Abstract
Context: Tobacco, the leading preventable cause of death including alcohol and illicit drug abuse, cause morbidity and mortality. Dentists deal with such patients & can/ should intervene, preventing any deleterious habits with apt knowledge and training.
 Aims: The study assesses the knowledge, attitude and practices amongst dental students to manage patients with tobacco, alcohol and substance abuse in a clinical set up.
 Methodology: A cross-sectional questionnaire (self-administered 22 items) survey was conducted among 300 dental students (Undergraduates, Interns, Postgraduates) in a dental college, North India to assess their knowledge, attitude and practices regarding substance abuse- tobacco, alcohol and other illicit drugs. Data were analyzed using SPSS version 16.0 and subjected to Chi-square test to determine the significant difference between the dental study groups (p≤ 0.05)
 Results: There were 37.1% males and 62.9% of females. Final years (33.8%), interns (29.8%) and Post graduates (36.5%) completed the questionnaire. 85.5% Postgraduates, 74.3% final years and 71.9% interns knew where to refer the patients of substance abuse which was statistically significant (p≤ 0.05).A majority (91.1%) of interns prescribe or provide tobacco cessation, followed by 87.1% final years and 78.2% post graduates that were significant values.
 Conclusions: Although there’s huge awareness on the management of patients with substance abuse habits, only a few practice it on patients correctly. Lack of training and its application due to many barriers have been discussed in detail pointing out the disparity in the number of patients with habit history being screened and to those being managed.
Highlights
Tobacco- smoke or smokeless forms, has been the deadliest yet a preventable cause of death since times immemorial
Final years (33.8%), interns (29.8%) and Post graduates (36.5%) completed the questionnaire. 85.5% Postgraduates, 74.3% final years and 71.9% interns knew where to refer the patients of substance abuse which was statistically significant (p≤ 0.05).A majority (91.1%) of interns prescribe or provide tobacco cessation, followed by 87.1% final years and 78.2% post graduates that were significant values
There was a separation of responses from final year, intern and post graduates to get a better picture and result
Summary
Tobacco- smoke or smokeless forms, has been the deadliest yet a preventable cause of death since times immemorial. According to the latest GATS (Global Adult Tobacco Survey) fact sheet of 2016-17,Tobacco abuse can be avoided which makes it an “avoidable” cause of death around the globe and in India, where 42.4% males, 14.2% women(47.9% are males and 20.3% are females as per GATS 2009-10 globally)of which 92% are aware that tobacco causes serious illnesses [1]. Considering increasing abuse of alcohol which has grown from 2.40,0000 to 5.70,0000 as total alcohol per capita consumption in India, from 2005 to 2016 according to WHO report of 2018, there should be an implementation of stringent policies on prevention of effects from alcohol consumption [2]. Patients visit healthcare providers in every sector and this can be seen as a good opportunity to get them screened and provide intervention for harmful and deleterious habits [3]
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