Periodontal & Community Dentistry

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    Clinical and sociodemographic factors associated with oral health knowledge, attitude, and practices of adolescents in Nigeria
    (2020) Lawal, F. B.; Oke, G. A
    The 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 condition
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    Why Patients Visit Dentists – A Study in all World Health Organization Regions
    (2020) John, M.T.; Sekuli, S.; Bekes, K.; Al-Harthyd, M.H.; Michelottie, A.; Reissmann, D.R.; Nikolovskag, J.; Sanivarapu, S.; Lawal, F. B.; List, T.; Kirsic, S, P; Strajnic, L.; Casassus, R.; Baba, K.; Schimmel, M.; Amuasi, A.; Jayasinghe, R.D.; Strujic-Porovic, .S.; Peck, C. C.; Xie, H.; Bendixen, K. H.; Pallares, M. A. S.; Perez-Franco, E.; Sistani, M. M. N.; Valerio, P.; Letunova, N.; Nurelhuda, N. M.; David W. Bartlett, D. W.; Oluwafemi, I. A.; Dghoughi, S.; Ferreira, J. N. A. R.; Chantaracherd, P; Rener-Sitar, K.
    The dimensions of oral health–related quality of life (OHRQoL) Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the major areas where patients are impacted by oral diseases and dental interventions. The aim of this study was to evaluate whether dental patients’ reasons to visit the dentist fit the 4 OHRQoL dimensions. Dentists (N 5 1580) from 32 countries participated in a web-based survey. For their patients with current oral health problems, dentists were asked whether these problems were related to teeth, mouth, and jaws’ function, pain, appearance, or psychosocial impact or whether they do not fit the aforementioned 4 categories. Dentists were also asked about their patients who intended to prevent future oral health problems. For both patient groups, the proportions of oral health problems falling into the 4 OHRQoL dimensions were calculated. For every 100 dental patients with current oral health problems, 96 had problems related to teeth, mouth, and jaws’ function, pain, appearance, or psychosocial impact. For every 100 dental patients who wanted to prevent future oral health problems, 92 wanted to prevent problems related to these 4 OHRQoL dimensions. Both numbers increased to at least 98 of 100 patients when experts analyzed dentists’ explanations of why some oral health problems would not fit the four dimension. For the remaining 2 of 100 patients, none of the dentis tprovided explanations suggested evidence against the OHRQoL dimensions as the concepts that capture dental patients’ suffering. Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact capture dental patients’ oral health problems worldwide. These 4 OHRQoL dimensions offer a psychometrically sound and practical framework for patient care and research, identifying what is important to dental patients
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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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    Effectiveness of an Oral Health Education Program to Improve Mothers’ Awareness of Natal Teeth: A Randomized Controlled Study
    (2020) Bankole, O,O.; Lawal, F.B
    To 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 phenomenon
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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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    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.B
    This 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 community
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    Reversal of tooth eruption sequence: beliefs and perceptions
    (2019) Bankole, O.O.; Lawal, F.B
    Among some Nigerians, eruption of the maxillary primary incisors before their mandibular counterparts is considered a taboo. Data regarding the perceptions of residents of Igbo Ora to reversal of eruption sequence appear non-existent. The aim of this study is to assess the attitudes and beliefs of some adults of Igbo Ora to reversal of eruption sequence of primary incisors A cross-sectional study was conducted among community dwelling females aged 18 years and older in Igbo Ora, Southwestern Nigeria. A house to house survey was conducted among all willing adult females available at the time of the study. Data for the study was collected with an interviewer administered questionnaire in the Yoruba Language. Data collected were analyzed with SPSS version 21. Frequencies, means and proportions were generated and test of association between categorical variables was done using Chi Square statistics. There were 229 participants with a mean age of 34.6 (SD = 12.6) years and majority ( 34.1%) had secondary school education . Reversal of eruption sequence was attributed to child being evil (47.6%) and mother exposed to other evil children (4.8%). About 56.3% of respondents believe that reversed eruption sequence has a negative effect on the child, including the ability to place irrevocable curses on people. A perceived consequence of having a child with reversed tooth eruption sequence on the family was fear of the child by other family members (21.8%). Beliefs about reversed sequence of eruption of primary anterior teeth being a normal variation increased with educational qualification (p = 0.001). The study has revealed gross fallacies regarding reversal of eruption sequence in children in Igbo Ora. Health education intervention should be given to them particularly targeting mothers and the less educated
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    Preference of saliva over other body fluids as samples for clinical and laboratory investigations among healthcare workers in Ibadan, Nigeria
    (2019) Lasisi, T.J.; Lawal, F.B
    The study aimed to assess the knowledge and practices of clinicians and laboratory scientists on the use of saliva for clinical or laboratory tests. This was a cross-sectional survey of health care workers (100 clinicians and 62 laboratory scientists) closely involved with specimen collection for clinical and laboratory investigation at two health facilities (secondary and tertiary) in Nigeria. Information was obtained from participants using pretested structured questionnaires. Data were analyzed with SPSS and level of significance set at p < 5%. The mean age of the study participants was 34.1 (±6.6) years. The majority (95.7%) knew saliva could be used for clinical/laboratory test. A higher proportion of laboratory scientists knew saliva could be used in diagnosing HIV (59.2%), oral diseases (88.7%), oro-facial tumors (64.4%) and genetic testing (94.5%) compared to (41%), (80%), (40%) and (80%), of clinicians respectively (p < 0.05). More clinicians (85%) indicated saliva as a good specimen for diagnosing systemic diseases compared with scientists (63%), p < 0.001. Saliva was the most comfortable/convenient body fluid to obtain from patients with more clinicians (80%) mentioning this than scientists (49.1%), p < 0.001. Twenty-six clinicians had used saliva for disease diagnosis (64%), treatment monitoring (28%) or research purposes (8%). Saliva sampling for research purposes was more prevalent among clinicians (p = 0.004). The majority of the health care workers knew the various uses and advantages of saliva as a specimen for clinical and laboratory investigation. However, few indicated previous use for clinical and laboratory investigation especially in the area of research