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Traditional chewing sticks as a cost-effective solution for oral health in low-income communities — Dr. Osayamen Sheriffe 

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Access to dental care remains a major challenge in Nigeria, especially in rural communities like Gashua in Yobe State and Akwanga in Nasarawa State, where dental clinics and trained professionals are scarce. Studies reveal that periodontal diseases, dental caries, and poor oral hygiene are highly prevalent due to limited access to affordable dental care, low awareness, and the high costs of toothbrushes and toothpaste.

In light of these challenges, a groundbreaking study from the University of Benin, Edo State, recommends the integration of  Pako Ijebu, a traditional chewing stick as an affordable and effective alternative to toothbrushes for maintaining gingival health. 

The study was led by a Nigerian dentist and researcher, Dr. Igunma Osayamen Sheriffe, who recognized the potential of chewing sticks to bridge the gap in oral hygiene practices among low-income communities.

Chewing sticks, commonly derived from plants like Salvadora persica (miswak) and other medicinal trees, have been used for generations in Nigeria. They are widely available, affordable, and contain natural antibacterial properties that help fight plaque buildup, making them a valuable option for maintaining oral health in resource-constrained settings.

The study which compared the use of chewing sticks to toothbrush and paste, showed no difference in oral hygiene. The findings suggest that, when used properly, chewing sticks can be just as effective as modern toothbrushes in maintaining gum health.

“This  research highlights that chewing sticks, when used properly, can be just as effective as toothbrushes in maintaining gum health,” the researcher explained. “For communities where access to commercial oral hygiene products is limited, this is an encouraging finding.”

The researcher advocates for increased awareness and education on the correct use of chewing sticks to maximize their health benefits. Integrating traditional practices with modern oral health strategies can help address the significant oral hygiene challenges faced by low-income communities across Nigeria.

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