title: Socio-cultural aspects of oral health among the Fulani in Ferlo (Senegal): a qualitative study.
abstract: OBJECTIVE
  Health is a subjective concept that considers the social, cultural, environmental and behavioural problems of the individual. This study was conducted with the objective of better understanding the sociocultural aspects related to the oral health of the Fulani populations of Ferlo, Senegal.
  
  
  METHODS
  The study was qualitative and based in the area of the Great Green Wall (GGW) in the region known as Ferlo, northern Senegal. Data were collected by semi-structured interviews in a sample of the population and through discussions with a focus group. It concerned health and aesthetics of the teeth, care and traditional herbal recipes, teeth and superstitions.
  
  
  RESULTS
  It appears that people were using the toothpick, the chewing stick and/or charcoal to clean their teeth. Confusion persisted with respect to the types of food consumed that were implicated in the occurrence of dental caries: tea, rice, 'jumbo' (a seasoning spice) and tobacco. 'Borom bop', which means 'master of the head', was the most commonly reported cause of caries. Healthy, beautiful teeth were attributes of beauty and elegance, enhanced by tattoos and crafted crowns in the Fulani. Their health problems were generally managed by healers or traditional practitioners who based their practices on empirical and 'handed down' knowledge. Socio-anthropological meanings were given to children with neonatal teeth.
  
  
  CONCLUSIONS
  It is therefore important to consider the sociocultural aspects in oral health projects and programmes; the place of herbal medicine in dentistry should be recognized and maybe researched in the region of the Great Green Wall.
authors.affiliation: UMI3189 Environnement-Santé-Société (CNRS, UCAD, Univ Bamako, CNRST), Faculté de médecine - UCAD, Dakar, Sénégal, West Africa. dioufmass78@yahoo.fr
authors.forename: Massamba
authors.initials: M
authors.lastname: Diouf
authors.forename: Gilles
authors.initials: G
authors.lastname: Boetsch
authors.forename: Khady
authors.initials: K
authors.lastname: Ka
authors.forename: Anta
authors.initials: A
authors.lastname: Tal-Dia
authors.forename: Jean Jacques
authors.initials: JJ
authors.lastname: Bonfil
mesh_terms: D003466:Cultural Characteristics; D006801:Humans; D009909:Oral Health; D036301:Qualitative Research; D012675:Senegal