{"id":{"repo_id":"dundee","oai_identifier":"oai:discovery.dundee.ac.uk:studenttheses/073d9a66-18e8-49ea-b048-71c3298e02cc"},"canonical_url":"https://search.dev.ndltd.org/etd/dundee/oai:discovery.dundee.ac.uk:studenttheses/073d9a66-18e8-49ea-b048-71c3298e02cc","repository":{"repo_id":"dundee","name":"University of Dundee","base_url":"https://discovery.dundee.ac.uk/ws/oai"},"display":{"title":"Periodontal disease and oral health-related quality of life : smoking cessation adventures in primary dental care","abstract":"Much of the workload of primary dental care teams in remote-rural Scotland consists of treating periodontal disease, an inflammatory condition for which smoking is a proven risk factor.<br/><br/>This thesis sought to ascertain the effectiveness of a smoking cessation intervention applied in a primary care dental setting and employed a narrative literature review to explore periodontal disease, smoking and smoking cessation interventions. This literature review informed the design of a randomised controlled trial which failed due to lack of recruitment.<br/><br/>The Medical Research Council Framework for the Development and Evaluation of Complex Interventions was employed to provide structure to the modelling of a feasibility trial likely to succeed in evaluating the benefit of smoking cessation provision in rural dental settings.<br/><br/>A systematic literature review was undertaken to evaluate evidence regarding prevalence of periodontal disease, tobacco use and the effectiveness of tobacco cessation interventions applied in remote-rural areas. This identified a dearth of robust evidence particularly in relation to smoked tobacco. In order to model a feasibility study better adapted to the current study population, a prevalence study exploring the smoking attitudes and behaviours, the oral health-related quality of life and periodontal status of 398 dental patients was undertaken at the two study locations.<br/><br/>Twenty three percent of the participants were found to be smokers and periodontal health was significantly poorer in those who smoked. Both smokers and non-smokers strongly agreed that dentists should be involved in provision of smoking cessation activities.<br/><br/>The willingness of smokers to quit was not related to the degree of periodontal disease they experienced, suggesting that periodontal health is not valued sufficiently to factor into a decision to stop smoking. However periodontal health and smoking status both impacted greatly on oral health-related quality of life.<br/><br/>It is recommended that a feasibility trial be undertaken in remote-rural primary dental care of a smoking cessation intervention which forms an integral part of periodontal care and focuses on improving quality of life parameters rather than periodontal measures.","abstract_html":"Much of the workload of primary dental care teams in remote-rural Scotland consists of treating periodontal disease, an inflammatory condition for which smoking is a proven risk factor.&lt;br/&gt;&lt;br/&gt;This thesis sought to ascertain the effectiveness of a smoking cessation intervention applied in a primary care dental setting and employed a narrative literature review to explore periodontal disease, smoking and smoking cessation interventions. This literature review informed the design of a randomised controlled trial which failed due to lack of recruitment.&lt;br/&gt;&lt;br/&gt;The Medical Research Council Framework for the Development and Evaluation of Complex Interventions was employed to provide structure to the modelling of a feasibility trial likely to succeed in evaluating the benefit of smoking cessation provision in rural dental settings.&lt;br/&gt;&lt;br/&gt;A systematic literature review was undertaken to evaluate evidence regarding prevalence of periodontal disease, tobacco use and the effectiveness of tobacco cessation interventions applied in remote-rural areas. This identified a dearth of robust evidence particularly in relation to smoked tobacco. In order to model a feasibility study better adapted to the current study population, a prevalence study exploring the smoking attitudes and behaviours, the oral health-related quality of life and periodontal status of 398 dental patients was undertaken at the two study locations.&lt;br/&gt;&lt;br/&gt;Twenty three percent of the participants were found to be smokers and periodontal health was significantly poorer in those who smoked. Both smokers and non-smokers strongly agreed that dentists should be involved in provision of smoking cessation activities.&lt;br/&gt;&lt;br/&gt;The willingness of smokers to quit was not related to the degree of periodontal disease they experienced, suggesting that periodontal health is not valued sufficiently to factor into a decision to stop smoking. However periodontal health and smoking status both impacted greatly on oral health-related quality of life.&lt;br/&gt;&lt;br/&gt;It is recommended that a feasibility trial be undertaken in remote-rural primary dental care of a smoking cessation intervention which forms an integral part of periodontal care and focuses on improving quality of life parameters rather than periodontal measures.","abstract_has_math":false,"creators":["Emslie, Karen"],"institution":"University of Dundee","degree_name":"Doctor of Philosophy","degree_level":"Doctoral Thesis","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Freeman, Ruth","Hall, Andrew"],"committee_chairs":[],"committee_members":[],"year":2014,"date_issued":"2014","date_published":"2014","updated_at":"2026-07-24T02:07:52Z","subjects":[],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:discovery.dundee.ac.uk:studenttheses/073d9a66-18e8-49ea-b048-71c3298e02cc"],"render_values":[{"text":"oai:discovery.dundee.ac.uk:studenttheses/073d9a66-18e8-49ea-b048-71c3298e02cc","href":null,"code":true}]}]},"links":{"outbound_url":"https://discovery.dundee.ac.uk/en/studentTheses/073d9a66-18e8-49ea-b048-71c3298e02cc","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Freeman, Ruth","Hall, Andrew"]},{"key":"dc:contributor.sponsor","label":"Sponsor","values":["NHS Education for Scotland"]},{"key":"dc:creator","label":"Author","values":["Emslie, Karen"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2014"]},{"key":"dc:date.issued","label":"Date","values":["2014"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["DHSRU"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Dundee"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://discovery.dundee.ac.uk/en/studentTheses/073d9a66-18e8-49ea-b048-71c3298e02cc"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Doctoral Thesis"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["Doctor of Philosophy"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["eng"]},{"key":"dc:rights.embargodate","label":"Dc Rights Embargodate","values":["2015-05-31"]},{"key":"dc:rights.embargoreason","label":"Dc Rights Embargoreason","values":["/dk/atira/pure/core/document/studentthesisembargoreason/commercialexploitation"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:discovery.dundee.ac.uk:studenttheses/073d9a66-18e8-49ea-b048-71c3298e02cc","https://discovery.dundee.ac.uk/en/studentTheses/073d9a66-18e8-49ea-b048-71c3298e02cc"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://discovery.dundee.ac.uk/files/65630465/Emslie_PhD_Thesis_2014.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Much of the workload of primary dental care teams in remote-rural Scotland consists of treating periodontal disease, an inflammatory condition for which smoking is a proven risk factor.<br/><br/>This thesis sought to ascertain the effectiveness of a smoking cessation intervention applied in a primary care dental setting and employed a narrative literature review to explore periodontal disease, smoking and smoking cessation interventions. This literature review informed the design of a randomised controlled trial which failed due to lack of recruitment.<br/><br/>The Medical Research Council Framework for the Development and Evaluation of Complex Interventions was employed to provide structure to the modelling of a feasibility trial likely to succeed in evaluating the benefit of smoking cessation provision in rural dental settings.<br/><br/>A systematic literature review was undertaken to evaluate evidence regarding prevalence of periodontal disease, tobacco use and the effectiveness of tobacco cessation interventions applied in remote-rural areas. This identified a dearth of robust evidence particularly in relation to smoked tobacco. In order to model a feasibility study better adapted to the current study population, a prevalence study exploring the smoking attitudes and behaviours, the oral health-related quality of life and periodontal status of 398 dental patients was undertaken at the two study locations.<br/><br/>Twenty three percent of the participants were found to be smokers and periodontal health was significantly poorer in those who smoked. Both smokers and non-smokers strongly agreed that dentists should be involved in provision of smoking cessation activities.<br/><br/>The willingness of smokers to quit was not related to the degree of periodontal disease they experienced, suggesting that periodontal health is not valued sufficiently to factor into a decision to stop smoking. However periodontal health and smoking status both impacted greatly on oral health-related quality of life.<br/><br/>It is recommended that a feasibility trial be undertaken in remote-rural primary dental care of a smoking cessation intervention which forms an integral part of periodontal care and focuses on improving quality of life parameters rather than periodontal measures."]},{"key":"dc:title","label":"Title","values":["Periodontal disease and oral health-related quality of life : smoking cessation adventures in primary dental care"]}]}],"canonical_facts":{"dc:contributor.advisor":["Freeman, Ruth","Hall, Andrew"],"dc:contributor.sponsor":["NHS Education for Scotland"],"dc:creator":["Emslie, Karen"],"dc:date":["2014"],"dc:date.issued":["2014"],"dc:description.abstract":["Much of the workload of primary dental care teams in remote-rural Scotland consists of treating periodontal disease, an inflammatory condition for which smoking is a proven risk factor.<br/><br/>This thesis sought to ascertain the effectiveness of a smoking cessation intervention applied in a primary care dental setting and employed a narrative literature review to explore periodontal disease, smoking and smoking cessation interventions. This literature review informed the design of a randomised controlled trial which failed due to lack of recruitment.<br/><br/>The Medical Research Council Framework for the Development and Evaluation of Complex Interventions was employed to provide structure to the modelling of a feasibility trial likely to succeed in evaluating the benefit of smoking cessation provision in rural dental settings.<br/><br/>A systematic literature review was undertaken to evaluate evidence regarding prevalence of periodontal disease, tobacco use and the effectiveness of tobacco cessation interventions applied in remote-rural areas. This identified a dearth of robust evidence particularly in relation to smoked tobacco. In order to model a feasibility study better adapted to the current study population, a prevalence study exploring the smoking attitudes and behaviours, the oral health-related quality of life and periodontal status of 398 dental patients was undertaken at the two study locations.<br/><br/>Twenty three percent of the participants were found to be smokers and periodontal health was significantly poorer in those who smoked. Both smokers and non-smokers strongly agreed that dentists should be involved in provision of smoking cessation activities.<br/><br/>The willingness of smokers to quit was not related to the degree of periodontal disease they experienced, suggesting that periodontal health is not valued sufficiently to factor into a decision to stop smoking. However periodontal health and smoking status both impacted greatly on oral health-related quality of life.<br/><br/>It is recommended that a feasibility trial be undertaken in remote-rural primary dental care of a smoking cessation intervention which forms an integral part of periodontal care and focuses on improving quality of life parameters rather than periodontal measures."],"dc:identifier":["oai:discovery.dundee.ac.uk:studenttheses/073d9a66-18e8-49ea-b048-71c3298e02cc","https://discovery.dundee.ac.uk/en/studentTheses/073d9a66-18e8-49ea-b048-71c3298e02cc"],"dc:identifier.uri":["https://discovery.dundee.ac.uk/files/65630465/Emslie_PhD_Thesis_2014.pdf"],"dc:language":["eng"],"dc:publisher.department":["DHSRU"],"dc:publisher.institution":["University of Dundee"],"dc:relation.isreferencedby":["https://discovery.dundee.ac.uk/en/studentTheses/073d9a66-18e8-49ea-b048-71c3298e02cc"],"dc:rights.embargodate":["2015-05-31"],"dc:rights.embargoreason":["/dk/atira/pure/core/document/studentthesisembargoreason/commercialexploitation"],"dc:title":["Periodontal disease and oral health-related quality of life : smoking cessation adventures in primary dental care"],"dc:type":["Thesis"],"dc:type.qualificationlevel":["Doctoral Thesis"],"dc:type.qualificationname":["Doctor of Philosophy"]},"updated_at":"2026-07-24T02:07:52Z"}