Non-Cochrane · aetiology · PM42579706

Oral hygiene practices and dental caries experience in Nigeria: A systematic review and meta-analysis.

Aborisade Adetayo, Mohammed Ali Amina, Okolo Chizoba, et al. · PloS one · 2026 · PubMed · doi:10.1371/journal.pone.0342631

Findings

Population People residing in Nigeria

11 findings

Poor oral hygiene statusGood oral hygiene statusPresence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria · Sensitivity analysis: excluding influential study (Onyejaka and Amobi 2016)
OR 1.76 [1.41, 2.18]
GRADE not reported
9 studies · 7748 participants
Poor oral hygiene statusGood oral hygiene statusPresence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria · Dentition: mixed
OR 1.58 [1.35, 1.84]
GRADE not reported
4 studies · 5075 participants
Poor oral hygiene statusGood oral hygiene statusPresence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria · Dentition: primary
OR 3.50 [0.67, 18.20]
GRADE not reported
4 studies · 2631 participants
Poor oral hygiene statusGood oral hygiene statusPresence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria · Dentition: permanent
OR 1.98 [0.02, 192.51]
GRADE not reported
2 studies · 471 participants
Poor oral hygiene statusGood oral hygiene statusPresence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria
OR 2.00 [1.36, 2.96]
GRADE not reported
10 studies · 8177 participants
Tooth brushing at least twice dailyTooth brushing once dailyPresence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria
OR 0.01 [0.00, 0.01]
GRADE not reported
14 studies · 6127 participants
Toothbrush (with toothpaste)Other tooth cleaning devices (e.g., chewing stick, cotton wool)Presence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria · Sensitivity analysis: excluding one influential study
OR 0.81 [0.42, 1.54]
GRADE not reported
Studies not reported
Toothbrush (with toothpaste)Other tooth cleaning devices (e.g., chewing stick, cotton wool)Presence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria · Dentition: permanent (after excluding influential study)
OR 0.64 [0.26, 1.60]
GRADE not reported
Studies not reported
Toothbrush (with toothpaste)Other tooth cleaning devices (e.g., chewing stick, cotton wool)Presence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria · Dentition: primary (after excluding influential study)
OR 0.58 [0.34, 0.99]
GRADE not reported
Studies not reported
Toothbrush (with toothpaste)Other tooth cleaning devices (e.g., chewing stick, cotton wool)Presence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria · Dentition: mixed (after excluding influential study)
OR 1.92 [0.05, 75.12]
GRADE not reported
Studies not reported
Toothbrush (with toothpaste)Other tooth cleaning devices (e.g., chewing stick, cotton wool)Presence of dental caries
cross-sectional (single time point) · Nigeria; mostly Southern Nigeria
OR 1.02 [0.52, 2.00]
GRADE not reported
8 studies · 3773 participants

Included primary studies 31

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Kolawole 2019
Association between malocclusion, caries and oral hygiene in children 6 to 12 years old resident in suburban Nigeria.
PMID:31775712
20192 other reviewsnot statednot extracted yet
Olatosi 2015
The prevalence of early childhood caries and its associated risk factors among preschool children referred to a tertiary care institution
DOI:10.4103/1119-3077.156887
20152 other reviewsnot statednot extracted yet
Afolabi 2023
Viral carcinogenesis.
PMID:4162023
19661 other reviewnot statednot extracted yet
Akinyamoju 2018
Dental caries and oral hygiene status: Survey of schoolchildren in rural communities, Southwest Nigeria
DOI:10.4103/npmj.npmj_138_18
20181 other reviewnot statednot extracted yet
Folayan 2015
Prevalence, and early childhood caries risk indicators in preschool children in suburban Nigeria
DOI:10.1186/s12903-015-0058-y
20151 other reviewnot statednot extracted yet
Folayan 2015
Prevalence, and early childhood caries risk indicators in preschool children in suburban Nigeria.
PMID:26123713
20151 other reviewnot statednot extracted yet
Kolawole 2019
Association between malocclusion, caries and oral hygiene in children 6 to 12 years old resident in suburban Nigeria
DOI:10.1186/s12903-019-0959-2
20191 other reviewnot statednot extracted yet
Okoye 2011
Prevalence of dental caries in a nigerian rural community: a preliminary local survey.
PMID:23209974
20111 other reviewnot statednot extracted yet
Olabisi 2015
Prevalence of dental caries and oral hygiene status of a screened population in Port Harcourt, Rivers State, Nigeria.
PMID:25767769
20151 other reviewnot statednot extracted yet
Olatosi 2015
The prevalence of early childhood caries and its associated risk factors among preschool children referred to a tertiary care institution.
PMID:25966721
20151 other reviewnot statednot extracted yet
Onyejaka 2016
DOI:10.4034/pboci.2016.161.40
NR1 other reviewnot statednot extracted yet
Onyejaka 2021
Prevalence and Associated Factors of Dental Caries among Primary School Children in South-East Nigeria
DOI:10.4103/njcp.njcp_633_20
20211 other reviewnot statednot extracted yet
Oyedele 2018
Impact of oral hygiene and socio-demographic factors on dental caries in a suburban population in Nigeria
DOI:10.1007/s40368-018-0342-z
20181 other reviewnot statednot extracted yet
Sowole 2007
Dental caries pattern and predisposing oral hygiene related factors in Nigerian preschool children.
PMID:18076852
20071 other reviewnot statednot extracted yet
Abiola 2019
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Ajayi 2014
Sociobehavioural risk factors of dental caries among selected adolescents in Ibadan, Nigeria
DOI:10.1016/j.pdj.2014.01.001
2014this review onlynot statednot extracted yet
Akinyamoju 2018
Dental caries and oral hygiene status: Survey of schoolchildren in rural communities, Southwest Nigeria.
PMID:30588945
2018this review onlynot statednot extracted yet
Arowolo 2020
Revascularization after posterior mandibular alveolar osteotomy.
PMID:6162020
1981this review onlynot statednot extracted yet
Disa 2019
PREDICTORS OF DENTAL CARIES AMONG ADULTS AND ADOLESCENTS IN A DENTAL CLINIC IN NORTH-EASTERN NIGERIA
DOI:10.32827/ijphcs.6.5.123
2019this review onlynot statednot extracted yet
Folayan 2021 (familial factors)
Individual and familial factors associated with caries and gingivitis among adolescents resident in a semi-urban community in…
PMID:33771136
2021this review onlynot statednot extracted yet
Folayan 2021 (sexual abuse)
Associations between a history of sexual abuse and dental anxiety, caries experience and oral hygiene status among adolescents in…
PMID:33874918
2021this review onlynot statednot extracted yet
Folayan 2021a
Associations between a history of sexual abuse and dental anxiety, caries experience and oral hygiene status among adolescents in…
DOI:10.1186/s12903-021-01562-8
2021this review onlynot statednot extracted yet
Folayan 2021b
Individual and familial factors associated with caries and gingivitis among adolescents resident in a semi-urban community in…
DOI:10.1186/s12903-021-01527-x
2021this review onlynot statednot extracted yet
Idowu 2021
Dental Caries Prevalence, Restorative Needs and Oral Hygiene Status in Adult Population
DOI:10.4103/njbcs.njbcs_32_20
2021this review onlynot statednot extracted yet
Nwhator 2019
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Olatosi 2020
Disparities in Caries Experience and Socio-Behavioural Risk Indicators Among Private School Children in Lagos, Nigeria
DOI:10.1590/pboci.2020.102
2020this review onlynot statednot extracted yet
Onyejaka 2021
Prevalence and Associated Factors of Dental Caries among Primary School Children in South-East Nigeria.
PMID:34531341
2021this review onlynot statednot extracted yet
Oyapero 2020
Association between dental caries, odontogenic infections, oral hygiene status and anthropometric measurements of children in Lagos, Nigeria
DOI:10.20396/bjos.v19i0.8661431
2021this review onlynot statednot extracted yet
Oyedele 2018
Impact of oral hygiene and socio-demographic factors on dental caries in a suburban population in Nigeria.
PMID:29761342
2018this review onlynot statednot extracted yet
Oyedele 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Oyedele 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationIndividuals residing in NigeriaNigerian children, adolescents and adults, ages 6 months to 64 years (n=15,797; 23 studies)
InterventionOral hygiene practices (tooth brushing frequency, tooth cleaning methods: toothbrush, chewing stick or other devices) and oral hygiene status as exposuresOral hygiene status (OHI-S mainly; 10 studies pooled), brushing frequency (14 studies in forest plot), tooth cleaning device (8 studies)
ComparisonVariations in oral hygiene practices (brushing >=2 times/day vs once/day; good vs poor hygiene; toothbrush vs chewing stick)Good vs poor oral hygiene; brushing once vs at least twice daily; toothbrush vs other devices
OutcomesPresence of dental cariesDental caries presence (DMFT/dmft); caries prevalence 2.2% to 79.1%
Study designsStudies reporting prevalence data: cross-sectional, cohort, case-control; clinical trials with baseline prevalence data23 observational studies: 21 cross-sectional, 2 case-control; 20 in Southern Nigeria, 3 in Northern Nigeria
TimingStudies conducted in Nigeria between January 2001 and December 2025Studies published 2007 to 2023