Dental Attendance Among the Elderly in Benin-city, Edo state


  • Babalola Olajumoke university of Benin teaching hospital
  • Joel-Ifada Okojie University of Benin
  • Lawrence Igbinosa University of Benin
  • Ekaniyere Edetanlen University of Benin



Dental clinic, attendance, elderly


Background: Despite the increase in the elderly population globally, it appears that several studies focused on dental clinic attendance by other age groups and with sparse data on the elderly.

Aim: This study therefore, aimed to determine the rate of dental clinic attendance among the elderly in Benin-city.

Materials and methods: This was a half year multi-center, prospective cross-sectional study. This study conducted among dental patients at the outpatient departments two tertiary health facilities in Benin-city.  A three-sectioned questionnaire was used to collect data. The data collected were sex, age, and level of educational, marital status, occupational level, religion, and ethnicity. Other collected data were co-morbidities, previous visit to dental clinic, time of   last visit, reason for last visit, intention to visit the clinic again, presenting complaints and barriers to dental attendant.  Both descriptive and inferential statistics were analyzed.

Results: a total number of patients seen were 1450. The prevalence of the elderly patients was 27.7 %. Mean age was 70.4 ± 5.7 years with age range of 65- 97 years. The female elderly were more (52.9%) than their male counterparts. More than half (53.6%) had hypertensions. Less than half (30.2%) rate their dental health as good. More than half (56.9%) have never visited the dental clinic.  Of all the presenting complained asked of the respondents, highest (18.5%) proportion was for toothache. Majority (71.3%) of the respondents affirmed that cost of transportation and long distance was the barrier for attending dental clinic. The rate of attendance (χ = 8.9; p = 0.03) and time of last visit (T =2.84; p = 0.01) was affected by the age of the respondents

Conclusions: There was poor attendance to dental clinic by elderly in Benin City mainly due to cost of transportation and long distance. Age was related to poor attendance and time of visitation for attendance.

Key words: Dental clinic, attendance, elderly

Author Biographies

Babalola Olajumoke, university of Benin teaching hospital

Department of family dentistry

Joel-Ifada Okojie, University of Benin

Professor of Industrial and Organisational Psychology

Institute of Public Administration and Extension(IPAES)

University of Benin

Lawrence Igbinosa, University of Benin


Department of Family Dentistry

University of Benin

Ekaniyere Edetanlen, University of Benin


Department of Oral Surgery

University of Benin 


Aung P, Tun K, Oo M, Ko K. Oral health-related quality of life and a number of remaining teeth among elderly in Tha-bar-Wa Centre, Thanlyin township, Yangon, Myanmar. J Int Oral Health. 2018;10 : 293-298.

Gaszynska E, Szatko F, Godala M, Gaszynski T. Oral health status,dental treatment needs, and barriers to dental care of elderly care home residents in Lodz, Poland. Clin Interv Aging. 2014; 9:1637-1644.

Issrani R, Ammanagi R, Keluskar V. Geriatric dentistry–meet the need. Gerodontology. 2012 Jun;29(2):e1-5.

Razak PA, Richard KJ, Thankachan RP, Hafiz KA, Kumar KN, Sameer KM. Geriatric oral health: a review article. Journal of international oral health: JIOH. 2014 Nov;6(6):110.

Tu RY, Liang P, Tan AJ, Tran DH, He AM, Je H, Kroon J. Factors associated with regular dental attendance by aged adults: A systematic review. Gerodontology. 2023 Sep;40(3):277-87

Griffin SO, Jones JA, Brunson D, Griffin PM, Bailey WD. Burden of oral disease among older adults and implications for public health priorities. Am J Public Health. 2012;102(3):411-418.

Eguchi T, Tada M, Shiratori T, Imai M, Onose Y, Suzuki S, Satou R, Ishizuka Y, Sugihara N. Factors Associated with Undergoing Regular Dental Check-ups in Healthy Elderly Individuals. Bull Tokyo Dent Coll. 2018 Nov 30;59(4):229-236.

Almoznino G, Aframian DJ, Sharav Y, Sheftel Y, Mirzabaev A, Zini A. Lifestyle and dental attendance as predictors of oral health-related quality of life. Oral Dis. 2015;21(5):659-666.

Williams S, Godson J, Ahmed I. Dentists’ perceptions of difficulties encountered in providing dental care for British Asians. Community Dent Health. 1995;12(1):30–4.

Arcury TA, Savoca MR, Anderson AM, et al. Dental care utilization among North Carolina rural older adults. J Public Health Dent.2012;72(3):190-197.

Unell L, Johansson A, Ekbäck G, Ordell S, Carlsson G. Dental status and self-assessed chewing ability in 70- and 80-year-old subjects in Sweden. J Oral Rehabil. 2015;42:693–700.

Active Registrations* and Take-up Rates per 100 Local Population of Patients aged 18 and over by Health Body# and Age Band at end March 2006: PCT

Adeniyi AA, Oyapero A. Predisposing, enabling and need factors influencing dental service utilization among a sample of adult Nigerians. Population Medicine. 2020;2(December):44.

Marshman Z, Porritt J, Dyer T, Wyborn C, Godson J, Baker S. What influences the use of dental services by adults in the UK? Community Dent Oral Epidemiol. 2012;40(4):306-314.

Saleh NM, Elashri NI, Mohamed HA, El-Gilany AH. Barriers Affecting the Utilization of Dental Health Services among Community Dwelling Older Adults. Alexandria Scientific Nursing Journal. 2018 Jul 1;20(1):103-18.

Castrejón-Pérez RC, Borges-Yáñez SA, Gutiérrez-Robledo LM,Avila-Funes JA. Oral health conditions and frailty in Mexican community-dwelling elderly: a cross sectional analysis. BMC Public Health. 2012;12:773.

Davidson PL, Andersen RM. Determinants of dental care utilization for diverse ethnic and age groups. Adv Dent Res. 1997;11(2):254-262

Sinor, Mohd Zulkarnain. (2015). Dental Attendance Among Elderly to Hospital USM Dental Clinic. 10.13140/RG.2.1.4361.4801.

Shanahan, Dáire & O'Neill, Desmond. (2017). Barriers to dental attendance in older patients. Irish medical journal. 110. 548.

Bakker MH, Vissink A, Spoorenberg SLW, Wynia K, Visser A. Selfreported oral health problems and the ability to organize dental care of community-dwelling elderly aged ≥75 years. BMC Oral Health. 2020;20(1):185.

Sugihara N, Tsuchiya K, Hosaka M, Osawa H, Yamane GY, Matsukubo T. Dental-care utilization patterns and factors associated with regular dental check-ups in elderly. Bull Tokyo Dent Coll. 2010;51(1):15-21.

Rosner, B. Fundamentals of biostatistics. 8th edition. Harvard(USA): Cengage learning. 2016. ISBN: 978-1-305-26892-0

Shahid M, Shum JH, Tadakamadla SK, Kroon J, Peres MA. Theoretical evidence explaining the relationship between sociodemographic and psychosocial barriers on access to oral health care among adults: a scoping review. J Dent. 2021;107:103606. doi:10.1016/j.jdent.2021.103606

Akaji EA, Chukwuneke FN, Okeke UF. Attendance Pattern amongst Patients at the Dental Clinic of the University of Nigeria. Nigerian Journal of Medicine. 2012;21(1):74-7.

Olajide M. Pattern and distribution of patients’ dental attendance in a Nigerian Tertiary Centre. Saudi J Oral Dent Res. 2021;6(6):251-60.

Molete MP, Yengopal V, Moorman J. Oral health needs and barriers to accessing care among the elderly in Johannesburg. South African Dental Journal. 2014 Sep 1;69(8):352-7.

Fiske J, Gelbier S, Watson RM. Barriers to dental care in an elderly population resident in an inner city area. Journal of Dentistry. 1990 Oct 1;18(5):236-42.

Borreani, E., Wright, D., Scambler, S. et al. Minimising barriers to dental care in older people. BMC Oral Health 8, 7 (2008).

Manski RJ, Moeller J, Chen H, St. Clair PA, Schimmel J, Magder L, Pepper JV. Dental care utilization and retirement. Journal of public health dentistry. 2010 Jan;70(1):67-75.

Ajayi DM, Arigbede AO. Barriers to oral health care utilization in Ibadan, South West Nigeria. African health sciences. 2012;12(4):507-13.

[US DHHS] US Department of Health and Human Services. Healthy People 2010, understanding and improving health: objective for improving health [online] 2000; Accessed 16 Jun 2023 URL:

Zhu L, Petersen PE, Wang HY, Bian JY, Zhang BX. Oral health knowledge, attitudes and behaviour of adults in China. International dental journal. 2005 Aug 1;55(4):231-41.

Nagarjuna P, Reddy VC, Sudhir KM, Kumar RK, Gomasani S. Utilization of dental health-care services and its barriers among the patients visiting community health centers in Nellore District, Andhra Pradesh: A cross-sectional, questionnaire study. Journal of Indian Association of Public Health Dentistry. 2016 Oct 1;14(4):451-5.

Jain VK, Sequeira P, Jain J, Chancy U, Maliyil MJ, Bhagwandas SC. Barriers in utilization of oral health care services among patients attending primary and community health centres in Virajpet, South Karnataka. Natl J Med Dent Res 2013;1:39-47. Back to cited text no. 1

Chideka K, Klass C, Dunne S, Gallagher JE. Listening to older adults: community consultation on a new dental service. Community Dental Health. 2015 Dec 1;32(4):231-6.

Kiyak HA, Reichmuth M. Barriers to and enablers of older adults' use of dental services. J Dent Educ. 2005;69(9):975-86.

Bahadori M, Ravangard R, Asghari B. Perceived Barriers Affecting Access to Preventive Dental Services: Application of DEMATEL Method. Iran Red Crescent Med J. 2013 Aug;15(8):655-62. doi: 10.5812/ircmj.11810. Epub 2013 Aug 5. PMID: 24578831; PMCID: PMC3918188.

Meng X, Heft MW, Bradley MM, Lang PJ. Effect of fear on dental utilization behaviors and oral health outcome. Community dentistry and oral epidemiology. 2007;35(4):292–301. [PubMed] [Google Scholar]

Mariño R, Wright C, Schofield M, Minichiello V, Calache H. Factors associated with self‐reported use of dental health services among older Greek and Italian immigrants. Special Care in Dentistry. 2005 Jan;25(1):29-36.

Nitschke I, Stillhart A, Kunze J. Utilization of dental services in old age. Swiss dental journal. 2015;125(4):433-7




How to Cite

babalola, olajumoke, okojie, J.-I., Igbinosa, L. . O., & Edetanlen, E. B. (2024). Dental Attendance Among the Elderly in Benin-city, Edo state. Nigerian Dental Journal, 32(1).