Browsing by Author "Lawal, F.B."

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An audit of school oral health education program in a developing country
(2014) Lawal, F.B.; Taiwo, J.O
The increasing prevalence of oral diseases in children in developing countries is a major public health concern and creates the need to review various preventive strategies put in place on oral health promotion. In the absence of formal national programs, tertiary health institutions have adopted low-budget school oral education programs targeted at improving oral health awareness and behavioral changes in school children. The aim of this study was to review the school oral health education programs conducted by the Community Dentistry Unit of a tertiary hospital in a major city in Nigeria. An evaluation of the school oral health education programs conducted in the city over a 5-year period was done. Data collected included: venue of the program, the number of students and teachers educated in each school, screening and referrals, adequacy of teaching aids, desire for revisit, and barriers noted in its conduct. A total of 104 oral health education programs were conducted during this period involving 16,248 participants. The majority (80%) of the schools visited was primary schools and 54% were privately owned. Over half of the programs were conducted on assembly grounds, 21% in classrooms, and 13% in school halls. Challenges encountered included: lack of audiovisual aids, transportation problems, inadequacy of screening tools, and insufficient promotional materials. All the schools visited requested for (subsequent) regular visitation. Conclusion: The study showed the feasibility of low-budget oral health education and willingness of schools to benefit from such programs. There are barriers to effective communication, which can be mitigated in order to achieve an optimal school oral health education program in a low resource setting
Applicability and cross-cultural adaptation of the self-administered Child–OIDP in a rural Nigeria community
(2017) Lawal, F.B.; Dauda, M.A
The utilization of the Child Oral Impact on Daily Performances (Child–OIDP), one of the most widely used quality of life measures for children, in rural communities will require cross adaptation of the measure since rural communities in Africa are in no small way influenced by the prevailing cultural norms and values. The aim of this study was to assess the applicability of self administered Child–OIDP measure in a rural Community in Nigeria. A cross sectional study was conducted among 403 secondary school students in Igboora, Nigeria using self-administered Child–OIDP questionnaire translated into the local language. The mean age of the study participants was 12.4 (±0.7) years. The impact of oral health on their daily performances scores ranged from 0 to 66. Higher OIDP scores were significantly associated with perceived need for dental treatment (p < 0.001), satisfaction ratings of oral health condition (p = 0.001), satisfaction ratings of tooth appearance (p = 0.030) and pain (p < 0.001). The use of frequency or severity scales separately or combined exhibited similar and acceptable validity and reliability; however, the frequency scale alone had the highest Cronbach’s alpha value (0.876), while use of both frequency and severity scales was best for inter–item correlations (0.552-0.714). The translated version of the Child–OIDP measure is a valid and applicable tool in a rural community. Use of either the frequency or severity scale of this version of Child–OIDP is valid, cross-culturally adaptable and recommended
Capabilities, opportunities and motivations supporting oral health behaviour of adolescents in Nigerian schools
(2019) Lawal, F.B.; Oke, G.A
Aims: To determine the oral health capabilities, opportunities and motivations supporting oral health behaviour among adolescents in schools in a low-income country. methods: In 2018, this cross- sectional study was conducted among 2097 students in the 10th and 11th grades of 30 randomly selected secondary schools in Ibadan, Nigeria after obtaining ethical approval from the Institution’s Ethics Review Board. Data were obtained with self-administered questionnaires to assess capabilities (oral health knowledge (K), attitude (A) and practices (P)) as well as motivation. A checklist was used to assess availability of oral health promotional activities/materials (opportunities) in the schools concerned. Data were analyzed with SPSS; bivariate analysis was performed using chi square and multivariate analysis with logistic regression. p value for significance was set at 0.05. results: The response rate was 99.5%. Poor oral KAP scores (<50%) were recorded among 2096 ( 99.9%) for K, 1288 ( 61.4%) for A and 1519 (72.4%) for P respectively. There were no oral health promotional materials in any of the schools and the only oral health promotional activity was oral health education in 8 (26.7%) schools; only 331 (15.8%) students had been educated about their oral health. About half 1161 (55.4%) were motivated and will participate in an oral health programme in school. Students; aged 12- 15 years (OR=1.6,95%CI=1.3-1.9, p<0.001), with skilled-worker parents (OR=1.9,95%CI=1.1- 3.3, p=0.020), had received previous oral health education (OR=1.6, 95%CI=1.2-2.0,p<0.001) or had consulted a dentist (OR=2.5,95%CI=1.6-4.0,p= <0.001) had better capabilities. Students who had ≥ 50% final KAP scores (OR=4.7,95%CI=3.3-6.7, p<0.001) had been educated about their oral health (OR =1.7,95%CI=1.1-2.4, p=0.011) were better motivated. conclusions: In the population studied there were gross inadequacies in the oral health capabilities, existing opportunities and motivations for positive oral health behaviour. There were disparities related to socio-demographic characteristics of the students and capabilities, opportunities, motivation influencing oral health behaviour. Oral health capabilities and opportunities were significant predictors of motivation for positive oral health behaviour.
comparison of two oral health_related quality of life measures among adult dental patients
(2015) Lawal, F.B.; Arowojolu, T.M
Dental implant as an option for tooth replacement: The awareness of patients at a tertiary hospital in a developing country
(2014) Gbadebo, O.S.; Lawal, F.B.; Sulaiman, A.O.; Ajayi D.M.
Aim: A survey was set out to evaluate the knowledge of patients about tooth replacement as a whole, and assess their awareness of implant-retained prosthesis as an option of tooth replacement. Materials and Methods: Information on sociodemographic characteristics, knowledge about implant-retained tooth as an option for missing tooth replacement, cost implication, source of information and knowledge about other options of tooth replacement were obtained from patients attending the dental clinics of the University College Hospital, Ibadan, using structured self-administered questionnaires. Data were analyzed using SPSS version 20. Result: A total of 220 patients aged 18-84 years with a mean age of 37.6 (±16.5) years participated in the study, with a male to female ratio of 1:1.1. The majority (92.5%) knew that missing teeth can be replaced, while a significantly lower proportion (28.9%) knew about dental implants as an option (P < 0.01). Dentists were the major source of information on dental implants (68%). Only 21 (36.8%) of those who had heard about dental implant had knowledge about the cost (P < 0.000). Conclusion: A low level of awareness about dental implant as tooth replacement option exist in this environment, although most of the study participants were aware that missing teeth can be replaced
Effectiveness of an oral health care training workshop for school teachers: a pilot study
(2013) Dedeke, A.A.; Osuh, M.E.; Lawal, F.B.; Ibiyemi, O.; Bankole, O.O..; Taiwo, J.O.; Denloye, O.; Oke, G.A.
Background: School teachers play key roles in imparting appropriate and up-to-date knowledge to pupils and students. However, most teachers in developing countries like Nigeria have poor knowledge and motivation about oral health which may be due to inadequate training in the area of oral health. This might be one of the reasons for the poor oral hygiene among them and their students. Objectives: To evaluate the effectiveness of an oral health care training programme organized for teachers in Eruwa, Oyo state, Nigeria. Methods: An intervention study was conducted among 40 school teachers who attended a two day oral health training workshop at Eruwa, headquarters of Ibarapa East Local Government Area. Training methods included lectures and demonstrations on aetiology, clinical features, treatment and prevention of common oral diseases. Pre- and post- evaluation written tests were administered to the participants to assess the effectiveness of the training. The knowledge scores were rated as poor, fair and good knowledge scoring <50.0%, 50.0-60.0% and > 60.0% respectively. Frequencies, percentages and means of relevant variables were generated. Paired t-test was used to compare means at P<0.05. Result: The mean age of the teachers was 40.13 ±7.24 years. There were 16 (40.0%) males and 24 (60.0%) females. Twenty (50.0%) of the participants had poor pre-training knowledge as compared to 7 (17.5%) after the training. Thirteen (32.5%) had fair pre-training knowledge as compared to 17 (42.5%) post training. Only (2.5%) of the participants had good pre-training knowledge as compared to 18 (45.0%) post training. The mean scores of the pre- and post-evaluation tests were 31.70 ±11.31 and 48.20 ±11.16 respectively. There was a statistically significant difference between the mean scores of the pre and post evaluations P<0.05.
Factors influencing awareness and attendance of traditional oral health care practices by residents of a peri-urban Community in Ibadan, Nigeria
(2015) Lawal, F.B.; Taiwo, J.O.; Oke, G.A.
In Order to institute preventive programmes against harmful traditional oral health practices there is a need to identify targets. To investigate factors influencing awareness and attendance of traditional oral health practices by residents of a peri-urban community in Ibadan, Nigeria. A cross-sectional study of adult residents selected by simple random sampling in a peri-urban community in Ibadan, Nigeria, was conducted over a period of six months. Information was obtained with interviewer administered questionnaires. Data were recorded using SPSS Version 16 Software. A total of 172 (44.1%) respondents were aware of the existence of traditional healers for dental problems. Only 34 (8.7%) participants had been to traditional healers on account of toothache. About 76.5% reported having relief after treatment with relapse occurring in 12 cases (46.2%). Twenty (58.8%) of these (34) participants said they would not choose this Option of treating dental problems in future. Significant associations existed between knowing that traditional healers provided dental treatment and gender (p = 0.001) or history of dental problems (p =0.008). The study showed moderate awareness of traditional oral care practices in Ibadan, Nigeria as influenced by gender and previous dental problems.
How valid are the psychometric properties of the oral health impact profile-14 measure in adult dental patients in Ibadan, Nigeria?
(2014) Lawal, F.B.; Taiwo, J. O.; Arowojolu, M. O
BACKGROUND: The Oral Health Impact Profile (OHIP) is the most widely used quality of life (QoL) measure to evaluate the influence of oral diseases on individuals. QoL measures have been noted to be context and environment specific, and there is a need to cross-culturally adapt a scale before its introduction into any community. This study aimed to evaluate the psychometric properties, validity and internal consistency of the OHIP-14 measure in an adult patient population in Ibadan, Nigeria. METHODS: A cross-sectional study was conducted over a four-month period on 204 adult patients using OHIP-14 structured questionnaire, global self-report indicator of oral conditions and perceived treatment need. Oral examinations were performed to assess periodontal status, caries experience and attachment loss. Data were analyzed using SPSS and p-value for statistical significance was set at < 0.05. Results: A total of 204 patients participated in the study with a mean OHIP score of 11.2 (± 9.8). OHIP scores were not related to the sociodemographic characteristics. Perception of need for treatment was greater among those who reported impacts on their QoL (89.3% vs. 14.3%, p < 0.001). The OHIP scores correlated negatively with global self rating of oral health status (rho = -0.23, p < 0.01). Higher OHIP scores were associated with having carious teeth (p = 0.023). The Cronbach’s alpha for the 14 inventory items ranged from 0.857 to 0.871. CONCLUSION: The OHIP-14 measure showed good psychometric properties with satisfactory validity and internal consistency in adult patients in Ibadan, Nigeria
Knowledge of School-Going Adolescents About the Oral Effects of Tobacco Usage in Ibadan, Southwest Nigeria
(2020) Lawal, F.B.; Fagbule, O.F.
The individual knowledge of the effects of tobacco usage on health plays an important role in its uptake. Tobacco consumption usually starts during adolescence, and lack of knowledge about the oral problems of tobacco usage probably plays a role in it. To determine the knowledge of adolescents about the effect of tobacco usage on oral health. A cross-sectional study was conducted among 1,465 adolescents aged 12 to 20 years who attended senior secondary schools in a major city in Nigeria. Data were obtained through a semistructured questionnaire. Data obtained were analyzed with SPSS. The mean age of respondents was 15.2 (_1.4) years. Only 40 (2.7%) of them used tobacco at the time of study and 992 (67.7%) said that tobacco usage has effect(s) on oral health. The main effects mentioned were mouth odor: 338 (34.1%); teethdiscoloration: 297 (29.9%); tooth decay: 138 (13.9%); damage to teeth: 72 (7.3%); lip discoloration: 39 (3.9%); and oral cancer: 11 (1.1%). It was found that female respondents (72.1%, odds ratio¼1.4, confidence interval¼1.1–1.7, p¼.005); those aged 12 to 15 years (73.6%, odds ratio¼2.0, confidence interval¼1.6–2.5, p<.001); and children of skilled workers (73.4%, odds ratio¼1.9, confidence interval¼1.2–3.0, p¼.008) were more likely to mention that tobacco has adverse effect(s) on oral health. Although two thirds of the students knew that tobacco usage has effects on oral health, there were gross inadequaciesin the knowledge and misconceptions about those effects
Making a Case for Formal School-Based Oral Health Promotion: Oral Health Knowledge, Attitude and Practices of Pupils in Ibadan, Nigeria
(2018) Lawal, F.B.; Taiwo, J. O
Providing evidence for institution of school-based oral health promotion programs is paramount in developing countries, due to increasing unmet dental needs impacting on quality of life of children. To evaluate oral health knowledge, attitude and practices (KAP) of pupils in a country lacking formal school oral health promotion. A cross-sectional study was conducted among 1,297 pupils in randomly selected primary schools in one city. Information on oral health KAP were obtained using interviewer-administered questionnaire. Responses to questions were graded, standardized, and data analyzed using SPSS. The mean age was 10.6 (_1.7) years. Mean KAP percentage scores were 18.1 (_5.0)%, 18.3 (_4.9)%, and 17.3 (_12.8)%, respectively. Older age, male gender, and previous dental consultations were significantly associated with higher KAP scores. Those who had been educated informally about oral health had higher mean KAP scores (p¼.013, p<.001, and p<.001, respectively). Previous oral health education and consultation with dentists were significant predictors of higher oral health practice scores. Poor oral health KAP exists among the pupils. Those who had consulted the dentist or had oral health education had better KAP. These findings reinforce the need for formal school-based oral health promotion
Natal and neonatal teeth myths in a rural Nigerian community
(2020) Bankole, O.O; Lawal, F.B.
The presence of natal/neonatal teeth in infants is sometimes associated with negative societal attitudes. Literature regarding attitudes and beliefs of residents of Igbo Ora, Nigeria, regarding natal teeth is non-existent. It is therefore important to obtain baseline data to highlight knowledge gaps regarding natal/ neonatal teeth in infants. To determine the attitudes and beliefs of residents of Igbo Ora to natal/neonatal teeth in infants. A cross sectional study was conducted among 339 women attending dental outreach programmes in Igbo Ora using a pretested 17-item semi structured questionnaire. Over two fifths (48.7%) believed that a natal tooth is seen in an evil child. A third (36.0%) mentioned that the affected child is an embarrassment to the family. Over half (61.9%) were of the opinion that a natal tooth can affect a child negatively. Of these, 104 (49.5%) and 58 (27.6%) stated that the child “would suffer stigmatization” and “engage in strange things” respectively. Mothers of children with natal teeth were usually advised to extract the teeth, 74 (21.8%), hide the child, 74 (21.8%) and perform sacrifices to appease the gods, 69 (20.4%). The belief that a natal tooth is not associated with spiritual consequences increased with higher educational qualification (p < 0.001). This study reveals that knowledge gaps regarding natal/neonatal teeth are present among inhabitants of Igbo Ora. Appropriate health education is needed for the community members particularly targeted at women and the less educated
Oral health awareness and practices of primary school teachers in ibadan, Nigeria
(2014) Lawal, F.B.; Bankole, O.O.
he school is an important avenue for promoting oral health most especially in developing countries with low resources. However, the success of any school based preventive oral health programme is dependent on the teachers about whom there is little information on their present state of oral health awareness and practices in Ibadan, South-western Nigeria. To investigate the oral health awareness and practices of primary school teachers in Ibadan, Nigeria. A cross sectional study of randomly selected public primary school teachers in Ibadan was performed. Data were collected using structured self-administered questionnaire, which assessed their socio-demographic characteristics, oral health awareness, oral hygiene measures and utilization of dental services. Data were analyzed using SPSS version 21. Chi square statistics was used to test for association between variables and p value set at < 0.05. Results: A representative sample of 309 teachers participated in the study with a mean age of 48.7 (± 5.94) years. The majority, 284 (91.9%), were females. A few, 39 (12.6%), of the teachers knew what dental caries and its causes were, while 1 (0.3%) knew the cause of oral cancer. Only 149 (48.2%) knew that oral diseases could be prevented. If the teachers had problems with their teeth; 154 (49.8%) would go to the hospital, 115 (37.2%) would self-medicate, 20 (6.5%) would visit the drug shop (chemist), 1 (0.3%) would visit the traditional healer and 19 (6.2%) were not sure of what to do. About a third of participants, 99 (32.0%) have had previous consultations with the dentist, with many 72 (72.0%) doing so because of pain. Many of the teachers 183 (59.2%) cleaned their teeth twice or more daily before eating. Male teachers (84.0%) and those with less teaching experience (60.6%) were found spending longer time in cleaning their teeth (p = 0.035 and p = 0.002). Poor oral health awareness and practices still exists among the teachers. There is a need for urgent intervention to promote oral health amongst them
Oral health condition and practices as indicators of need for oral health promotion among elderly individuals in two rural communities in Ibarapa, Nigeria
(2020) Lawal, F.B.; Dosumu E.B
Targeting oral health promotion among elderly individuals in rural settings requires baseline information on their oral health condition and practices as oral conditions are highly influenced by behavioral factors, which are culturally related in such settings. To determine the association between oral health condition and practices of elders in two rural communities in southwestern Nigeria. A total of 357 residents aged 60 years or older participated in this cross-sectional survey conducted in randomly selected clusters in Igboora and Idere in Ibarapa, Southwest Nigeria. Information on sociodemographic characteristics, oral health practices (tooth cleaning material, frequency of tooth cleaning, utilization of dental services) and oral hygiene status was obtained using interviewer-administered questionnaire. Information on oral conditions such as dental caries experience, tooth mobility and number of teeth present were obtained by conducting oral examination. Data obtained were analyzed with the Statistical Package for Social Sciences (SPSS). Of 357 participants, 183 (51.3%) had missing tooth/teeth, 157 (44.0%) had mobile tooth/ teeth, 114 (31.9%) had decayed tooth/teeth and 343 (96.1%) had poor oral hygiene. About a third 122 (34.2%) of the participants had consulted a dentist previously, out of whom 120 (98.4%) reported that pain was the main reason for doing so. The main reason for not visiting the dentist was: “no problem with me as tooth problems and its eventual loss occur with ageing” 178 (75.7%). Less frequent tooth cleaning and poor oral hygiene were associated with presence of mobile tooth/teeth and incomplete dentition (p<0.05). Presence of mobile (OR=1.80, 95%CI:1.09,2.98, p=0.023), decayed (OR=1.81, 95%CI:1.09,3.00, p=0.022) or missing teeth (OR=5.24, 95%CI:3.05,8.98, p<0.001) were predictors of previous dental consultation. Poor oral hygiene was highly prevalent among elders in the rural communities. Less frequent tooth cleaning and poor oral hygiene were associated with presence of mobile tooth/teeth and incomplete dentition. Presence of mobile teeth, decayed teeth and missing teeth were significant predictors of previous dental consultation.
Oral health practices of adult inhabitants of a traditional community in Ibadan, Nigeria
(2013) Lawal, F.B.; Taiwo, J.O..; Oke, G.A.
BACKGROUND: Although, the association between oral health care practices and sociodemographic characteristics of populations have been documented, information is sparse on sociodemographic indices influencing oral health practices of residents of traditional communities. The study aimed to describe the oral health practices of adult inhabitants of a traditional community in Nigeria. METHODS: A descriptive, cross-sectional study involving adult residents in randomly selected houses in Idikan, Ibadan, Nigeria. Data on their oral health care practices was obtained with the use of structured interviewer administered questionnaires. Data was analysed with SPSS and test of association carried out using Chi square. RESULTS: A total of 390 adult residents participated in the study, of which 56.2% were males. A total of 196 (50.3%) participants used toothbrush solely to clean their teeth, 72 (18.5%) used chewing sticks alone while 119 (30.5%) used both tooth brush and chewing stick. Older residents of the community, those with no formal education and in lower occupational classes were more likely to use chewing stick (p < 0.05). The majority (68.7%) cleaned their teeth once daily, 30% cleaned twice while 1.3% cleaned infrequently. Educational level attained and occupational class were significantly related to frequency of oral hygiene. Nearly all (95.4%) of the participants knew that oral health Services are available in most hospitals, yet only 35.9% had ever visited a dental Centre with a significantly higher Proportion being males (p < 0.05). CONCLUSION: The study showed that the oral health practices of a typical traditional community in Nigeria are highly influenced by socioeconomic considerations
Owoero”: A Health Education Tool to Dispel Teething Myths and Misconceptions – A Report
(2018) Bankole, O.O; Lawal, F.B.; Ibiyemi, O
Research findings in Nigeria have revealed that misconceptions about teething is common in the society, particularly among individuals from the lower social class. This prompted the development of a twenty four minute video in a local Nigerian language (Yoruba) titled “Owoero” (meaning “ease”) . The video conveys a general message on ease of eruption of teeth in children; void of the long list of perceived symptoms. Videos are powerful communication vehicles and important health education tools. They have been used in many countries and previous researches have shown that videotapes are useful aids in health education This present video is to serve as a culturally appropriate community dental health education tool, with special focus on nursing mothers and pregnant women particularly in south western Nigeria because of their essential role in oral health care of children. The video also targets people from the lower socioeconomic class due to their poor knowledge and practice of oral health .This article describes the rationale behind the choice of a culturally appropriate heath educational video and the process and steps that went into the finished work
Patients’ waiting experiences and satisfaction with oral care delivery at two levels of care in Ibadan, Nigeria
(2018) Abiodun-Solanke, I.M.F.; Lawal, F.B.; Ajayi, D.M.
Background: Patients waiting experiences at the dental centre and their satisfaction with services rendered by the health care team have not been fully explored and may be important factors that have influenced the pattern of utilization of dental services in this part of the world. The aim of this study was to determine what patients’ waiting experiences are, at two dental centres and find out how satisfied patients were with the services provided. Methods: A cross sectional study was conducted at two dental centres in Ibadan, Oyo State, Nigeria over a period of twelve months. Data was collected using a 29-item structured questionnaire. Information sought were patients’ biodata, reasons for presenting at the dental centre, time on entry into the centre, their experiences from point of entry into the dental centre to consultation with the dentist and how satisfied they were with the services rendered. Data were analyzed using SPSS version 22. Results: Two hundred and sixty-six respondents participated in the study with a mean age of 36.3 ± 17years. The mean waiting time at the Primary Oral Health Care Center (POHCC) and tertiary health centre (UCH) were 11.5 ± 17.0 and 102.3 ± 47.3 minutes respectively. Many (85.3%) were satisfied with the services offered by the dentist, 78.0% were comfortable while waiting to see the doctor. Patients attending the POHCC were more satisfied with the stage of dropping appointment cards but less satisfied with the stage of being called in to see the doctor (22.9%) and when with the doctor (20.6%) compared with patients attending UCH (13.3%)(p<0.005). Conclusion: Many patients were comfortable while waiting to be seen by the dentist and the majority were satisfied with the stages of service delivery. However, causes of dissatisfaction and discomforts experienced by some of the patients will have to be addressed.
Perception and Practices of Nomadic Women in a Rural Community in Southwestern Nigeria to Their Children’s Oral Health
(2017) Bankole, O.O.; Lawal, F.B.; Balogun,
Nomads move from one settlement to another, thus it has been difficult to have adequate documentation about their oral health and that of their children. To investigate the perception and practices of nomadic Fulani women toward their children’s oral health. A cross-sectional study was conducted among 197 Fulani women using a structured interviewer administered questionnaire. Perceived causes of tooth decay included tooth germs/worms (23.9%) and sugar (5.1%), and 32.0%, 15.2%, and 5.1%, respectively, self-medicated children with antibiotics, traditional concoctions/herbs, and analgesics for tooth decay. Two fifths (40.1%) attributed bleeding gums to tooth germs/worms. Polyurethane foam (46.7%), toothbrush (32.0%), finger (18.8%), and wooden twigs (2.5%) were aids used for cleaning children’s teeth. These mothers have suboptimal oral health knowledge, attitudes, and practices toward their children’s oral health. There is a need for urgent intervention among this group of people.
Periodontal status and treatment needs of primary school teachers in the absence of formal school oral health programme
(2014) Lawal, F.B.; Dosumu, E.B.
Information is sparse about the periodontal health of teachers who play important: roles in prevention of oral diseases in schools. Especially in developing countries where the promotion of oral health in school programmes is still sub-optimal. The objective of the study was to evaluate the periodontal health status and periodontal treatment needs of primary school teachers in a country lacking formal school-based oral health programmes. This was a descriptive survey in which intraoral examination was conducted on 407 primary school teachers. Recordings on the oral hygiene status using OHI-S. bleeding on probing, periodontal pocketing and treatment needs with CPITN and tooth mobility were obtained by a trained and calibrated examiner. Information on socio-demographic characteristics was also sought. Data were analyzed using SPSS and the level of significance set atp<0.05. None of the teachers had healthy periodontium, 3 bled to probing, 284 had calculus accumulation and 109 had shallow pockets while 11 had deep periodontal pocketing. Majority (80.6%) of the teachers had poor oral hygiene and 43 (10.6%) had one or more mobile teeth. A higher proportion of rural based teachers had periodontal pockets compared to those in urban areas (38.5% vs. 26.7%. p = 0.026). Older teachers were more likely to have mobile teeth (p = 0.002). There were significant positive correlations between OHI-S, CPITN score and number of mobile teeth. Periodontal disease is highly prevalent among primary school teachers in the country with calculus accumulation being the predominant feature. The periodontal treatment need of most of the teachers is in the form of oral prophylaxis and non-surgical periodontal treatment
Quality of records keeping by undergraduate dental students in Ibadan, Nigeria
(2012) Dosumu, E.B..; Dosumu, O.O.|; Lawal, F.B.
Background: Recording the interaction between a patient and the dentist is of primary importance in dental practice. The completeness of recordings of undergraduate students, often inadequate, has been found to subsequently impact on the quality of dental care offered by professionals. Once identified, correcting the inadequacies has also been shown to improve the quality of dental practice. Objective: We aimed to evaluate the quality of records keeping by dental students in Ibadan, Nigeria. Method: A retrospective review of records of patients seen by dental students, at the clinics of the dental school in Ibadan, Nigeria, over a six months period was conducted. The charts were reviewed for: demographic data, medical and dental history, clinical findings, diagnosis, treatment plan and note on informed consent. Assessment of the quality of data obtained was done using a modified CRABEL’s scoring system. Results: A total of 318 case files were retrieved for this study. The median modified CRABEL score was 95%, with a range of 65 to 95%. Eighty-two recordings (25.2%) had a score < 90%, while 236 recordings (74.2%) had a score > 90%. The most frequently unrecorded data was written consent in all the charts, followed by procedure done with the documentation absent in 20.4%. All the supervisors signed at the end of the consultation. Conclusion: The quality of records keeping by dental undergraduates is fair but there is a need to emphasize deficient areas and improve upon the quality of record keeping
Roles of teachers in promoting oral health in schools: a cross sectional survey in Ibadan, Nigeria
(2015) Lawal, F.B.; Gbadebo, S.O.
The paucity of formal oral health promoting activities in schools in sub-Saharan Africa has not been properly addressed partly because of failure to integrate teachers with their roles. The study aimed to determine the roles of elementary school teachers in promoting oral health in schools in Ibadan, Nigeria. A questionnaire-based study was conducted among a representative sample of 338 teachers randomly selected from elementary schools in Ibadan. The majority, 308 (91.1%), believed that teachers should play important roles in promoting oral health in schools. Tooth cleaning by 272 (80.5%) and inspection of their pupils’ mouths by 206 (60.9%) teachers were the only oral health promotion activities the teachers were engaged in. Many, 258 (76.3%), were satisfied with their roles in promoting oral health in their schools while 29.0% were satisfied with the roles of dentists. Main reason mentioned by teachers for inadequate oral health promotion in schools was “dentists not doing enough” by 200 (59.2%) while the most commonly suggested solution to improve the situation was frequent school visitation by dentists, 261 (77.2%). Most, 297 (87.9%) were willing to be involved if oral health promoting activities are formally instituted. Many of the teachers believed they play important roles in promoting oral health in schools and are satisfied with their present activities in achieving this, despite very few oral health promotional activities existing in schools. Nonexistence of formal school oral health promotion activities were believed to be caused, majorly, by dentists not doing enough in schools.