Self-Reported Periodontal Disease and its Association with Dental Anxiety in Lagos, Nigeria

ABSTRACT Objective To determine the relationship between dental anxiety and self-reported periodontal status. Material and Methods The study was conducted among 263 patients at the Family Medicine Clinic of the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria. Self-assessed gingival and periodontal disease was measured using the validated periodontal disease self-report surveillance questionnaire. The Modified Dental Anxiety Scale (MDAS) was used for evaluating dental anxiety. Student's t-test was used to test for association between categorical variables. P-value < 0.05 was considered to be statistically significant. Results Seventy-seven (29.3%) participants had high dental anxiety, while 49 (18.6%) had very high dental anxiety. The prevalence of periodontal disease was higher among those with very high dental anxiety (77.6%), while female respondents had a significantly higher proportion of self-reported periodontitis (34.1%). There was a significantly higher prevalence of very high dental anxiety among respondents who had never visited the dentist (23.2%). Similarly, females (19.4%), middle-class respondents (30.8%), and those with a primary level of school education (23.5%) had a higher prevalence of high dental anxiety, even though the association was not significant. Conclusion The prevalence of self-reported periodontal disease among the respondents with very high dental anxiety was higher than in those with high dental anxiety and those without dental anxiety, but the difference was not significant.

Compliance with WHO recommended measures against Covid-19 among a Nigerian population

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Oral hygiene status, interdental cleaning and perception of gingival bleeding among a group of pregnant women in Nigeria

Background: Hormonal and vascular changes in pregnancy can lead to exaggeration of inflammatory response to local irritants like dental plaque causing pregnancy gingivitis which if not treated can result in advanced periodontal diseases and consequent adverse pregnancy outcomes. Objective: Toassess the oral hygiene and gingival bleeding perception of pregnant womenMethods: Self-administered questionnaires were used to collect data. Oral hygiene status and gingival status were assessed with Simplified Oral Hygiene Index (OHI-S) and gingival bleeding index respectively. Data was analysed using IBM SPSS (Statistical Package for the Social Sciences) version 25. Results were presented in frequency and percentages and chi square analysis done for the categorical variables with statistical significance set at P < 0.05. Results: One hundred and fifty-one participants with age range of 20 to 43 years with a mean age of 29.85±4.05years participated in the study. All participants used toothbrush to clean their teeth and 44.4% used medium bristled toothbrush. Two-third used herbal toothpaste. More than two-thirds (84.1%) of the participants used both horizontal and vertical tooth brushing technique. Only 33.8% brushed twice daily. Though 92.1% claimed to clean interdentally, only 19.4% used dental floss. Prevalence of gingival bleeding was 31.8%. Two persons (1.3%) thought it normal to bleed from the gum while brushing and 86.8% did not know one can bleed from the gum during pregnancy Forty-four (29.1%) and 18(11.9%) of participants had fair and poor oral hygiene status respectively. 55.6% bled on probing and had gingival bleeding index of 1 and 2. Four (2.6%) of participants had gingival recession measuring 3mm to 4mm and 8.6% had halitosis. Statistical analysis of the association between participants' perception of gum bleeding and oral hygiene status showed statistical significance. Conclusion: The knowledge of pregnancy gingivitis is poor among the participants. There is the need to educate them about this and incorporate periodontal care into antenatal care so as to increase their quality of life during pregnancy.

Prosthodontic Attitudes and Practices among Dentists during the First Wave of COVID-19 Era.

Context: Coronavirus disease (COVID-19) is a highly infectious disease that poses a threat in dental practice especially in prosthetic clinics due to the peculiar nature of prosthodontic procedures. Aims: The aim of this study was to determine the attitude and practices in prosthodontics during COVID-19 period. Settings and Design: An online cross-sectional survey was done among dentists practicing prosthodontics across Nigeria. Materials and Methods: The survey was carried out by sending validated structured self-administered questionnaire to dentists on different social and speciality platforms. The questionnaire was designed into four segments namely socio-demographics, attitude, practice, and preparedness of dental staff towards COVID-19. Statistical Analysis Used: Data analysis was done using SPSS software program, version 25.0. Statistical significance was established at P = <0.05. Results: A total of 123 participants were seen with mean age of 45.20 ± 10.80 years. The specialists (48.0%) constituted the largest group, and the majority of participants were from the southwest (74.8%). Only 27.6% were very eager to perform dental procedures. Majority (64.2%) of the treatment was done by consultation via telephone calls, the use of telephone calls was not associated with age nor gender (P = 0.903, 0.611, respectively). A total of 31.7% attended to emergency cases occasionally. Only 13.4% performed prosthodontic treatment and this procedure was done in line with recommended guidelines to control and prevent the spread of COVID-19. Conclusion: The eagerness to perform dental procedures was low and majority of treatment was done by consultation via telephone calls. However, prosthodontic procedure was done by a few of the dentists according to the recommended guidelines for prevention and control.

Prevalence and pattern of dental caries among a sample of nigerian public primary school children.

PURPOSE: To determine the prevalence and pattern of dental caries among public primary school children in Lagos State, Nigeria. MATERIALS AND METHODS: A cross-sectional survey of pupils in randomly selected public primary schools in Lagos State Nigeria was conducted. Dental examinations were carried out on 2835 children and caries diagnosis was based on the WHO diagnostic criteria (1999). RESULTS: Overall caries prevalence in the study population was 13.1% with the highest caries prevalence recorded among eight-year-old children (17.7%), boys (13.5%) and those of the Hausa tribe (15.0%). The DMFT score ranged between 0 and 11 with a mean score and standard deviation of 0.344 ± 0.937. Children aged 5-10 years had slightly higher caries prevalence (14.8%) than those aged 11-16 years (10.6%). The first molars were the worst affected teeth in both the deciduous and permanent dentitions. The mandibular left first molar had the highest caries prevalence (4.7%) in the deciduous dentition, while the right mandibular first molar had the highest tooth-specific caries prevalence (3.5%) in the permanent dentition. The restorative index for the study population was 0.3% while the treatment index was 5.7%. CONCLUSION: While the caries prevalence in the study population is very low, the treatment and restorative indices are unacceptably low. There is a need for early preventive strategies and treatment services in terms of restorative care for this important age group.