Professional Oral Prophylaxis: Assessment of Practice by Oral Health Professionals in Southeastern Nigeria

Background: Professional oral prophylaxis reduces plaque and calculus levels and improves oral health. This study identified the practice of routine scaling and polishing among oral health professionals. Methodology: This was a cross‑sectional study of 73 oral health professionals who attended the Southeast Oral Health Forum at Onitsha, Anambra State, Nigeria. Data on sociodemographic profile, the undertaking of scaling and polishing of the teeth, reasons for the scaling and polishing, recommendation of scaling and polishing to their patients, and duration of recall were recorded. Data analysis was done using SPSS Version 21. The association between demographic profile and practice of scaling and polishing at 6 months’ interval was tested using the Chi‑square test at a significance level of P < 0.05. Results: The study participants were 43 (58.9%) males and 30 (41.1%) females, and the age range was 23–56 years. All (100.0%) oral health professionals in the study had undertaken scaling and polishing previously. Many respondents (75.3%) scaled and polished routinely twice a year, while 90.6% recommended the procedure to their patients at six months’ interval to enable them monitor their patients’ oral hygiene (85.9%). Those aged 21–30 years (75.0%) (P < 0.001) and < 5 years in clinical practice (74.3%) (P = 0.01) undertook scaling and polishing at six months’ interval or less. Lack of time (34.5%) was the main reason that prevented oral health professionals from  undertaking scaling and polishing. Conclusion: Dental therapists have had scaling and polishing done more than dentists and dental technologists within the last six months. Age and duration of clinical practice were significantly associated with obtaining scaling and polishing at 6 monthly intervals, whereas lack of time was a major reason for not undergoing six monthly scaling and polishing. Keywords: Calculus, dental professionals, oral prophylaxis, plaque&nbsp

Primary School Teachers’ Knowledge of Immediate Management of Permanent Tooth Avulsion

Background: This study assessed primary school teachers’ knowledge of immediate management of tooth avulsion in Enugu, Nigeria. Methods: This was a cross‑sectional study of 135 primary school teachers in Enugu metropolis of Enugu State, Nigeria. Data on sex, age, academic qualification, school type, years of service, and the knowledge of immediate management of avulsed tooth among primary school teachers were collected using a self‑administered questionnaire. The data were analyzed using the SPSS software version 18. The level of significance was set at P < 0.05. Results: The age of study participants ranged from 20 to 58 years. Many teachers in public schools 73 (54.1%) and those with bachelor degree in education 69 (51.1%) participated in the study, They were mostly females 123 (91.1%). The year of service of the teachers ranged from 1 year to 35 years. Only 25 (18.5%) of the teachers had good knowledge of the immediate management of avulsed teeth. Six (4.4%) knew that re‑implantation was the immediate treatment for an avulsed permanent tooth. However, there was a significant association between sex (P < 0.001) and having good knowledge of the management of avulsion, but there was no significant association between age (P = 0.42), school type (P = 0.27) qualification (P = 0.09), year of service (P = 0.42), and having good knowledge of the management of avulsion. Conclusion: Few primary school teachers had good knowledge of immediate management of avulsed tooth indicating the need for increased oral health awareness among teachers in the study area. Keywords: First aid, immediate management, knowledge, permanent tooth avulsion, school teachers, transport medi

Relationship Between Socio-Demographic Profile, Parity and Dental Caries Among a Group of Nursing Mothers in South East, Nigeria

Objective: To determine the prevalence and risk indicators of caries among nursing mothers in a tertiary hospital. Material and Methods: This was a cross-sectional study of 408 nursing mothers aged 15 to 52 years who brought their children for immunization in a tertiary hospital in Enugu, Nigeria. Data on socio-demographic profile, parity, dental visits were collected. The presence of dental caries was recorded using the World Health Organization criteria. Results: The prevalence of dental caries was 11.0%, and the mean DMFT was 0.18. There was a statistically significant association between level of education (p<0.001), past dental visit (p<0.001) and the occurrence of dental caries. Caries was more prevalent in the mandibular teeth than the maxillary teeth. The left mandibular first and second permanent molars had the highest occurrence of dental caries. Missing (M) component of the DMFT index was highest and the care index was low. The significant predictors of caries among nursing mothers were fair oral hygiene and having below tertiary education. Conclusion: The prevalence of caries and the care index were both low in this study population. The significant predictors of dental caries were a tertiary level of education and poor oral hygiene. Incorporating oral health education during postnatal care can help reduce dental caries' occurrence and complications among nursing mothers in the study population

Tertiary Institutions’ Social Health Insurance Program:Awareness, knowledge, and utilization for dental treatment among students of a Nigerian University

Background: Awareness and knowledge can play key roles in influencing the utilization of health insurance programs in Nigeria.Objectives: This study aims to investigate the awareness and use of the Tertiary Institutions/Voluntary Participant Social Health Insurance Program (TISHIP) for undergraduate dental services.Materials and Methods: A cross-sectional descriptive study was conducted in the Enugu Campus of the University of Nigeria and the study population comprised full-time undergraduate students of the institution with a total sample size of 400.Results: Majority (66.7%) of the respondents were aware of the TISHIP, but 37% were aware that it covered dental treatments, and 16.1% had received dental treatment under TISHIP. Fifty point eight percent (50.8%) of the respondents were not registered under the insurance program. The reason respondents had not registered was because majority (49.7%) were not aware of the compulsory registration into the scheme. Respondents agreed that TISHIP would promote equity in healthcare delivery (57.5%), promote improved health facilities (39.4%), and 52.5% were willing to participate in the scheme while 47.9% were undecided on whether TISHIP was worth the financial contribution. Presumed high cost of dental treatment (51.9%) and non-availability of materials for dental treatment at dental facilities (50.8%) were factors that affected the utilization of TISHIP (P < 0.05).Conclusion: Despite the positive effect of TISHIP in cushioning the cost of dental care, utilization is poor, thus there is a need to scale up awareness among the students’ population

Effect of referral for dental service on dental-service utilization by primary school children aged 8 to 11 years in Enugu, Nigeria

determine how one dental education session and referral of study participants aged 8-11 years would affect utilization of oral-health care services. Methods: This descriptive prospective study recruited 1,406 pupils aged 8-11 years from randomly selected primary schools in Enugu metropolis. All pupils received one oral-health education and referral letters for treatment. Data were collected on the pupils socio-demographic profile, family structure, and history of oral-health care utilization in the 12 months preceding the study and within 12 months of receipt of referral letter. The effect of these factors as predictors of past and recent dental service utilization was determined using logistic regression. Results: Only 4.3% of the study participants had ever used oral-health services in the 12 months prior to the study. Within 12 months of issuing the referral letters, 9.0% of pupils used the oral-health services. Children from middle (AOR: 0.46; CI: 0.29-0.73; p=0.001) and low socioeconomic strata (AOR: 0.21; CI: 0.11-0.39; p<0.001) and those living with relatives/guardians (AOR: 0.08, CI: 0.01-0.56; p=0.01) were still less likely to have utilized oral-health services. Conclusions: Referral of children for oral-health care increased the number of children who utilized oral health care services

General anxiety, dental anxiety, digit sucking, caries and oral hygiene status of children resident in a semi-urban population in Nigeria

Abstract Background Digit sucking can represent untreated anxiety or other emotional problems. The aim of this study was to determine if digit sucking is a predictor of general anxiety and dental anxiety; and if general and dental anxiety are associated with caries and oral hygiene status of children resident in sub-urban Nigeria. Methods This was a secondary data analysis of a household survey conducted in Ile-Ife, Nigeria. The level of general anxiety and dental anxiety of 450 6 to12 year old children were measured using the Revised Child Manifest Anxiety Scale and Dental Subscale of the Child Fear Survey Schedule respectively. Presence of digit sucking habit, caries and oral hygiene status were determined. General anxiety and dental anxiety scores were dichotomized into low and high levels respectively. Logistic regression was conducted to determine if digit sucking was a predictor of general anxiety and dental anxiety; and if general anxiety and dental anxiety were predictors caries and good oral hygiene status. Adjustments were made for age and sex. Results Digit sucking is not a significant predictor of dental anxiety (p = 0.99) and general anxiety (p = 0.79). Children with high general anxiety (AOR: 5.02; 95% CI: 2.9–9.74; p <  0.001) and high dental anxiety (AOR: 1.74; 95% CI: 1.15–2.65; p = 0.009) had higher odds of having caries and good oral hygiene respectively. Conclusion Digit sucking was not a significant predictor of general anxiety and dental anxiety. General and dental anxiety however, had effects on the likelihood of having caries and good oral hygiene

Developmental defects of the enamel and its impact on the oral health quality of life of children resident in Southwest Nigeria

Abstract Background Developmental defects of the enamel (DDE) increase the risk for diseases that impact negatively on the quality of life. The objective of this study was to compare the oral health quality of life of children with molar-incisor-hypomineralisation (MIH) and enamel hypoplasia; and assess if caries worsened the impact of these lesions on the quality of life. Methods This study recruited 853 6 to 16-years-old school children. They filled the Child-OIDP questionnaire. The MIH, enamel hypoplasia, caries and oral hygiene status was assessed. Poisson regression was used to determine the impact of MIH and enamel hypoplasia on the oral health quality of life, after adjusting for the effect of sex, age, socioeconomic class, oral hygiene and caries status. Results The prevalence of MIH and enamel hypoplasia was 2.9% and 7.6% respectively. There was no significant difference in the mean child-OIDP scores of children with or without MIH (p = 0.57), children with or without enamel hypoplasia (p = 0.48), and children with enamel hypoplasia with and without caries (p = 0.30). Children with enamel hypoplasia and caries had worse outcomes for speaking (p = 0.01). Children with middle (AOR: 2.74; 95% CI: 1.60–4.67; P < 0.01) and low (AOR: 1.75; 95% CI: 1.04–2.95; p = 0.03) socioeconomic status, and those with caries (AOR: 2.02; 95% CI: 1.26–3.22; p = 0.03) had their oral health quality of life negatively impacted. Conclusion MIH and enamel hypoplasia had no significant impact on the overall oral health quality of life of children resident in southwestern Nigeria. However, children with caries and those from middle and low socioeconomic classes had poorer oral health quality of life

Pattern of patients’ attendance to the dental clinic of federal college of dental technology and therapy, Enugu, Nigeria

Introduction: Oral health is part of general health and should not be considered in isolation, as it contributes to the individual's health related quality of life. The study aimed at assessing the pattern of attendance to the dental clinic using dental records of patients. Methods: This was a retrospective study of 6008 retrieved case notes from the dental clinic of Federal College of Dental Technology and Therapy, Enugu, from June, 2016 to May, 2017. Data on age, sex and occupation were retrieved from the dental records of the institution. Association between age, sex, occupation and patient flow to dental clinic was determined. Results: More females (55.7%) than males (44.3%) attended the dental clinic within the study period. Also, those aged 16 to 30 years (39.5%) and school pupils/students (40.8%) attended dental clinic the most when compared to other attendees. Patient flow was greatest in the first quarter of the year (27.1%), followed by the third quarter (26.1%). However, patient flow was least in the last quarter (20.9%). There was significant association between age (P &lt; 0.001), occupation (P = 0.03) and patient flow to dental clinic in yearly quarters. Conclusion: Being an adolescent or young adult and being a student were significantly associated with patient flow to the dental clinic in yearly quarters in the study area. Patient flow was greatest in the first quarter and least in the last quarter of the year. There is need to increase dental awareness, especially for preventive visit among older age group and non-students in the populace

Habit-breaking methods employed by mothers of children with nonnutritive sucking habits resident in suburban Nigeria

Context: Parents are often concerned about their children's nonnutritive sucking (NNS) habits and may institute mechanisms to try to break them. Aim: The study identified various methods instituted by mothers resident in a suburban Nigeria to break NNS habits of children, reasons for wanting to break the habit, and the association between instituted methods and sociodemographic profile of the mothers. Materials and Methods: The data of 129 mothers of children aged 4 years to 12 years who had NNS habits at the time of conducting a household survey were analyzed. Statistical Analysis: Tests of associations were conducted to determine the association between maternal age and level of education and methods employed to break child's NNS habits. Results: Eighty-four mothers (65.1%) made efforts to break the habit. Habit persisting to older age was the main concern. The most common method employed for breaking habits was punishing the child (54.8%).Only 7 (20.0%) mothers who were concerned about NNS habit(s) sought professional advice. A greater though insignificant percentage of mothers in the 25–34 years age group (57.2%; P = 0.48) and those with secondary school level of education (56.0%; P = 0.12) made efforts to break their children's NNS habits. Conclusions: The majority of mothers were concerned about their children's NNS habits. However, very few concerned mothers sought professional advice. Efforts need to be made to improve the public awareness about the availability of professional services for managing NNS habits and potential impact of employing nonprofessional methods to break habits