FACULTY OF DENTISTRY
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Item 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 educatedItem 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 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.BTargeting 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.
