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    Tobacco use, Alcohol Consumption and Self-rated Oral Health among Nigerian Prison Officials

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    Background: The oral health condition and lifestyle in term of tobacco use and alcohol consumption of custodian of prisons have been left unstudied. The purpose of this study was to determine the prevalence of tobacco use, alcohol consumption and self-rated oral health among Nigerian prison officials. Methods: This cross-sectional study was conducted among prison officials working in Abuja, Nassarawa and Kano prison yards between March and June 2011 using 28-item self-administered questionnaire as a tool of data collection. The questionnaire elicited information on demography, self-rated oral health, oral health behaviors, oral health conditions, tobacco use, pattern and quit attempts, alcohol consumption, type and pattern. Results: The participants were aged between 20 and 51 years, with a mean age of 32.25 ± 6.13 years. The majority of the participants were males (66.4%), Christians (76.7%), junior officials (78.1%) and of Northern origin (50.7%). A total of 50 (34.2%) of the participants indicated that they were tobacco users and 39 (78.0%) indulged in cigarette smoking only. Of the study participants, 67 (45.9%) indicated they consume alcohol, beer majorly and gin rarely with 23 (34.3%) consuming it excessively. The dominant tooth cleaning device utilized by the participants was toothbrush and toothpaste, and 65 (44.5%) had visited the dentists with the majority of the visit done >5 years ago. About one-third 57 (39.0%) reported experiencing one or more forms of oral disease. However, it was only 17 (11.6%) of them that rated their oral health poor/fair, and the determinants of self-rated oral health were age, rank, and oral health condition. Conclusions: Data from this survey revealed that the majority of the participants rated their oral health as good/excellent. The prevalence of tobacco use and alcohol consumption among prison officials was higher than reported values among the general population in Nigeria. This indicates that more surveillance and intervention studies are needed to evaluate the best way to control tobacco use and alcohol consumption among prison officials in Nigeria

    Pattern of surgical periodontal treatment in a Nigerian Teaching Hospital: A 37 month review

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    Objective: Periodontal diseases are treated using nonsurgical treatment methods and surgical treatment methods. There is a paucity of information on surgical periodontal treatment in Nigerian periodontal healthcare settings. The objective of the study was to determine the indications and pattern of surgical periodontal treatment in the University of Benin Teaching Hospital, Benin City, Nigeria. Materials and Methods: This retrospective review of patients that had surgical periodontal treatment at University of Benin Teaching Hospital, Benin City, Nigeria, over a 37 month period (January 2013–2016) was done using a self developed proforma as the data collection tool. A total of 52 patients out of the 5111 patients treated within the period had surgical periodontal treatment and were subsequently analyzed using SPSS version 20.0. Results: The patients aged between 16 and 81 years with a mean age of 44.15 ± 18.99 years and a median age of 45 years had surgical periodontal treatments. The majority of the patients were older adults (57.7%) (middle-age adults [34.6%] and elderly [23.1%]) and females (75.0%). The indications for the surgical periodontal treatment were mainly periodontal abscess and gingival enlargement. The gingival enlargement was majorly pyogenic granuloma in 41.2% (7/17) and fibrous epulis in 23.5% (4/17). Incision and drainage and gingivectomy constituted the main surgical periodontal treatments among the patients in this study. Age and gender were found to be significantly associated with the indications for surgical periodontal treatment and the pattern of surgical periodontal treatment among the patients. Conclusion: Periodontal abscess and gingival enlargement constituted the main indications for surgical periodontal treatment while incision and drainage and gingivectomy were the main surgical periodontal treatments in this study

    Pain-related pediatric dental attendance in a Nigerian dental clinic

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    Objective: To determine the characteristics of children presenting with pain at the Pediatric Dental Clinic of a Tertiary Hospital in Nigeria. Materials and Methods: This prospective study was conducted among consecutive patients attending the Pediatric Dental Clinic of the University of Benin Teaching Hospital, Benin City, Nigeria. Chi-square test was used in comparing proportions, and statistical significance was set at P< 0.05. Results: A total of 193 child dental patients aged between 2 and 16 years with a mean age of 9.00 ± 3.91 years were studied. The majority of the participants were females (61.1%) aged 6–12 years (57.5%), indigenous people (64.2%), of high socioeconomic status (69.4%), and their mother had a tertiary education (63.2%). More than three-quarters (84.5%) of the participants reported tooth-related dental pain. Participants of middle and high socioeconomic status and those whose mothers had more than primary education significantly had more tooth-related pain. The primary diagnosis was mainly dental caries and its complications. The main treatment rendered includes extraction, root canal treatment, pulpectomy, and scaling and polishing. There was a significant association between age, main diagnosis, and treatment rendered. Conclusion: Tooth-related pain which is the predominant dental pain in this study was significantly lower in children of lower socioeconomic status and whose mothers had lower educational attainment

    Nigerian dentists and oral health-care of pregnant women: Knowledge, attitude and belief

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    Background: Pregnant women seek preventive, interventional and rehabilitative oral health-care for their oral health and protection of their fetus and babies after delivery. The objective of the study was to determine the Nigerian Dentist′s knowledge, attitude and belief pertaining to the oral health-care of pregnant women. Materials and Methods: This cross-sectional of Nigerian dentist was conducted between June and December, 2011 using Huebner et al., modified dentist′s attitude to the pregnant women questionnaire Results: The overall response rate of 92.5% (149/160). Receipt of continuing medical education (CME) was reported among the participants on periodontal disease of pregnant patients (22.1%), oral hygiene of pregnant patients (20.1%), early childhood caries (35.6%) and general dental problem (51.0%). The majority (92.6%) agreed that Dentists have the skill to counsel pregnant patients, But only 73.8% of them provided oral hygiene instruction frequently to pregnant patients and even fewer (6.0%) were involved in educational advice on oral health for young women. Many of the participants agreed that counseling pregnant patients about periodontal disease and its effect on the developing baby is of utmost importance. Participants also dominantly agreed that dental treatment should be part of prenatal care and 97.3% of them opined that physician recommendation will increase the likelihood of pregnant seeking dental care. More than half (56.4%) of the participants reported that Dentists should be concerned about being sued if something goes wrong with the pregnancy. The recommended ways to improve oral health-care of pregnant women among the participants were through CME (92.6%), provision of educational materials on oral health-care of pregnant women (93.3%) and information on ways to counsel pregnant women (98.0%). Conclusion: Data from this study revealed high preparedness, positive attitude and favorable disposition in dental care provision for pregnant women among the studied Nigerian Dentists

    Reasons for seeking dental healthcare services in a Nigerian missionary hospital

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    Objective: To determine the reasons for seeking dental healthcare services in a missionary hospital in Benin City, Nigeria. Materials and Methods: This 14-month retrospective study was conducted in a Pentecostal missionary hospital in Benin City. Data of interest which included age, gender, occupation, primary presenting complaints, and primary diagnosis were collected from the case notes with self-designed proforma. Cases with incomplete data were excluded from this study. The obtained data were subjected to descriptive statistics in the form of frequencies, cross tabulations, and percentages using Statistical Package for the Social Sciences version 17.0. Results: A total of 613 cases were retrieved with the complete information. The majority (56.3%) of the patients were young adults (18-40 years). About one-fifth (21.2%) of the patients were middle-aged adults. Children and elderly constituted 15.8% and 6.7% of the patients, respectively. A total of 332 (54.2%) patients were females. There was diversity in the occupation of the patients with about one-third (37.7%) of the patients being students. The majority of the patients had toothache as their primary presenting complaint (71.1%). Others were tooth deposits (6.0%), fractured teeth (3.8%), hole in teeth (3.1%), missing teeth for replacement (2.3%), routine dental check-up (2.3%), and mouth odor (2.0%). Diagnosis of dental caries and its complications was made in more than half (58.6%) of the patients while one-fifth (20.4%) of the patients were diagnosed with gingivitis. Conclusion: Data from this study revealed that these enormous diverse patients of a Nigerian missionary hospital had toothache as their main primary presenting complaint and dental caries and its complication as their main primary diagnosis

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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