Relationship between obesity and oral diseases

Objective: The aim of this study was to determine the relationship between obesity and periodontal status and dental caries experience of a group of Nigerian dental patients.Materials and Methods: Participants were selected from patients attending dental outpatient clinics of the University of Benin Teaching Hospital, Benin City, Nigeria. Their weight and height were measured and body mass index (BMI) estimated in kg/m2, gingival health assessed using bleeding on probing index, oral hygiene estimated using the simplified oral hygiene index (OHI‑S), periodontal health estimated using the basic periodontal examination (BPE) and caries experience was estimated with the decayed, missing, and filled teeth (DMFT) index.Results: A few participants (3.8%) were underweight, 52.6% fell within the normal BMI range, 28.2% preobese, 12.2% obese class I and 3.2% obese class II. The mean OHI‑S score was 2.16 ± 1.13 among the overweight participants and 2.05 ± 1.13 among those who are not (P = 0.543). The mean DMFT score was 3.03 ± 4.25 among the overweight participants and 2.32 ± 3.01 among those who are not (P = 0.223). Sixty‑five percent of participants with BPE score of 0, considered to signify periodontal health, had normal BMI while all the participants with the worst BPE score recorded belong to the obese 1 group (P = 0.070). The binary logistic regression revealed that the likely predictor of gingival bleeding in the study is BMI between 35.0 and 39.9 (obese class 2) (P = 0.046, odds ratio = 0.07, 95% confidence interval = 0.01-0.96).Conclusion: It can be concluded from this study that there is no statistically significant relationship between obesity and periodontal status and dental caries experience in the studied group of dental patients. Increased BMI may however be a predictor of gingival bleeding.Keywords: Dental caries, obesity, periodontal diseas

Nutrition And Oral Health

There is an interdependent relationship between nutrition and health of oral tissues. The well-being of the oral tissues, the quantity and quality of saliva and the dimension of taste depend on the intake of nutrients. Oral health determines the type of food consumed and ultimately the nutritional level. A review of literature was to outline this interdependent relationship

Factors Influencing The Selection Of Dental Nursing As A Profession

Objective: To provide a current description of dental nursing students and to assess the reasons for choosing the dental nursing career. Methods: Between 2008 and 2009, a questionnaire survey was administered to 85 dental nursing students from 3 Colleges of Health Technology undergoing external clinical posting in University of Benin Dental Clinic. The questionnaire requested information on age, gender, place of residence, type of school attended, previous employment, reason for choosing dental nursing as a career, career plans, parents' highest level of education and parents' occupations. Results: The mean age of the respondents was 23 ± 4.4 years and the male: female ratio of was 1:7.5. Three-quarter (75.3%) of the respondents attended government secondary school and 87.1% were products of mixed school. Teaching was the commonest job among 27.1% of the respondent that had previous employment. Three-quarter (75.6%) of the respondents attested that their education was being sponsored by their parents. Caring for the health of others was the main reason for pursuing dental nursing career. The decision to study dental nursing was taken by 44.7% of the respondents after their secondary education and 50.6% were influenced in their choice of the career with parent being a strong force. More than half (56.5%) plan to work in Teaching hospital on completion of their training. The educational backgrounds of parents varied widely with mothers being reported to have less formal education than fathers. Three-quarter (75.3%) and one-third (35.3%) respondents' mother and father were traders respectively. Conclusion: The study findings provide relevant information on the students' characteristics, factors influencing the selection of dental nursing career and will serve as a template, on which changes in the social composition of dental nursing students can be compared with over time. Key words: Factors, selection, dental nursing, professio

Nigerian dental students? compliance with the 4As approach to tobacco cessation

Objective. To assess the Nigerian dental students? present effort at tobacco cessation assistance using the simple stepwise 4As model. Methods. A cross-sectional survey of all the final level dental students in the Nigerian premier dental schools was carried out using a pretested self administered questionnaire. Results. The response rate was 98.9%. Majority (95.6%) of the respondents routinely take history of tobacco use. A total of 93.9% of the respondents routinely advice patient who smoke to quit but only 46.1% actually counsel patient on how to quit. Sixtenth of the respondents knew about nicotine replacement therapy but only 36.1% knew the role antidepressant therapy in tobacco cessation. Majority (87.2%) want cigarette sales to adolescents banned, 73.9% want adverts of cigarettes prohibited, 81.1% want cigarette smoking banned in public areas and only 2.8% will permit smoking in a dental office. Conclusions. The survey revealed deficiency in compliance to the 4As approach to tobacco cessation among Nigerian dental students. The incorporation of proper tobacco counseling cessation protocol, with emphasis on the pharmacological therapy, into the dental curriculum is therefore desirable. Dental professionals at all levels should be involved effectively with tobacco cessation to significantly reduce the morbidity and mortality of tobacco use

Oral Assessment and Nursing Interventions among Nigerian Nurses-Knowledge, Practices and Educational Needs

Background: Assessment of oral condition, oral care, and informing the attending doctor of unusual oral findings for possible consultation or referral to a dentist are the advocated roles of hospital nurses. The objective of the study was thus to assess the roles of Nigerian nurses in the assessment of oral conditions of hospitalized patients.Methods: This questionnaire-based cross-sectional survey of all nurses caring for hospitalized patients in the University of Benin Teaching Hospital was conducted in the first half of 2010.Results: Of the 384 studied participants, 94.3% considered oral care as an important aspect of nursing care and 73.4% had oral health component in their nursing school curriculum. A total of 80.7% reported suspicious and abnormal findings in hospitalized patients to the attending doctor. Amongst the respondents, 38.0% reported ability to conduct good oral tissue examination. Only 28.1% demonstrated good knowledge of common oral diseases. Three-quarters (73.4%) thought that it is compulsory for nurses to assess the oral condition of hospitalized patients. The 67.7% and 21.9% of the respondents did the assessment on admission and discharge respectively. The majority (90.1%) desired training on oral care of hospitalized patients.Conclusion: There is a need to improve the skill and competence of nurses in the assessment of oral condition to make them a substantive partner in the oral care of hospitalized patients.Keywords: hospitalized patients, nurses, oral condition, role

Misconceptions about oral health among a group of Nigerian primary school teachers

Objective: To identify the various misconceptions that still exist among teachers about oral health practices and their incorrect ideas about dental conditions. Method: The study was a descriptive cross-sectional study carried out between May and September 2008 among 640 primary school teachers in Oredo Local Government area of Benin City, Nigeria. Data collection was by the use of self –administered questionnaire. Result: More than a third of the respondents (39.6%) felt that tooth decay is caused by worms, 0.3% felt it is caused by black magic. While 11.9% felt gingival bleeding is caused by worms. Tooth loss was considered a natural process by 43% of the respondents and 53.1% did not feel it is possible to keep all the teeth in the dentition for life. In addition, 23.2% did not consider tooth loss a serious health problem. Traditional medicine was used for toothache and gingival bleeding in 5.0% and 2.6% of cases respectively, while 6.5% reported self medication. Improvement of oral hygiene by toothbrushing was considered ineffective in the prevention of gum disease by 15.3% of the respondents. Conclusion: This survey revealed that a few misconceptions still exist among teachers about what constitutes appropriate oral health practices and correct knowledge of oral diseases and remedies. These misconceptions should be corrected to prevent the teachers form impacting incorrect knowledge on the children they teach. In service training of the teachers in the area of oral health is therefore recommended.Keywords: Oral health, misconception, teachersNig Dent J Vol 20 No. 1 Jan - June 201

Prevalence of tobacco use among dental patients and their knowledge of its health effects

Objectives: The objective of this study was to determine the prevalence of tobacco use in dental patients, to compare the knowledge of the effects of tobacco in tobacco users and nonuser, to determine their source of information, and to obtain their opinion on strategies that may be used to reduce or stop tobacco consumption.Materials and Methods: A descriptive cross-sectional survey of 400 patients attending the University of Benin Teaching Hospital dental clinic for treatment was carried out using a self-administered questionnaire.Results: The result revealed that the prevalence of tobacco use is 4.25% and that tobacco was consumed in the form of cigarette in 94% of cases. Only a small percentage of the respondents (0.3%) had a poor knowledge of both the tobacco effect on general and oral health. Although 26.5% claimed to have multiple source of information on the effect of tobacco on health but the media was the highest single source (23.5%). Banning of sales of tobacco products was suggested by 30.5% of the respondents, 19.8% suggested that doctor should educate patients on the health effect of tobacco, and 17.8% feel that to discourage tobacco use, multiple strategies should be used.Conclusion: There is a need for health workers to lay more emphasis on the rare complications of tobacco use. The use of multiple regulatory strategies should be employed to reduce the overall adverse health impact of tobacco and the media can play a great role

Self-reported occupational visual and hearing impairment among dental professionals in Nigeria

Objective: To determine the prevalence of occupational visual and hearing impairment among dental professionals in Edo State, Nigeria. Materials and Methods: A questionnaire based cross-sectional survey of dental surgeons, dental surgery assistants (DSA), dental therapists and dental technologists was conducted in four government owned dental centers in Edo state which included: University of Benin Teaching Hospital, Specialist Hospital, Benin City, Irrua specialist hospital and General hospital, Fugar. Results: The response rate was 78.1%. Majority (77.3%) of the respondents were dentists, others were dental nurses (10.7%), dental technologists (9.3%) and dental therapists (2.7%). The prevalence of hearing impairment was 4.0% while visual impairment was 12.0%. The prevalence of hearing impairment was higher among dental technologists, however this was not statistically significant (P>0.05).The regular use of safety practices among the dental professionals was low ranging from12.0% to 50.7%. Conclusion: Visual impairment was more common than hearing impairment among dental professionals. Noise level and hazards to the eyes in dental clinic should be evaluated by occupational health and safety advisors with a view of making useful recommendation to reduce their adverse impact on dental professionals. Further investigations using objective auditory and visual assessment tools are also recommended.Keywords: Occupational health, visual impairment, hearing impairment, dental professionals, health hazard

Tooth brushing, tongue cleaning and snacking behaviour of dental technology and therapist students

Objective: To determine the tooth brushing, tongue cleaning and snacking behaviour of dental technology and therapist students. Methods: A descriptive cross-sectional study of students of Federal School of Dental Therapy and Technology Enugu, Nigeria. Self-administered questionnaire was used to obtain information on demography, frequency, duration and technique of tooth brushing and tongue cleaning as well as information on consumption of snacks. Results: A total of 242 students responded. Dental technology students made up 52.5% of the respondents and dental therapist in training made up 47.5%. Majority (63.2%) of the respondents considered the strength of tooth brush when purchasing a tooth brush and 78.9% use tooth brushes with medium strength. Sevententh (71.9%) of the respondents brush their teeth twice daily and 52.1% brush for 3-5 minutes. About onethird (30.2%) brush their teeth in front of a mirror. Chewing stick was used by 51.7% of respondents in addition to the use of tooth brush. Tongue cleaning was done by 94.2% with only 9.5% using a tongue cleaner. Only 20.2% reported regular snacks consumption. Nine-tenth (90.4%) of respondents were previously involved in educating others, apart from their colleagues, on tooth brushing. Conclusion: This survey revealed that most of the dental therapy and technology students had satisfactory tooth-brushing behaviour. The zeal to educate others about proper tooth brushing revealed in this study suggests that the students may be helpful in oral health promotion.Keywords: toothbrushing; tongue cleaning; snacking behaviour; dental auxiliary students; Nigeri

Self-reported preparedness for medical emergencies among dentists in two hospitals in Benin City

Context: Medical emergencies have been known to occur in dental offices and can lead to loss of life if not well managed.Objective: The objective of this study was to assess self-reported preparedness by practicing dentists for management of medical emergencies in Benin City, Nigeria.Methods: A self-administered questionnaire was completed by dentist in a teaching and general hospital in Benin City.Results: Majority of respondent (86.6%) reported to have received either theoretical or practical or both training in medical emergency at  undergraduate level. While only 46.7% have had training post graduation.Only 6.7% of respondent have certification in both basic life support and advanced trauma life support, while only 20% participated in emergency drills in the last six months prior to this study. Non availability of emergency kit was reported by 43.3% of the respondent. No respondent knew of the availability of a complete emergency kit. Only adrenaline, oral glucose, diazepam, oxygen and AMBU bag were reported to be availableby 36.7%, 16.7%, 33.3%, 33.3% and 23.3% of the respondents  respectively. Only 40% of the respondents felt competent to perform mouth-to-mouth resuscitation.Conclusion: Preparedness for management of medical emergencies was found to be inadequate among the surveyed dentists. The need for improvement of the training of practicing dentists in the management ofmedical emergencies at the undergraduate, postgraduate, and continuing education levels as well as the need for organization of the dental workplace to handle such emergencies cannot be overemphasized.Keywords: Medical emergency, preparedness, Competence, Dentist