ABSTRACT
The use of electronic cigarettes, or "e-cigarettes", among youths has sparked worries about the possibility of nicotine dependence as a serious public health issue. Dental practitioners play a critical role in helping their patients quit smoking. Dental schools across the globe have policies encouraging their students to help patients quit smoking. Current research, however, indicates that a significant portion of dental students smoke combustible cigarettes and use e-cigarettes. According to studies, using e-cigarettes has resulted in the subsequent initiation of combustible cigarette smoking among its users. The aim of this study was to determine the association between the use of electronic cigarettes and the subsequent initiation of combustible cigarette smoking among dental students who were not attitudinally susceptible to smoking combustible cigarettes. A longitudinal cohort study was conducted among 121 study participants who were never combustible cigarette users and were attitudinally non-susceptible to smoking at baseline. At baseline, 66 (54.6%) study participants were categorized as e-cigarette users who were attitudinally non-susceptible to combustible cigarette smoking, and 55 (45.4%) study participants were categorized as non-users who were attitudinally non-susceptible to combustible cigarette smoking. The initiation of combustible cigarette smoking was assessed at 6- and 12-month intervals. Binomial regression analysis of the outcome at the end of one-year follow-up, when analyzed with independent variables, revealed a significant influence of e-cigarette use on taking up combustible cigarette smoking [Relative Risk: 9.395; 95% CI: 3.03-29.04]. Chi-squared analysis of independent variables revealed e-cigarette use to be significantly associated with fathers' education level (p = 0.00), parental cigarette smoking status (p = 0.00), cigarette smoking among friends (p = 0.00), and family income (p = 0.00). E-cigarette users are more likely to believe it to be healthier (p = 0.00) than combustible smoking. In the present study, e-cigarette usage demonstrated a significant influence on taking up combustible cigarette smoking among its users. Educational institutions should implement stringent policies and regulations to prevent health professionals from using these products.
ABSTRACT
BACKGROUND: Dentistry is one of the unique specialties that deals with both humans and machines. This fact illustrates the strong potential for artificial intelligence (AI) implementation in dentistry, which makes awareness and attitude toward AI an important indicator for the future of this technology in the field. Hence, this scoping review aimed to report the status of awareness and attitude toward AI in dentistry. METHODOLOGY: To ensure the quality and transparency of the present review, the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) flow chart is reported. Four databases were searched for related topics (Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica database (EMBASE), Google Scholar, and Scopus); 1,430 studies were identified, and after screening and filtering, 21 cross-sectional studies were included. RESULTS: Twenty-one cross-sectional studies were included and yielded 7,688 participants. With an average level of 50.31% among all the studies that reported awareness (18 studies). Four subgroups' average levels of awareness toward AI in dentistry were reported: 67.16% among dentists, 42.58% among dental students, 45.56% for studies conducted on both dentists and dental students, and 69.53% for studies reporting awareness of AI in oral radiology. Regarding attitude, out of 13 studies, an average level of 44.13% felt threatened or thought AI would replace them. CONCLUSION: The average level of awareness is in accordance with the attitude toward AI in dentistry. The low levels of awareness are important indicators of the gap formed between the inevitable application of AI and the lack of utilization in the dental field. AI implementation in dental schools' curricula is required since the lowest reported level among subgroups was among dental students.
