Smokeless tobacco users should be offered behavioural support for quitting.

Behavioural interventions that include an oral examination and feedback about the specific risks of oral tobacco use have been shown to assist quitting. Trials of pharmacotherapy have not detected significant long-term effects.

West R, McNeill A, Raw M. Smokeless tobacco cessation guidelines for health professionals in England. Br Dent J 2004; 196: 611-618.

Ebbert JO, Rowland LC, Montori V, et al. Interventions for smokeless tobacco use cessation (Cochrane Review). Cochrane Database of Systematic Reviews 2004; 3.