While the affluent will lose their teeth, particularly the first molar to decay, the rural ones will probably lose the same teeth or the front teeth to gum disease.

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Our experience at Idikan Primary Oral Health Centre shows that it has been impactful. When we started out, awareness on oral health was very poor, but it has improved significantly.

Dental therapists and hygienists could increase the oral health workforce if we allow them expanded role. They can be entrusted to work in rural areas to meet the oral health needs of the population using the basic package of oral health.

Essentially because our own diets do not contain much sugar, therefore, loss of tooth as a result of tooth decay appears to be less than those in the industrialised countries.

I know that the issues of quackery and perharps the possibility of them going beyond bounds. It is just a suggestion. It may be the time to reappraise our position on task shifting and act accordingly.

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Idikan was a test location for community healthcare delivery. The government should replicate this in other parts of Nigeria. It has been shown that delivering primary health oral health care in the community is possible.