FACULTY OF DENTISTRY
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Item Impact of tooth loss on the quality of life of patients seen in a Nigerian teaching hospital(2016) Ogunrinde, T.J.; Abiodun-Solanke, I.M.F.; Ajayi, D.M.Introduction. Tooth loss (edentulism) is an irreversible oral condition that has been described as a final marker of disease burden for oral health. It can impact the quality of life of an individual as it may affect speech and ability to chew properly. Aim of the study. To assess the effect of tooth loss on the quality of life of the Nigerian population using the Oral Health Impact (OHIP) questionnaire, and to determine factors that influence the severity of tooth loss impact. Material and method. A cross-sectional study was performed among partially edentulous patients at a Nigerian teaching Hospital. The Oral Health Impact (OHIP) questionnaire was used to obtain information from the participants. Data collected through the questionnaire were analysed using SPSS version 17 software. Chi square test was used to assess the correlation between the quantity and location of tooth loss and impact of tooth loss on the quality of life. The level of significance was set at P≤0.05. Result. One hundred and sixty five partially edentulous patients participated in the study. There were 80 (48.5%) males and 85 (51.5%) females. The highest mean impact score was 2.27 and was recorded for the question “Have you found it uncomfortable to eat any food because of your missing teeth”? Of the seven domains of OHIP, the highest mean score (4.2) was recorded for the physical pain domain. There was a statistically significant relationship between the location of missing teeth and the severity of impact on the quality of life of the participants. Conclusion. Missing anterior teeth had significant impact on the quality of life of the patientsItem Clinical and sociodemographic factors associated with oral health knowledge, attitude, and practices of adolescents in Nigeria(2020) Lawal, F. B.; Oke, G. AThe institution of appropriate oral health promotion programs targeted at adolescents in schools in developing countries requires baseline information on their oral health knowledge, attitude, and practices as well as associated factors influencing it, which are unknown. This study assessed clinical and sociodemographic factors associated with oral health knowledge, attitude, and practices of adolescents in Ibadan, Nigeria. Two-thousand and ninety-seven students aged 12-18 years were recruited from 30 randomly selected secondary schools in a cross-sectional study conducted in Ibadan, Nigeria. Data were obtained through a questionnaire on oral health knowledge, attitude, and practices, and sociodemographic characteristics. Oral examination was conducted to assess the clinical oral condition of the adolescents. Data were analyzed with SPSS. The higher the percentage scores, the better the oral health knowledge, attitude, and practices, and overall awareness of oral health. The oral health knowledge score ranged from 0% to 60%; mean oral health knowledge score was 15.1% (±6.6%). The oral health attitude score ranged from 0% to 91.3%; mean oral health attitude score was 44.5% (± 14.3%). The oral health practices score ranged from 0% to 88.9%, and mean oral health practices score was 42.5% (± 13.8%). The mean oral health knowledge, attitude, and practices score was 43.8% (± 11.4%). A total of 1537 (73.3%) participants had unhealthy periodontium and 98 (4.7%) had dental caries. Students who were 12-15 years (odds ratio = 1.7, 95% confidence interval = 1.42.0, p < 0.001), females (odds ratio = 1.2, 95% confidence interval = I.0-I.5, p = 0.024), offspring of skilled workers (odds ratio = 1.5, 95% confidence interval = I.I-2.0, p = 0.010), previously educated about oral health (odds ratio = 1.3, 95% confidence interval = I.0-I.7, p = 0.023), consulted the dentist (odds ratio = 1.9, 95% confidence interval = I.2-3.I, p = 0.009), or had unhealthy periodontal condition (odds ratio = I.2, 95% confidence interval = I.0-I.5, p = 0.042) were more likely to have higher oral health knowledge, attitude, and practices scores or awareness than others. Better knowledge, attitude, and practices score was associated with younger age group, higher occupational class, previous oral health education, dental consultation, and having unhealthy periodontal conditionItem Effectiveness of an Oral Health Education Program to Improve Mothers’ Awareness of Natal Teeth: A Randomized Controlled Study(2020) Bankole, O,O.; Lawal, F.BTo evaluate the effectiveness of an oral health talk aided by a video on improving the awareness of mothers about natal teeth in two rural communities in southwest Nigeria. A cluster randomized controlled trial was conducted among 80 mothers in two rural communities in Nigeria, randomized into study and control groups. Baseline information was obtained with a pre-tested interviewer administered questionnaire. The mothers in the study group participated in an oral health education program comprising of a video show on natal teeth in addition to an oral health talk. The control group did not receive any intervention. Post-intervention data was obtained three weeks afterwards. Data collected was analyzed with SPSS using paired t-test, independent t-test and Chi-square test. The sociodemographic characteristics of participants in both groups were similar. The mean knowledge, attitude and practice percentage scores for the study group were 38.9 ± 26.3% (pre-intervention) and 73.6 ± 26.2% (post-intervention); while for the control group, the values were 43.2 ± 31.4% (pre-intervention) and 43.9 ± 32.4% (post intervention). The study group, had a 34% increase in knowledge, attitude and practice percentage score (CI=23.7-45.5; t=6.4; p<0.001), while the control group, had an increase of 0.7% (CI=-0.7- 2.2; t=1.00; p=0.323). An oral health education program comprising of oral health talk and a video about natal teeth improved the awareness of mothers about natal teeth as a normal phenomenonItem 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 effectsItem To determine the psychometric properties of the General Oral Health Assessment Index (GOHAI) in a sample of adult rural dwellers in Southwestern Nigeria(2020) Lawal, F.BThis cross-sectional study was conducted among 395 adults attending dental outreach programs in Igboora, Nigeria. A translated interviewer administered questionnaire comprising socio demographic characteristics, GOHAI questions, self-rating of oral health and satisfaction with dental appearance was used to obtain data. Oral examination was also performed. The data obtained was analyzed for reliability and validity of GOHAI using SPSS and p value was set at <0.05%. The GOHAI score of respondents ranged from 5 to 60. Many 283 (71.6%) reported at least an impact of oral condition on quality of life (OHRQoL). The most reported impairment was the use of medication to relieve pain (221, 55.9%). GOHAI demonstrated excellent internal consistency with a Cronbach alpha of 0.97. Principal component analysis resulted in extraction of one factor; Kaiser-Meyer-Olkin measure was 0.96 and Bartlett’s test was significant (p<0.001). GOHAI was able to discriminate between those with periodontal treatment needs (p<0.001), missing teeth (p<0.001) or decayed teeth (p=0.001) and those without those oral findings. Higher GOHAI scores (less impact on OHRQoL) correlated negatively with poor selfrating of oral health (rs = -0.72, p<0.001) and dissatisfaction with dental appearance (rs = -0.70, p<0.001). More males (p=0.012) and divorced respondents (p=0.016) reported impacts on OHRQoL than others. GOHAI has acceptable psychometric properties and validity among underserved adults living in a rural Nigerian communityItem A report on oral health delivery to rural underserved communities oyo state using the mobile dental clinic(2018) Balogun, A.O.; Taiwo J.O.; Ipeaiyeda O.J.; Lawal F.B.; Ibiyemi O.In Nigeria, the distribution of health care facilities particularly oral health facilities is urban based. Consequently, the rural people have no access or minimal access to oral health care. Various studies have called attention to the increasing trend of oral diseases in Nigeria, especially in the rural areas. Mobile dental clinic transcends all barriers to oral health care including physical and cultural barriers through community outreach, to rural underserved areas. Therefore, this project set out to determine the oral health needs of poor underserved rural communities in Ibadan and to deliver oral health care at their doorsteps. Using the services of a mobile dental clinic, inhabitants in selected rural communities namely; Akufo, Olosun, Aremo and Ilaju were given oral health talk and treatment after their needs were determined using dental mirror, natural light, CPITN probe, caries probe. One hundred and thirty one people were examined and treated. Majority were from Yoruba tribe. More females (58.0%) participated in the study. Mean age of the participants was 42.4years (+10.4). Many (61.8%) of the participants had periodontal disease, tooth wear 24.4%, dental caries 16.0%. Majority of the participants had scaling and polishing (61.8%) as treatment, while 3.1% had atraumatic restorative treatment. Extraction was done for 6.8% of participants, while 27.5% were referred. Oral diseases, especially periodontal disease, tooth wear and caries are quite prevalent in underserved rural communitiesItem 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. OProviding 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 promotionItem 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.Item 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.Item 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