{"title":"A preliminary study of the periodontal status and treatment needs of elderly Nigerian subjects.","authors":"K O Savage","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One hundred elderly subjects comprising of residents of old peoples homes and patients attending routine outpatients clinic at the Lagos University Teaching Hospital were examined in Lagos. The mean age of subjects was 68.7 years. Using the Community Periodontal Index of Treatment Needs (CPITN) it was found that 23% had tooth deposits (plaque/calculusonly) whilst 70% had shallow or deep pockets. 87% of these elderly subjects were caries-free and none had restored or filled teeth. However, more than half of the subjects had an average missing teeth number of 8.829% of the subjects needed extraction with an average of 3.3 teeth. Among the subjects that needed dental extraction, none had healthy periodontal condition whereas, 79% of them were caries free. It is concluded from this study that the periodontal status of the subjects was poor and the incidence of caries was low. Furthermore, the majority of the missing teeth could have been largely due to periodontal disease. Dental health education which is directed towards improved oral hygiene procedures is suggested for the elderly dental population. It is also suggested that elderly patients be given free or subsidised treatment. Furthermore, the National Health Policy should be directed towards domiciliary dental treatment for the compromised elderly patients.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"6 ","pages":"23-9"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12517629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A retrospective study of characteristics of impacted mandibular wisdom teeth in 110 patients treated in Nairobi, Kenya.","authors":"S W Guthua, D L Mwaniki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Analysis of 110 records of patients who presented with impacted mandibular 3rd molars was carried out to determine the frequency of occurrence of unilateral and bilateral impactions and their characteristics. 68.2% of the patients had bilateral impactions. Among the patients with bilateral impactions, 72% had mesioangular impaction occurring either bilaterally or in combination with other types of impaction. Furthermore, 38.7% mesioangular impactions were observed on the right and left sides in the patients with bilateral impactions. Among the patients with unilateral impactions 40.2% presented with mesioangular impaction, while 25.7% presented with distoangular impactions. While these observations support the general consensus regarding aetiology of mandibular 3rd molar impactions as being tooth-tissue discrepancy, the possible influence of other factors is suggested.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"6 ","pages":"30-3"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12517630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Case report of dentigerous cyst of lower incisor.","authors":"M A Ojo, O Akpata","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reviews the pathogenesis, clinical features and the behaviour of dentigerous cyst. A case of mandibular dentigerous cyst involving the incisor tooth (an unusual site) is presented to illustrate this pattern of behaviour. A recurrent pyogenic granuloma in the region of the lower incisors prevented the eruption of the lower left incisor with subsequent cystic formation around the tooth. The histological and radiological presentation is consistent with that of a dentigerous cyst. The significance of the potential of the cyst lining is stressed. The cyst was enucleated with the associated tooth as the latter was not in a favourable position to erupt. There was no recurrence after one year of treatment.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"6 ","pages":"34-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12517631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral health promotion and health education programmes for Nigeria--policy guidelines.","authors":"E O Ogunbodede, A Sheiham","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nigeria like other developing countries is presently faced with the arduous problem of coping with scarce resources to control existing and increasing oral disease levels. The World Health Organization has emphasized the importance of oral health promotion for initiating successful, effective, preventive oral health programmes. At present however, Nigeria is without formal oral health promotion and health education policies or programmes. In the \"National Policy and Strategy to Achieve Health for All Nigerians\" (Federal Ministry of Health 1986), no specific mention was made of oral health promotion or oral health education. The present paper therefore proposes definitive policy guidelines that will help in the development of coherent oral health promotion programmes for the country. The approach proposed tackles causes common to a number of chronic diseases and incorporates oral health into general health strategies.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"6 ","pages":"8-16"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12517632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AIDS and infection control: experiences, attitudes, knowledge and perception of occupational hazards among Nigerian dentists.","authors":"E O Sote","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A questionnaire survey of 79 Nigerian dentists aged 21-60 years was carried out to evaluate their experiences, attitudes, knowledge, and infection control practices in relation to HIV infection. Their perceptions of various occupational hazards were also probed. 84.4% of them held the view that HIV-infected/AIDS patients should be treated in special treatment clinics. The risk of becoming infected was the paramount fear expressed by 88.6% of the dentists. This fear can be explained by the inadequate facilities in various dental clinics reported by 79.7% of them. Despite their lack of clinical experience in the management of oral manifestations of AIDS, a large proportion of them were quite knowledgeable. However, HIV infection was perceived with the highest degree of concern as the greatest occupational hazard by 87.2% of the dentists. Interdisciplinary collaboration among health professionals should be intensified to enhance prompt referral and comprehensive treatment of AIDS patients.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"6 ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12517627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Societal opinions on the eruption of deciduous maxillary central incisors before the mandibular ones in Nigeria.","authors":"G A Aderinokun, C O Oyejide","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reports perceptions and beliefs about babies who erupt upper deciduous teeth before the lower in two rural Yoruba communities. 96.5% of respondents expected that the lower incisors should erupt first. The majority (70.4%) believed the eruption of upper teeth before the lower to be a sign of an evil child. This observation was, however, related to educational status and age. The higher the educational level of the respondents, the higher the proportion of respondents who viewed the occurrence as a mere individual variation. Similarly, the older people tended to view the eruption of upper deciduous teeth before the lower as evidence of an evil child. The need for an educational package directed at similar populations in order to reduce anxiety related to this human variation is stressed. It is suggested that a transcultural approach be taken to cater for the child and family welfare in a situation where societal pressure is high.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"5 ","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12981390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Teething myths in Nigerian rural Yoruba communities.","authors":"C O Oyejide, G A Aderinokun","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Systemic and local disturbances have often been attributed to the eruption of human primary dentition. Several orthodox and folk remedies exist in some populations to prevent and treat these symptoms blamed on teething. The inherent danger in the persistence of teething myths is the danger that signs and symptoms of some diseases and conditions may be ignored if they are viewed as being merely a part of the teething process. Such behaviour could sometimes be detrimental to the child's health. This study investigated the knowledge and beliefs of two rural Yoruba communities about teething. 58% of the 622 respondents believed that teething may be accompanied by various problems including fever, diarrhoea and conjunctivitis. The higher the educational status, the lower the proportion of respondents who believed that teething is accompanied by a disease. There is clear indication of the need to include scientific information on teething in the health educational packages directed at different levels within these communities.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"5 ","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12981391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical crown heights of permanent teeth in Nigerians.","authors":"I E Bassey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical crown heights of 2,048 permanent teeth were measured using a pair of dividers and a metre rule on stone casts of study models of subjects aged 21-45 years in order to establish the data for the clinical crown heights of Nigerians. A gradual increase in clinical crown height with advancing age was observed. The clinical crown heights of Nigerians appear to be shorter than the clinical crown heights of Caucasians.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"5 ","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12981392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P E Petersen, V J Poulsen, J Ramahaleo, C Ratsifaritara
{"title":"Dental caries and dental health behaviour situation among 6- and 12-year-old urban schoolchildren in Madagascar.","authors":"P E Petersen, V J Poulsen, J Ramahaleo, C Ratsifaritara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The report presents the findings of a survey carried our among 153 6-year-old and 164 12-year-old children in Antananarivo, Madagascar. A very high level of dental caries was observed (6 years: 7.1 dmft; 12 years: 4.4 DMFT). Personal interviews with the mothers (n = 235) showed a frequent consumption of sugar and poor oral hygiene habits among the children. Relatively few of the mothers helped their children in oral cleaning and the need for improvement in dental knowledge and attitudes was outlined. A total of 62 school teachers responded to self-administered questionnaires and a relatively high level of dental knowledge and positive attitudes to prevention were found. Thus, the teachers should be considered highly relevant key persons in dental health education for children and mothers. The survey forms the base-line for evaluation of school-based preventive oral care in Madagascar.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"5 ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12982295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral prophylactic procedures and gingival health among Nigerian school children.","authors":"E O Sote","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Various researchers have advocated the use of chewing sticks in community oral health programmes because they are readily available, cheaper than the toothbrush and paste, and are found to possess antiplaque properties. Oral health education is essential for enlightenment on good oral health maintenance. The study was thus aimed at educating children on how to maintain a good oral health (including the efficient use of various oral hygiene implements) and noting the impact on their gingival health. 120 school children with no gingival disease, aged 12 to 14 years, participated in the study. They were all examined intra-orally and their plaque scores were recorded. After two weeks of oral health education programmes, they were randomly assigned into three equal groups, each group using either the toothbrush/paste, the Massularia acuminata chewing stick or the Sorindeia warneckei chewing stick for three months. Their plaque scores and gingivitis incidence were recorded. 36.0% had gingivitis, 2.0% had periodontitis with pocketing greater than or equal to 5 mm, and about 3.0% had gingival recession. More toothbrush users than the chewing stick users in the study had gingivitis (P less than .05). The inherent danger in introducing unfamiliar oral hygiene procedures to children without close monitoring is highlighted. Whatever mode of oral hygiene is adopted for use in children, adequate supervision by knowledgeable parents and teachers, and close monitoring by oral health personnel is mandatory in order to ensure effective use.</p>","PeriodicalId":76983,"journal":{"name":"African dental journal : official publication of the Federation of African Dental Associations = Journal dentaire africain","volume":"5 ","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12981388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}