://doi.org/10.1016/j.heliyon.2024.e24084

Makkeyah F, El Sergany O, Shamel M, Al Ankily M. Effect of conventional cigarette smoking and recent heated tobacco products on CAD/CAM restorative materials. BMC Oral Health. 2024;24(1):765. DOI: 10.1186/s12903-024- 04423-2 DOI: https://doi.org/10.1186/s12903-024-04423-2

Duarte PM, Nogueira CFP, Silva SM, Pannuti CM, Miranda TS. Impact of smoking cessation on periodontal tissues.

Int Dent J. 2022;72(1):31–6. DOI: 10.1016/j.identj.2021.01.016 DOI: https://doi.org/10.1016/j.identj.2021.01.016

Holliday R, McColl E, Bauld L, Preshaw PM, Sniehotta FF, McDonald S. Perceived influences on smoking behaviour and perceptions of dentist-delivered smoking cessation advice: A qualitative interview study. Community Dent Oral Epidemiol. 2020;48(5):433–9. DOI: 10.1111/cdoe.12556 DOI: https://doi.org/10.1111/cdoe.12556

Rajput S, Gadiyar A, Kumar A, Kamat AK, Gaunkar R, Jain A. Tobacco cessation counseling: Are dentists doing enough? J Indian Assoc Public Health Dent. 2020;18(1):60–5. DOI: 10.4103/jiaphd.jiaphd_96_19 DOI: https://doi.org/10.4103/jiaphd.jiaphd_96_19

Gopinath D, Ramzi NH, Hettiarachchi PVKS, Pullishery F, Sufiawati I, Podder A, et al. Gaps and barriers among dental undergraduates towards promoting and assisting tobacco cessation: A multicountry cross‐sectional study. Int J Dent. 2026;2026(1):3216074. DOI: 10.1155/ijod/3216074 DOI: https://doi.org/10.1155/ijod/3216074

Skipalskyi A, Habicht J, Ciobanu A, Tarasenko Y, Skapa T. Tobacco control in complex emergencies: Policy case study of Ukraine. Tob Prev Cessat. 2025;11:25. DOI: 10.18332/tpc/203838 DOI: https://doi.org/10.18332/tpc/203838

Gurung D, Bhardwaj VK, Fotedar S, Thakur AS. Role of dental health professional in tobacco cessation: a review. Int J Community Med Public Health. 2022;9(8):3346–53. DOI: 10.18203/2394-6040.ijcmph20222044 DOI: https://doi.org/10.18203/2394-6040.ijcmph20222044

Yelenskyi VYu. Analysis of patients’ knowledge of dental illness and their prevention according to data of sociological experience. Bull Soc Hyg Health Care Organ Ukraine. 2025;3(105):33–9. DOI: 10.11603/1681-2786.2025.3.15636 DOI: https://doi.org/10.11603/1681-2786.2025.3.15636

Vollath SE, Bobak A, Jackson S, Sennhenn‐Kirchner S, Kanzow P, Wiegand A, et al. Effectiveness of an innovative and interactive smoking cessation training module for dental students: A prospective study. Eur J Dent Educ. 2020;24(2):361–9. DOI: 10.1111/eje.12507 DOI: https://doi.org/10.1111/eje.12507

Rodakowska E, Mazur M, Baginska J, Sierpinska T, La Torre G, Ottolenghi L, et al. Smoking prevalence, attitudes and behavior among dental students in Poland and Italy. Int J Environ Res Public Health. 2020;17(20):7451. DOI: 10.3390/ ijerph17207451 DOI: https://doi.org/10.3390/ijerph17207451

Bauer-Kemeny C, Lis IV, Raupach T, Kreuter M. Tobacco use, knowledge about smoking-associated risks, and cessation programs among dental students in Germany – ToDent. Respiration. 2020;99(9):764– DOI: https://doi.org/10.1159/000509611

Downloads

Published

2026-05-29

How to Cite

Anti-smoking programmes in dentistry: A comparative analysis of approaches in Ukraine and the EU countries. (2026). International Journal of Medicine and Medical Research, 12(1), 84-96. https://doi.org/10.11603/ijmmr.2413-6077.2026.1.16485