FACULTY OF DENTISTRY

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Author: search.filters.author.Lawal, F.B.

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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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    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
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    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
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    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.
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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.