FACULTY OF DENTISTRY

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Author: search.filters.author.Lawal, F.B.End date: 2019

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    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.
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    Sources and Factors Related to Oral Health-Care Information Among Dental Patients of a Teaching Hospital in Ibadan, Nigeria
    (2019) Lawal, F.B.; Oladayo, A.M
    TheWorld Health Organization has described oral diseases as a global health problem in developing countries and this is mainly attributed to low level of oral health awareness. It, therefore, becomes imperative to investigate how people are informed about oral health care. To determine the sources of oral health-care information and predictors of oral health awareness among individuals seeking dental care at a major tertiary health institution in sub-Saharan Africa. A cross-sectional study was conducted among patients aged 16 years and older attending the dental outpatients of a major teaching hospital using structured questionnaires. Data obtained were analyzed with SPSS version 23. A total of 292 patients with a mean age of 38.4 (SD¼16.3) years participated in the study of which 188 (64.4%) had been educated about oral health prior to the dental consultation. The major source of oral health-care information was dental clinics for 174 (92.6%) participants. The educators or resource persons were mainly dentists 105 (55.9%) and nurses or therapists 67 (35.6%). Females were more likely to have received oral health-care information (odds ratio [OR]¼1.8, CI [1.1, 3.0], p¼.021). Those with previous dental visits were also more likely to have received information about oral health care (OR¼2.6, CI [1.6, 4.2], p<.001). Dental clinics and dentists were the major sources of oral health-care information; being female and previous dental visits were significant positive predictors of being a recipient of oral health-care information. Dental public health education through mass and social media should be made a priority to improve access to oral health-care information
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    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
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    Views and preferences of patients attending a tertiary hospital in Nigeria on use of saliva for clinical or laboratory tests
    (2018) Lasisi, T.J.; Lawal, F.B.
    The purpose of this study was to assess the knowledge and views of patients on the use of saliva for clinical or laboratory analysis. This was a cross sectional survey of 189 patients attending one primary and one tertiary oral health facility in Nigeria. Information was obtained from participants using pretested structured questionnaires and SPSS version 23 to analyze the data. Tests of associations between variables were determined using Chi-square and level of significance set at < 5%. One hundred and fifty-two (80.4%) respondents were aware of the use of saliva for clinical or laboratory test. The majority 152 (80.4%) agreed that saliva is easier to collect than other body fluids while 63 (33.3%) preferred to give saliva sample to blood 54 (28.6%) and urine 51 (27%) for clinical or laboratory tests. Only 20 (10.6%) had given saliva for tests before. Ninety-nine (52.4%) indicated strong interest in donating saliva for research while only 4 (2.1%) had given saliva as samples for research work before. Age, educational status and occupational class were significantly associated with awareness of use of saliva as investigative specimen (p < 0.05). This survey revealed that majority of the patients were aware of the use of saliva as well as its advantages over other body fluids for clinical or laboratory tests. Very few indicated previous saliva sampling for clinical and laboratory tests. Thus there is need for development of precise, cheap and accessible saliva tests for patient-centered diagnostic testing and disease monitoring
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    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
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    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.
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    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
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    Teething: Misconceptions and Unhealthy Practices among Residents of a Rural Community in Nigeria
    (2017) Bankole, O.O.; Lawal, F.B.
    Misconceptions about the teething process has led to high infant morbidity and mortality, which was recently experienced in Nigeria due to consumption of an adulterated drug used in the prevention and treatment of teething-related illnesses in infants. It is however, unknown if these misconceptions still persist in a rural town in Nigeria despite oral health awareness campaigns targeted at this. The aim of this study is to assess the beliefs and practices of residents in Igbo Ora, a rural township in Nigeria, regarding the teething process. A descriptive cross-sectional study was conducted among 393 adults in Igbo Ora using a 33-item, semistructured questionnaire. Symptoms such as diarrhea (80.7%), fever (69.2%), and boils (64.4%) were still considered as a must to accompany teething. Teething powder, teething syrup, and traditional concoctions were commonly recommended by (42.0%), (31.6%), and (48.1%) of the respondents, respectively, to treat and prevent teething symptoms. This study revealed that misconceptions about teething are still highly prevalent among the populace in Igbo Ora, and a structured oral health education intervention at the community level is urgently needed
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    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.