Evaluation of aesthetic outcome of single tooth implant borne restoration

Objective: Culture is the way of life of a people; and is an integral component of their day-to-day existence. It influences the daily routine of a people, including their diet, dressing, religious disposition, and surprisingly, the degree to which orthodox medical practices impact their daily lives. Appreciating underlying cultural context will help health care workers influence patient's perceptions, especially where cultural practices are not in tandem with medical best practices. This is important, for example, in administration of informed consent for surgery. This study explored cultural beliefs of patients in relation to some common maxillofacial practices in Kano Nigeria.Methods: Patient's perceptions on oral cancers, use of nasogastric tubes, and tooth extraction was conducted amongst patients attending maxillofacial outpatient clinic of a tertiary Nigerian hospital from January to December 2015 using a non-structured, interviewer-administered questionnaire.Results: Seventy-seven (77) patients were surveyed (52 males and 25 females), with ages ranging from 16 to 75 years. Most were aged 51-60 years (44.2%). Only 6.5% of respondents had higher than secondary education. Responses to the aetiology and treatment of oral cancers, use of nasogastric tubes for maxillofacial surgery patients and extraction of teeth showed cultural perceptions usually at variance with medical best practices.Conclusion: Patients' expectations and fears of maxillofacial surgery procedures are affected by their cultural beliefs. Proper acceptance of this, combined with targeted education and counselling may enhance patient's co-operation and acceptance of necessary surgical procedures when orthodox medical care is sought

Oral health status and treatment needs of in-patients of a Nigerian psychiatric hospital

Objective: Mental disorders have been reported to increase the risk to neglect of oral care. The objective of this study was to determine the oral health and treatment needs of psychiatric in-patients and compare with non-psychiatric patients.Methods: This was a cross-sectional study conducted at the Federal Neuro-psychiatric Hospital, Yaba, Lagos and Lagos University Teaching Hospital, Idi Araba, Lagos. A structured questionnaire was administered by investigators to the two groups of participants case group (psychiatric patient) and the control group (dental patient with no psychiatric history). This included mini international neuropsychiatry interview (M.IN.I)questionnaire to ascertain the diagnoses. Other information sought included missing teeth, retained teeth, carious teeth and tooth wear lesions were noted during oral examination. Results: A total of 167 participants were seen (81 were in the control group and 86 in the case group). Age range was from 18-90 years. The mean age was 41.44±14.98 years. All the participants (2.99%) with retained root were in case group. The majority (52.3%) of the participants in case group were dentate (p=0.001). The control group had the highest proportion of participants with good oral hygiene (p= 0.09). Carious teeth (p =0.33) and the number of teeth affected by tooth wear lesion were found to more in the case group (p= 0.02).Conclusion: Psychiatric patients had poor oral health compared to non-psychiatric patients. There was also a higher restorative and surgical treatment need in psychiatric patients