Oral Health Security in Nigeria: Analysis of the current situation and projections towards 2050


Background: Despite the increasing population in the country, only a few Nigerians have access to oral health care, which seems directly responsible for the high prevalence of oral diseases and the high rate of unmet needs in the country. The few dental facilities and personnel in the country are disproportionately located in the urban areas leaving majority of the population without care.

Methods: Internet search was done using PubMed and google scholar. Local library search was done manually to retrieve literature on oral health in Nigeria. Search words that were used include periodontal disease/periodontitis, dental caries, prevalence of dental disease, dental service utilization and Nigeria.

Results: No national study was seen during the search. Almost all the retrieved studies reported a high prevalence of periodontal disease, while a few of the studies on dental caries reported a decline in the condition. However, many of the studies on dental caries reported a gradual increase in the prevalence of the condition. A low rate of utilization was generally reported as many Nigerians utilize dental services only when in pain.

Conclusion: An increase in the population will be accompanied by a corresponding increase in the prevalence of oral diseases and increased need for oral health care, and this will be disastrous without adequate planning.

Keywords: Oral Health, Population explosion, Health security, Utilization

Contexte : Malgré l’accroissement de la population du pays, seuls quelques Nigérians ont accès aux soins de santé bucco-dentaire, ce qui semble directement responsable de la forte prévalence des maladies bucco-dentaires et du taux élevé de besoins non satisfaits dans le pays. Les quelques établissements et personnels dentaires du pays sont situés de manière disproportionnée dans les zones urbaines, laissant la majorité de la population sans soins.

Méthodes : La recherche sur l’internet a été effectuée à l’aide de PubMed et du Google Scolaire. La recherche dans une bibliothèque locale a été effectuée manuellement pour retrouver la littérature sur la santé bucco-dentaire au Nigeria. Les mots de recherche utilisés incluent maladie parodontale / parodontite, caries dentaires, prévalence de la maladie dentaire, utilisation des services dentaires et Nigéria.

Résultats : Aucune étude nationale n’a été observée lors de la recherche. Presque toutes les études perçues ont fait état d’une prévalence élevée de la maladie parodontale, tandis que quelques-unes des études sur la carie dentaire ont signalé une réduction de la condition. Cependant, de nombreuses études sur les caries dentaires ont signalé une augmentation progressive de la prévalence de la condition. Un taux faible d’utilisation a généralement été signalé, étant donné que de nombreux Nigérians n’utilisant des services dentaires que lorsqu’ils souffrent.

Conclusion : Une croissance de la population s’accompagnera à une correspondante croissance en prévalence des maladies bucco-dentaires et d’un besoin accru de soins de santé bucco-dentaire, ce qui sera désastreux sans une planification adéquate.

Mots - clés : Santé bucco - dentaire, Explosion démographique, Sécurité sanitaire, Utilisation

Correspondence: Dr. O.I. Opeodu, Department of Periodontology and Community Dentistry, College of Medicine, Unversity of Ibadan, Ibadan, Nigeria. opeodulanre1971@gmail.com



Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S and Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83:661-9. Epub 2005 Sep 30.

Taiwo JO, Jeboda SO, Motayo TO and Obiechina AE. Periodontal health of the elderly people in South-East local government area in Ibadan, Nigeria. Afr J Med med Sci 2004; 33:285-291.

Braimoh OB, Umanah AU and Ilochonwu NA. Caries Distribution, Prevalence, and Treatment Needs among 12–15-Year-Old Secondary School Students in Port Harcourt, Rivers State, Nigeria. J Dent Surg 2014, Article ID 483760, 6 pages http://dx.doi.org/10.1155/2014/483760.

Ajayi DM, Denloye OO and Solanke IMF. The Unmet treatment need of traumatized anterior teeth in selected secondary school children in Ibadan,Nigeria. Dental Traumatology 2010; 26 : 60-63.

Real FG, Barrionuevo LP, Franklin K, et al. The association of gum bleeding with respiratory health in a population based study from Northern Europe. PloS ONE 2016;11:e0147518. DOI:10.1371/journal.pone.0147518.

Nwhator SO, Umeizudike KA, Ayanbadejo PO, et al. Another reason for impeccable oral hygiene: oral hygiene-sperm count link. J Contemp Dent Pract 2014;15:352-358.

Adeleke OA, Danfilo IS, Chukwu GA, et al.. Inequalities in the oral health care in Nigeria; Miami Florida; IADR 87th General session and Exhibition 2009.

Lawal FB, Taiwo JO and Oke GA. Impact of Oral Health on The Quality of Life of Elementary School Teachers. Ethiop J Health Sci. 2015; 25:217-24.

Taiwo JO, Ibiyemi O and Oke GA. Handbook of oral health care for school teachers and community health workers. 2nd edition.

Adeniyi AA, Sofola OO and Kalliecharan RV. An appraisal of the oral health care system in Nigeria. Int Dent J 2012;62:292-300.

Aregbesola BS and Khan SM. Primary health care in Nigeria; 24 years after Olikoye Ransome Kuti’s leadership. Front Public Health 2017; 5:48 (DOI: 10.3389/fpubb.201700048).

Akpata ES. Oral health in Nigeria. Int Dent J 2004; 54:361-366.

Okoye LO and Ekwueme OC. Prevalence of dental caries in a Nigerian rural community: A preliminary local survey. Ann Med Health Sci Res 2011; 1:187-195.

Sofola OO, Folayan MO and Oginni AB. Changes in the prevalence of dental caries in primary school children in Lagos state, Nigeria. Nig J Clin Pract 2014; 17: 127-133.

Sofola OO. Implications of low oral health awareness in Nigeria. Niger Med J 2010; 51:131-133.

Ojehanon PI and Ehizele AO. Periodontal conditions seen in group of Nigerian older adult patients. J. Interdiscip Dent 2016; 6:121-127.

Erinoso OA, Okoturo E, Gbotolorun OM, et al. Emerging trends in the epidemiological pattern of head and neck cancers in Lagos, Nigeria. Ann Med Health Sci Res 2016;6:301-307.

Ogunbodede EO and Jeboda SO. Integration of oral health into existing primary oral health care services in Nigeria – from policy to practice. Nig Dent J 1994; 1:21-24.

Denloye OO. Bridging the gap – let the children come unto me. An inaugural lecture