The Practice of Oral and Maxillofacial Surgery in Nigeria: Some Challenges and Way-forward
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Oral and Maxillofacial Surgery is a specialty of dentistry with a scope ranging from the treatment of orofacial congenital anomalies such as cleft lip and palate, through orofacial infections, maxillofacial traumatology, temporomandibular disorders, salivary gland diseases, orofacial pain to neoplasms involving the orofacial region. Being an emerging specialty in Nigeria, it is faced with several challenges. This study was aimed at determining the demographics of the practitioners in Nigeria and to highlight some of the challenges facing the practice. The study design is cross-sectional. Less than 50% of the practitioners had 76-100% of their surgeries done as scheduled. Thirty-five per cent of the surgeons had fifty percent or less of their surgeries performed on schedule. Main reasons reported by surgeons for performance rate less than optimal were patients’ factors, facilities and anaesthetic factors, reported by 80.0%, 57.5% and 57.5% respectively by the surgeons. Reasons that were reported for patients missing surgery appointments were poverty (77.5%), ignorance/preference for alternative medicine (72.5%) and fear (70.0%). Seventy per cent of the surgeons reported an absence of dedicated Oral and Maxillofacial Surgical ward. Poverty, facility, ignorance and fear were identified as the major challenges. The authors therefore conclude that the government and the practitioners should live up to their responsibilities by raising the standards of living, providing necessary facilities and making available necessary healthcare information to the population
Authors and Affiliations
M. O. Etetafia, E. D. Odai
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