Gbolahan Olalere Omoyosola, Fasola Abiodun Olubayo, Aladelusi Timothy Olukunle
Department of Oral and Maxillofacial Surgery, University of Ibadan/University College Hospital, Ibadan, Oyo State, Nigeria.
J Patient Exp. 2019 Jun;6(2):157-163. doi: 10.1177/2374373518788851. Epub 2018 Jul 23.
Tooth loss can indicate the population's oral health situation; majority of patients presenting for tooth extraction have poor oral health behavior and dental service utilization. Understanding the factors responsible for the poor attitude may help in designing targeted intervention to improve their oral health behavior. This study aims to find out the effects of dental health attitude and behavior on tooth mortality in a cohort of adults attending the oral surgery clinic for tooth extraction in 2 health facilities in southwestern Nigeria.
Cross-sectional study of consecutive adult patients who presented at the oral surgery clinic for tooth extraction. Clinical and demographic data, oral health habits, and pattern of previous dental clinic attendance were collected. Data analysis was done using SPSS version 19.0. Variables were subjected to univariate and multivariate logistic regression to evaluate factors influencing dental habit and dental service utilization.
The study comprised a total of 453 respondents, consisting of 239 nonattenders, 196 in-trouble attenders, and 18 regular attenders, with majority (59.4%) of them being low earners or not gainfully employed. Majority (64.8%) of the in-trouble attenders had attained tertiary education. Attendance pattern had no influence on the number of extractions needed.
Despite high educational attainment and availability of dental services, most patients presenting for extraction have poor oral health habit and are problem-oriented attenders. Socioeconomic disparities and poor dental habits appear to be part of the major factors responsible for poor dental behavior among the study subjects.
牙齿缺失可反映人群的口腔健康状况；大多数前来拔牙的患者口腔健康行为不佳且对牙科服务的利用率较低。了解导致这种不良态度的因素可能有助于设计有针对性的干预措施，以改善他们的口腔健康行为。本研究旨在探讨在尼日利亚西南部两家医疗机构的口腔外科诊所就诊拔牙的成年人群中，口腔健康态度和行为对牙齿死亡率的影响。
对连续到口腔外科诊所拔牙的成年患者进行横断面研究。收集临床和人口统计学数据、口腔健康习惯以及以往就诊牙科诊所的模式。使用SPSS 19.0版进行数据分析。对变量进行单因素和多因素逻辑回归分析，以评估影响口腔习惯和牙科服务利用的因素。
该研究共纳入453名受访者，包括239名未就诊者、196名问题就诊者和18名定期就诊者，其中大多数（59.4%）为低收入者或无业人员。大多数（64.8%）问题就诊者接受过高等教育。就诊模式对所需拔牙数量没有影响。
尽管教育程度较高且有牙科服务可及，但大多数前来拔牙的患者口腔健康习惯不佳，且以问题为导向就诊。社会经济差异和不良口腔习惯似乎是导致研究对象口腔行为不佳的主要因素。
