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Journal of Ethnobiology and Ethnomedicine
Published in: Journal of Ethnobiology and Ethnomedicine 1/2011

Open Access 01-12-2011 | Research

The role of traditional healers in tooth extractions in Lekie Division, Cameroon

Authors: Ashu M Agbor, Sudeshni Naidoo, Awono M Mbia

Published in: Journal of Ethnobiology and Ethnomedicine | Issue 1/2011

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Abstract

Background

The extraction of the teeth by traditional healers in Cameroon is an established cultural practice in the central region of the Cameroon. Traditional healers (TH) use herbs and crude un-sterilized instruments and tools for the tooth extraction procedure. The present study investigates the knowledge and practices of traditional healers regarding tooth extraction and the management of its complications.

Methods

A cross sectional design utilizing semi-structured questionnaires was used to collect the data from traditional healers and their patients.

Results

Sixteen traditional healers (TH) were interviewed. All were male and the majority were between 25-35 years old. The most important reason given for the removal of a tooth was "if it has a hole". All reported using herbs to control bleeding and pain after extractions. Only 20% used gloves between patients when extracting a tooth and just over a third (31.3%) gave post-operative instructions. Eighty seven percent managed complications with herbs and 62.5% reported that they would refer their patients to a dentist whenever there are complications. Only a third (31.3%) was familiar with the basic anatomy of a tooth and more than half (56.3%) reported that tooth extractions are the only treatment for dental problems.
One hundred and fifty patients were interviewed with a mean age of 29 years. More than two thirds were in the 21-30 year age group and just over half were male. Sixty six percent reported that they visited the TH because it is cheap, 93.3% were satisfied with the treatment they received while 95.3% reported said they never had a problem after an extraction.

Conclusions

Tooth extractions using medicinal plants is well established in Lekie division, Cameroon. Infection control during extraction is not the norm. Traditional healers are willing to co-operate with oral health workers in improving the oral health of their patients. Mutual cooperation, collaboration and integrating TH into primary oral health care services need to be increased.
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Literature
1.
Willis MS, Harris LE, Hergenrader PJ: On traditional dental extraction: case reports from Dinka and Nuer en route to restoration. Br Dent J. 2008, 204: 121-4. 10.1038/bdj.2008.46.PubMedCrossRef
2.
Handler Jerome S: Determining African birth from skeletal remains: a note on tooth mutilation. Historical Archaeology. 1994, 28: 113-119.
3.
Morris AG: Dental mutilation in southern African history and prehistory with special reference to the "Cape Flats Smile". SADJ. 1998, 53: 179-83.PubMed
4.
Miles SH, Ololo H: Traditional surgeons in sub-Saharan Africa: images from south Sudan. Int J STD AIDS. 2003, 14 (8): 505-8. 10.1258/095646203767869057.PubMedCrossRef
5.
Rodd HD, Davidson LE: 'Ilko dacowo:' canine enucleation and dental sequelae in Somali children. Int J Paediatr Dent. 2000, 10: 290-7.PubMedCrossRef
6.
Jamieson LM: Using qualitative methodology to elucidate themes for a traditional tooth gauging education tool for use in a remote Ugandan community. Health Educ Res. 2006, 21: 477-87.PubMedCrossRef
7.
Puckree T, Mkhize M, Mgobhozi Z, Lin J: African traditional healers: what health care professionals need to know. Int J Rehabil Res. 2002, 25: 247-51. 10.1097/00004356-200212000-00001.PubMedCrossRef
8.
Agbor AM, Naidoo S: Knowledge and practice of traditional healers in oral health in the Bui Division, Cameroon. J Ethnobiol Ethnomed. 2011, 71: 6-CrossRef
9.
Ngilisho LAF, Mosha HJ, Poulsen S: The role of TH in the treatment of toothache in Tanga Region, Tanzania. Community Dental Health. 1994, 11: 240-242.PubMed
10.
Santoni S, Sakka LJ, Garcier JM: Dental arch relations analyzed in a 14th century fossil skull of the Sao tribe, Cameroon. Coll Antropol. 2005, 29 (2): 421-7.PubMed
11.
Kikwilu EN, Hiza JFR: Tooth bud extraction and rubbing of herbs by TH in Tanzania: Prevalence, and sociological and environmental factors influencing the practices. International Journal of Paediatric Dentistry. 1997, 7: 19-24.PubMedCrossRef
12.
Accorsi S, Fabiani M, Ferrarese N, Iriso R, Lukwiya M, Declich S: The burden of traditional practices, ebino and tea-tea, on child health in Northern Uganda. Soc Sci Med. 2003, 57 (11): 2183-91. 10.1016/S0277-9536(03)00082-0. Accorsi, S.et al (2003).PubMedCrossRef
13.
Jamieson LM: Traditional Tooth Gauging Education Tool for use in remote Ugandan community. Health Education Res. 2006, 21 (4): 477-87.CrossRef
14.
Elujoba AA, Odeleye OM, Ogunyemi CM: Traditional medicine development for medical and dental primary health care delivery system in Africa. African journal Traditional, Complementary and Alternative Medicines. 2005, 2 (1): 46-61.
15.
Hernandez R, Jorda MG: Plantas Medicinales. 1981, Arbol Editorial, SA., Mexico
16.
Bengondo MC, Ngoa S, Onana J, Ewo C, Bengono G: Caries morbidity in the odonto-stomatologic services in Yaounde, Cameroon. Odontostomatol Trop. 2006, 29 (114): 15-8.
17.
Stefanini A: Influence of health education on local beliefs: incomplete success, or partial failure. Trop Doct. 1987, 17 (3): 132-134.PubMed
18.
Edwards PC, Levering N, Wetzel E: Extirpation of the Primary Canine Tooth Follicles: A Form of Infant Oral Mutilation. J Am Dent Assoc. 2008, 139: 442-450.PubMedCrossRef
19.
Graham EA, Domoto PK, Egbert AM: Dental injuries due to African traditional therapies for diarrhea. West J Med. 2000, 173: 135-137. 10.1136/ewjm.173.2.135.PubMedPubMedCentralCrossRef
20.
Peltzer K, Mngqundaniso N, Petros G: HIV/AIDS/STI/TB knowledge, beliefs and practices of traditional healers in KwaZulu-Natal. South Africa AIDS Care. 2006, 18 (6): 608-613.PubMedCrossRef
21.
Chipfakacha VG: STD/HIV/AIDS knowledge, beliefs and practices of TH in Botswana. AIDS Care. 1997, 9 (4): 417-25. 10.1080/713613174.PubMedCrossRef
22.
Patel M, Bessong P, Liu H: Traditional Medicines, HIV, and Related Infections: Workshop 2C. Adv Dent Res. 2011, 23 (1): 159-64. 10.1177/0022034511400077.PubMedCrossRef
23.
Loosli BC: Livestock diseases and the traditional medicine in the bush area,kivu Province,Democratic Republic of Congo. African Study monographs. 1998, 19 (1): 13-33.
24.
25.
Herndon CN, Uiterloo M, Uremaru A, Plotkin MJ, Emanuels-Smith G, Jitan J: Disease concepts and treatment by tribal healers of an Amazonian forest culture. Journal of Ethnobiology and Ethnomedicine. 2009, 5: 27-10.1186/1746-4269-5-27.PubMedPubMedCentralCrossRef
26.
Ndebia EJ, Kamgang R, Nkeh-ChungagAnye BN: Analgesic and anti-inflammatory properties of aqueous extract from leaves of Solanum torvum ( family solanaceae). Afr. J. Trad. CAM. 2007, 4 (2): 240-244.
27.
Chah KF, Muko KN, Oboegbulem SI: Antimicrobial activity of methanolic extract of Solanum torvum fruit. Fitoterapia. 2000, 71: 187-189. 10.1016/S0367-326X(99)00139-2.PubMedCrossRef
28.
Arthan D, Svasti J, Kittakoop P, Pittayakhachonwut D, Tanticharoen M, Thebtaranonth J: Antiviral isoflavonoid sulfate and steroidal glycosides from the fruits of Solanum torvum (Solenaceae). Photochemistry. 2002, 39: 459-463.CrossRef
29.
Bussmann RW, Sharon D: Traditional medicinal plant use in Northern Peru: tracking two thousand years of healing culture. Journal of Ethnobiology and Ethnomedicine. 2006, 2: 47-10.1186/1746-4269-2-47.PubMedPubMedCentralCrossRef
30.
Bussmann RW, Sharon D: Shadows of the colonial past - diverging plant use in Northern Peru and Southern Ecuador. Journal of Ethnobiology and Ethnomedicine. 2009, 5: 44-
31.
Lewis W, Lewis E: Medical Botany. 1977, John Wiley &Sons. N. York, 515-
32.
Elujoba AA, Odeleye OM, Ogunyemi CM: Traditional medicine development for medical and dental primary health care delivery system in Africa. Afr. J. Trad. CAM. 2005, 2M (1): 46-61.
33.
Hernandez R, Jorda MG: Plantas Medicinales. 1981, Arbol Editorial, SA., Mexico
34.
Hunter JM, Arbona SI: The tooth as a marker of developing world quality of life: a field study in Guatemala. Soc Sci Med. 1995, 41: 1217-1240. 10.1016/0277-9536(95)00011-U. Nunez-Melendez E. Plantas Medicinales de Puerto Rico. Universidad de Puerto Rico, Estacion Experimental Agricola, San Juan, Puerto Rico, 1964.PubMedCrossRef
35.
Chipfakacha VG: STD/HIV/AIDS knowledge, beliefs and practices of TH in Botswana. AIDS Care. 1997, 9 (4): 417-25. 10.1080/713613174.PubMedCrossRef
36.
Kupeli Esra, Orhan Ilkay, Toker Gulnur, Yesilada Erdem: Anti-inflammatory and antinociceptive potential of Maclura pomifera (Rafin.) Schneider fruit extracts and its major isoflavonoids, scandenone and auriculasin. Journal of Ethnopharmacology. 2006, 107 (2): 169-174. 10.1016/j.jep.2006.02.021.PubMedCrossRef
37.
Kupeli E, Orhan I, Toker G, Yesilada E: Anti-inflammatory and antinociceptive potential of Maclura pomifera (Rafin.) Schneider fruit extracts and its major isoflavonoids, scandenone and auriculasin. Journal of Ethnopharmacology. 2006, 107 (2): 169-174. 10.1016/j.jep.2006.02.021.PubMedCrossRef
38.
Mosha H: Dental mutilation and associated abnormalities in Tanzania. Odontostomatol Trop. 1983, 6: 215-219.PubMed
39.
Asefa M, Hewison J, Drewett R: Traditional nutritional and surgical practices and their effects on the growth of infants in south-west Ethiopia. Paediatr Perinat Epidemiol. 1998, 12: 182-198. 10.1046/j.1365-3016.1998.00104.x.PubMedCrossRef
40.
de Walque D: Who gets AIDS and how? The determinants of HIV infection and sexual behaviors in Burkina Faso, Cameroon, Ghana, Kenya, and Tanzania. 2006, Washington, D.C, World Bank Policy Research Working Paper WPS3844CrossRef
41.
Graham EA, Domoto PK, Egbert AM: Dental injuries due to African traditional therapies for diarrhea. West J Med. 2000, 173: 135-137. 10.1136/ewjm.173.2.135.PubMedPubMedCentralCrossRef
42.
Willis MS, Schacht RN, Toothaker R: Anterior dental extractions among Dinka and Nuer refugees in the United States: a case series. Spec Care Dentist. 2005, 25 (4): 193-8. 10.1111/j.1754-4505.2005.tb01649.x.PubMedCrossRef
43.
Bataringaya A, Ferguson M, Lalloo R: The impact of ebinyo, a form of dental mutilation, on the malocclusion status in Uganda. Community Dent Health. 2005, 22 (3): 146-50.PubMed
44.
Ngapeth-Etoundi M, Ekoto E: A pilot project of the integration of oro-dental care into the primary health care system in Cameroon. Odontostomatol Trop. 2001, 24 (94): 23-32.PubMed
45.
Onana J, Bitha T, Bengondo C, Djoumessi A: Epidemiologic study of the oral health of the nursing staff of the Hôpital Militaire de Yaoundé. Odontostomatol Trop. 2002, 25 (99): 38-42.PubMed
46.
47.
Arthan D, Svasti J, Kittakoop P, Pittayakhachonwut D, Tanticharoen M, Thebtaranonth J: Antiviral isoflavonoid sulfate and steroidal glycosides from the fruits of Solanum torvum (Solenaceae). Photochemistry. 2002, 39: 459-463.CrossRef
48.
McNeil DW, Helfer AJ, Weaver BD, Graves RW, Kyle BN, Davis AM: Memory of pain and anxiety associated with tooth extraction. J Dent Res. 2011, 90 (2): 220-4. 10.1177/0022034510385689.PubMedCrossRef
Metadata
Title
The role of traditional healers in tooth extractions in Lekie Division, Cameroon
Authors
Ashu M Agbor
Sudeshni Naidoo
Awono M Mbia
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Ethnobiology and Ethnomedicine / Issue 1/2011
Electronic ISSN: 1746-4269
DOI
https://doi.org/10.1186/1746-4269-7-15

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