Preventive Dentistry- Scholarly Publications

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    Open Access
    ORAL HEALTH QUALITY OF LIFE IN A NIGERIAN UNIVERSITY UNDERGRADUATE POPULATION
    (West African College of Surgeons, 2014) Isiekwe, G.I; Onigbogi, O.O; Olatosi, O.O; Sofola, O.O
    ABSTRACT Introduction:Oral health related quality of life is utilized in health services research to examine trends in oral health and population-based needs assessment. Objective: To assess both the generic and orthodontic specific aspects of the Oral health-related quality of life of a University undergraduate population. Methodology: This was a cross-sectional descriptive study carried out among 420 undergraduate students, aged 18-30years old, attending the University of Lagos, Nigeria. The data collection was carried out through oral interviews and self-administered questionnaires. Two Oral health related quality of life instruments were used (1) A generic scale:the Shortened version of the Oral Health Impact Profile (OHIP-14) and (2) A condition specific scale: the Psychosocial impact of dental aesthetics questionnaire (PIDAQ). Data analysis was carried out using the Statistical Package for Social Sciences (SPSS). Results: With respect to the Oral Health Impact Profile (OHIP-14) scale, the overall mean score recorded by the students was 10.43+7.85. The physical pain subscale recorded the highest impact with 93.3%, while the least impact was recorded in the handicap subscale, with 29.9%. The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) scales revealed significant gender differences, with the subscales of 'social impact', psychological impact' and 'aesthetic concern' recording low mean subscale values. Conclusion: The mean Oral Health Impact Profile (OHIP-14)score of the students(10.43 + 7.85) in thisstudy reflects that the oral health status of most of the students did not significantly affect their Oral health-related quality of life. However,thephysicalpaindomainwasthemostseverelyaffectedaspectoftheirOralhealth-relatedqualityoflife.The PsychosocialImpactofDentalAesthetics(PIDAQ) scalescoresrecordedsignificantgenderdifferences.
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    Open Access
    Study motives, career choices and interest in paediatric dentistry among final year dental students in Nigeria
    (BMC Medical Education, 2014) Folayan, M.O; Sofola, O.O; Khami, M.R; Esan, A.O; Popoola, B.O; Orenuga, O.O; Folaranmi, N; Ligali, T.; Philips, A
    Background: Students’ motives for studying Dentistry have been a subject of interest for years because of the potential for understanding the psychological makeup and subsequent job satisfaction for the dentist. It is also useful in identifying expectations of the profession. This study therefore tried to identify study motives and career preferences of dental students especially with respect to the practice of paediatric dentistry. Methods: This was a cross-sectional study using a self-administered questionnaire. The final year students in six dental schools in Nigeria were required to fill the questionnaire. Students were asked to rank their motives and career preferences on a Likert like scale with points ranging from 0–5 where 0 represented a factor that had no influence on their decision and 5 represented a very influential factor. The underlying dimensions for study motives, career preference, impression about and motive for interest in the practice of paediatric dentistry were identified using factor analysis. Results: One hundred and seventy nine of 223 students (80.3%) participated in this study. Motives for the practice of dentistry included characteristics of the profession, altruism and intellectual challenges, existence of artistic theme in dentistry and parent’s recommendation. Overall, 67.1% of respondents indicated interest in postgraduate studies and 50.8% were interested in paediatric dentistry practice. The main motives for showing interest in the practice of paediatric dentistry were ‘personal interest, professional interest and interest of significant others in children’, and ‘family influence’. Significantly more males than females were interested in the practice of paediatric dentistry though the motives for interest in the practice of paediatric dentistry did not differ significantly by sex or age. Conclusion: The non-significant sex difference in the motives for interest in the practice of paediatric dentistry is a possible reflection of changes in strong cultural themes in the motives for career choices in Nigeria.
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    Open Access
    Determinants of preventive oral health behaviour among senior dental students in Nigeria
    (BMC ORAL HEALTH, 2013) Folayan, M.O; Khami, M.R; Folaranmi, N; Popoola, B.O; Sofola, O.O; Ligali, T.O; Esan, A.O; Orenuga, O.O
    Background: To study the association between oral health behaviour of senior dental students in Nigeria and their gender, age, knowledge of preventive care, and attitudes towards preventive dentistry. Methods: Questionnaires were administered to 179 senior dental students in the six dental schools in Nigeria. The questionnaire obtained information on age, gender, oral self-care, knowledge of preventive dental care and attitudes towards preventive dentistry. Attending a dental clinic for check-up by a dentist or a classmate within the last year was defined as preventive care use. Students who performed oral self-care and attended dental clinic for check-ups were noted to have complied with recommended oral self-care. Chi-square test and binary logistic regression models were used for statistical analyses. Results: More male respondents agreed that the use of fluoride toothpaste was more important than the tooth brushing technique for caries prevention (P < 0.001). While the use of dental floss was very low (7.3%), more females were more likely to report using dental floss (p=0.03). Older students were also more likely to comply with recommended oral self-care (p<0.001). In binary regression models, respondents who were younger (p=0.04) and those with higher knowledge of preventive dental care (p=0.008) were more likely to consume sugary snacks less than once a day. Conclusion: Gender differences in the awareness of the superiority of using fluoridated toothpaste over brushing in caries prevention; and in the use of dental floss were observed. While older students were more likely to comply with recommended oral self-care measures, younger students with good knowledge of preventive dental care were more likely to consume sugary snacks less than once a daY
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    Open Access
    Dental esthetics and oral health-related quality of life in young adults
    (American Journal of Orthodontics and Dentofacial Orthopedics, 2016) Isiekwe, G.I; Sofola, O.O; Onigbogi, O.O; Utomi, I.L; Sanu, O.O; daCosta, O.O
    Introduction: Dental esthetics affects how people are perceived by society and how they perceive themselves, and this may also affect their oral health–related quality of life (OHRQoL). The aim of this study was to compare the impacts of self-perceived and normatively assessed dental esthetics on the OHRQoL of a young adult population. Methods: This was a cross-sectional descriptive study involving 375 undergraduate university students, aged 18 to 30 years old. Data collection was carried out through oral examinations and selfadministered questionnaires. Dental esthetics of the students was assessed using the esthetic component of the Index of Orthodontic Treatment Need. Two OHRQoL instruments were used: the shortened version of the Oral Health Impact Profile and the Psychosocial Impact of Dental Aesthetics Questionnaire. Results: Statistically significant relationships (P \0.05) were recorded between both self-perceived and normatively assessed dental esthetics of the students, respectively, and 3 of the 4 Psychosocial Impact of Dental Aesthetics Questionnaire subscales: dental self-confidence (Kruskall-Wallis, P 5 0.000; P 5 0.000), psychological impact (P 5 0.003, P 5 0.047), and esthetic concern (P 5 0.006, P 5 0.003). The only exception was the social impact subscale, in which a significant relationship was recorded only with selfperceived dental esthetics (P 5 0.040). For the shortened version of the Oral Health Impact Profile scale, marked differences were also observed between the impacts recorded for both self-assessments and normative assessments, respectively, particularly for the psychological disability domain (Fisher exact test, P 5 0.021, P 5 0.000; P 5 0.064, P 5 0.096). Conclusions: Differences exist between the impacts of selfperceived and normatively assessed dental esthetics on the OHRQoL of young adults, particularly in the psychosocial domains. These differences should be considered in orthodontic treatment planning for young adult populations.
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    Open Access
    Smoking Cessation Counseling in Dentistry: Attitudes of Nigerian Dentists and Dental Students
    (Journal of Dental Education, 2011) Uti, O.G; Sofola, O.O
    Abstract: The study was aimed at assessing the awareness, attitude, practices, willingness, and perceived barriers of dental students and dentists in Lagos University Teaching Hospital, Lagos, Nigeria, in relation to smoking cessation in the dental care setting. An anonymous self-administered questionnaire that contained questions relating to attitudes, views, and perceived barriers to smoking cessation activities in the dental clinic was hand-delivered to all dentists and clinical dental students in 2007. One hundred and thirty-six respondents took part in the study (response rate=81.9 percent). Although 95 percent of the respondents believed that smoking affects the dental management of the patient, only 65 percent always ask their patients about their smoking habits, and only 30 percent have heard about smoking cessation programs. A significantly higher proportion of students always ask patients about their smoking habits compared with dentists (p=0.0017). Also, a significantly higher proportion of dentists (97 percent) advised their patients against tobacco use compared with 77 percent of students (p=0.0000). Only 2 percent and 3 percent agreed that it is their professional responsibility to educate or encourage patients to quit smoking, respectively. Also, 98 percent strongly disagreed that it is within the scope of dental practice to ask about tobacco use, and 86 percent disagreed that tobacco counseling can be effective in helping patients quit tobacco use. Perceived barriers reported were lack of time (88 percent), lack of necessary materials (81 percent), and lack of knowledge of smoking cessation (74 percent). However, 81 percent of the respondents said they are willing to undergo training in tobacco use cessation. Since most of the dentists and dental students had poor attitudes and negative perceptions of smoking cessation activities, possibly due to lack of training and resources to carry it out in the clinics, there is need to include smoking cessation training in the dental curriculum in Nigeria.