Assessment of the compliance of dental patients presenting at a secondary healthcare facility in Southern Nigeria with post-extraction instructions.

Osadolor AJ1*, Ekariama A1, Oyibo AI1, Osadolor OO2
1Department of Dentistry, Central Hospital Oleh, Delta State, Nigeria.
2Department of Child Dental Health, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
*Correspondence: Dr. Osadolor AJ; +234 701 391 9301;

Download full article in pdf format


Background: Compliance with post-extraction instructions and adequate patient education given after oral surgical procedures can improve patient satisfaction and decrease post-operative morbidity.
Objective: To assess the compliance with post-extraction instructions among dental patients presenting at a secondary healthcare facility in southern Nigeria
Materials and Methods: A prospective study of dental patients who presented at the Dental department, Central Hospital Oleh, Delta State was done. Descriptive data were expressed as frequencies and percentages. The mean difference between post-extraction instruction routes was also tested using an independent sample t-test for the verbal and written, and verbal only instruction routes. The level of significance was set at 0.05.
Results: A total of 52 participants were recruited for this study. Participants comprised 21 males and 31 females, from which n = 32 received verbal instructions only, and n = 20 received verbal and written instructions. The overall mean percentage compliance of the respondents was 72.8%, respondents who received instructions from both routes (75.3%) were more compliant to post-extraction instructions than their counterparts who received verbal instructions alone (71.3%), there was, however, no statistically significant difference between the instruction routes (t = 1.16, p > 0.254).
Conclusion: This study showed good compliance with post-extraction instructions; percentage compliance was greater among respondents placed on both verbal and written instructions than verbal instructions alone.

Keywords: Assessment, Compliance, Dental patients, Post-extraction instructions, Verbal and Written instructions, Verbal instructions.

Cite this article: Osadolor AJ, Ekariama A, Oyibo AI, Osadolor OO. Assessment of the compliance of dental patients presenting at a secondary healthcare facility in Southern Nigeria with post-extraction instructions. Yen Med J. 2021;3(2):96–102.


  1. Akinbami BO, Godspower T. Dry socket: incidence, clinical features, and predisposing factors. Int J Dent. 2014; 2014:796102. doi:10.1155/2014/796102.
  2. Alexander RE. Patients’ understanding of post-surgical instruction forms. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;89:153-158.
  3. Adebayo ET, Dairo M. Patients` compliance with instructions after oral surgery in Nigeria. Comm. Med. Prim. Health Care. 2005;17(1):38-44.
  4. Gheisari R, Resalati F, Mahmoudi S, Golkari A, Mosaddad SA. Do Different Modes of Delivering Post-operative Instructions to Patients Help Reduce the Side Effects of Tooth Extraction? A Randomised Clinical Trial. J Oral Maxillofac Surg. 2018;78(8):1652.e1-e7.
  5. Akpata O, Omoregie O F, Owotade F. Alveolar Osteitis: Patients’ compliance to post-extraction instructions following extraction of molar teeth. Niger Med J. 2013;54(5):335-338.
  6. Faheem S. Patients Compliance and Follow-Up Rate after Tooth Extraction. IOSR-JDMS. 2017;16(5):115-120.
  7. Araoye O. Research methodology with statistics for health and social sciences. 2nd Ilorin, NG: Nathadex publishers; 2004.
  8. Alvira-González J, Gay-Escoda C. Compliance of post-operative instructions following the surgical extraction of impacted lower third molars: A randomised clinical trial. Med Oral Patol Oral Cir Bucal. 2015;20(2):e224-e230.
  9. Osunde OD, Bassey GO, Anyanechi CE. Warm saline mouth rinse instructions after dental extractions: How well do patients comply? J Med Trop. 2016;18:33‑37.
  10. Bhujbal R, Sharma M, Patil V, Gawali N, Subedar RS. Effect of oral contraceptives in the incidence of dry socket after mandibular 3rd molar extraction: A prospective clinical study. J. Appl. Dent. Sci. 2019; 5(3):146-150.
  11. Alam MA, Uddin MW, Ali MN, Anwar HB, Bhuiyan MAA, Rahman QB. Relationship of tobacco smoking with Alveolar osteitis after tooth extraction. Bangladesh Dent. J. 2016; 32(2): 88-95.
  12. Oginni FO, Fatusi OA, Alagbe AO.A clinical evaluation of dry socket in a Nigerian teaching hospital. J Oral Maxillofac Surg. 2003;61:871-876.
  13. Ogunlewe MO, Adeyemo WL, Ladeinde AL, Taiwo OA. Incidence and pattern of presentation of dry socket following non-surgical tooth extraction. Nig Q J Hosp Med. 2007;17:126-130.
Scroll to Top
× Chat