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Periodontal diseases in Africa
Journal article   Open access   Peer reviewed

Periodontal diseases in Africa

Mojisola Olujitan, Patricia O. Ayanbadejo, Kehinde Umeizudike, Afolabi Oyapero, Christopher Okunseri and Azeez Butali
Periodontology 2000, Vol.98(1), pp.45-55
06/2025
DOI: 10.1111/prd.12617
PMCID: PMC12842875
PMID: 39494604
url
https://doi.org/10.1111/prd.12617View
Published (Version of record) Open Access

Abstract

Abstract Periodontal diseases, a group of complex conditions marked by an excessive immune response and periodontal tissue destruction, are a global health concern. Since 1990, the incidence of these diseases has doubled, with Western sub‐Saharan Africa experiencing the highest burden. Accurate diagnosis and case identification are crucial for understanding the etiology, features of disease, research, treatment and prevention. Modern perspectives on periodontal disease classification are based on commonality among those affected. However, current literature is often plagued by methodological inconsistencies and focused on disease mechanisms in European populations. Health inequalities in low‐ and middle‐income countries (LMICs) are exacerbated by these challenges, with sub‐Saharan Africa, and Nigeria specifically, facing unique difficulties such as clinical personnel shortages and limited research infrastructure. This review explored disparities in periodontal disease research, care and outcomes in African populations. We highlighted these disparities and identified the factors contributing to inequities in periodontal health outcomes. We further demonstrated the critical need for inclusive and equitable healthcare and research practices tailored to the unique challenges faced by diverse populations and regions with limited resources. Addressing these disparities is essential for ensuring that advancements in healthcare are accessible to all, thereby improving global oral health and general health.
Africa health determinants health disparities periodontal disease UIOWA OA Agreement

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