Background: The rarity of lipoma in the orofacial region has made it difficult to ascertain the clinicopathological pattern of orofacial lipoma in our environment. This study aims to determine the age, gender, sites and histopathological variants of orofacial lipoma in a Nigerian population.Materials and Methods: A 21-year retrospective review was performed on patients' clinical notes, histopathology slides and reports of all histopathologically diagnosed orofacial lesions in the Department of Oral Pathology and Medicine, University of Benin Teaching Hospital, Benin City, Nigeria.Results: Of the 1116 diagnosed lesions within the study period, there were 15 (1.3%) cases of lipoma. There was a female to male ratio of 2:1, with a mean th age of 31 + 1.2 years and the peak age group was the 4 decade of life (n=6, 40.0%). The buccal mucosa (n=8, 53.3%) and the forehead (n=4, 26.7%) were the commonest orofacial sites of the lesion. The conventional lipoma (n=8, 53.3%) was the predominant lesion, followed by angiolipoma (n=3, 20.0%), fibrolipoma (n=2, 13.3%), spindle cell lipoma (n=1, 6.7%) and intramuscular lipoma (n=1, 6.7%).Conclusion: This study observed a low prevalence of orofacial lipoma comparable to previous reports. The lesion occurred predominantly in adult females and the buccal mucosa was the commonest orofacial site. Apart from the conventional lipoma, angiolipoma was the second most frequent histopathological variant of the lesion. Early surgical intervention and histopathological evaluation of clinically suspicious cases of orofacial lipoma is recommended to avoid facial disfigurement and to rule out a malignant lesion mimicking the benign type.
{"title":"Study of Histopathological Variants of Orofacial Lipoma in a Nigerian Population","authors":"O. Omoregie, O. Akpata, M. Ojo","doi":"10.61172/ndj.v24i2.12","DOIUrl":"https://doi.org/10.61172/ndj.v24i2.12","url":null,"abstract":"Background: The rarity of lipoma in the orofacial region has made it difficult to ascertain the clinicopathological pattern of orofacial lipoma in our environment. This study aims to determine the age, gender, sites and histopathological variants of orofacial lipoma in a Nigerian population.Materials and Methods: A 21-year retrospective review was performed on patients' clinical notes, histopathology slides and reports of all histopathologically diagnosed orofacial lesions in the Department of Oral Pathology and Medicine, University of Benin Teaching Hospital, Benin City, Nigeria.Results: Of the 1116 diagnosed lesions within the study period, there were 15 (1.3%) cases of lipoma. There was a female to male ratio of 2:1, with a mean th age of 31 + 1.2 years and the peak age group was the 4 decade of life (n=6, 40.0%). The buccal mucosa (n=8, 53.3%) and the forehead (n=4, 26.7%) were the commonest orofacial sites of the lesion. The conventional lipoma (n=8, 53.3%) was the predominant lesion, followed by angiolipoma (n=3, 20.0%), fibrolipoma (n=2, 13.3%), spindle cell lipoma (n=1, 6.7%) and intramuscular lipoma (n=1, 6.7%).Conclusion: This study observed a low prevalence of orofacial lipoma comparable to previous reports. The lesion occurred predominantly in adult females and the buccal mucosa was the commonest orofacial site. Apart from the conventional lipoma, angiolipoma was the second most frequent histopathological variant of the lesion. Early surgical intervention and histopathological evaluation of clinically suspicious cases of orofacial lipoma is recommended to avoid facial disfigurement and to rule out a malignant lesion mimicking the benign type. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48847164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Treatment with dental implants is an attractive option in the practice of restorative dentistry. Majority of patients treated with dental implants have reported remarkable improvement in function, esthetics and psychological status. Dental implant placement traditionally was advocated for healed extraction sites; however, the development of a better understanding of the biologic principles of bone healing has led to preferment of immediate implants.Aim: To evaluate the knowledge and attitude of Nigerian dentists to immediate loading of dental implants.Materials and Methods: Pretesting of the questionnaires was earlier carried out on 20 dentists at the Lagos University Teaching Hospital, Lagos. It was a questionnaire based cross sectional study conducted among dentists that attended Nigerian Dental Association Conference. Participants were recruited through a simple random sampling through a selection of “Yes or No”. Questionnaires were given to individuals that picked the “Yes” option. Three hundred and fifty questionnaires were distributed and 250 were duly filled and returned to the researchers. Analysis of data was done using SPSS Version 20.Results: Sixty five point eight percent of the participants were females and the commonest age group of the respondents was 35-39 years (30.8%). Most of the respondents (81.8%) have a minimum of 10 years clinical experience. 74.4% of respondents had knowledge of immediate loading of dental implants however, 66.2% of respondents do not place dental implants in their clinics. 74.4% of those that do, do not practise immediate loading of dental implants.Conclusion: Though most dentists know about immediate loading of dental implants, only a few practise it.
背景：在修复性牙科实践中，种植牙治疗是一种有吸引力的选择。大多数接受种植牙治疗的患者在功能、美学和心理状态方面都有显著改善。传统上提倡在愈合的提取部位放置牙种植体；然而，随着对骨愈合生物学原理的更好理解，人们倾向于立即植入。目的：评估尼日利亚牙医对立即装载种植牙的知识和态度。材料和方法：早期对拉各斯大学教学医院的20名牙医进行了问卷调查。这是一项基于问卷的横断面研究，在参加尼日利亚牙科协会会议的牙医中进行。参与者是通过选择“是或否”进行简单的随机抽样招募的。问卷发给了选择“是”选项的个人。共发放了350份问卷，250份被及时填写并返回给研究人员。使用SPSS Version 20对数据进行分析。结果：65%的参与者为女性，受访者最常见的年龄组为35-39岁（30.8%）。大多数受访者（81.8%）至少有10年的临床经验。74.4%的受访者知道立即植入牙，但66.2%的受访者没有在诊所植入牙。74.4%的患者没有立即进行牙科植入。结论：尽管大多数牙医都知道种植牙的即时加载，但只有少数人实践。
{"title":"Knowledge and Attitude of Nigerian Dentists to Immediate Loading of Dental Implants","authors":"K. Obagbemiro, Y. Ajayi, P. Akeredolu, G. Arotiba","doi":"10.61172/ndj.v25i1.8","DOIUrl":"https://doi.org/10.61172/ndj.v25i1.8","url":null,"abstract":"Background: Treatment with dental implants is an attractive option in the practice of restorative dentistry. Majority of patients treated with dental implants have reported remarkable improvement in function, esthetics and psychological status. Dental implant placement traditionally was advocated for healed extraction sites; however, the development of a better understanding of the biologic principles of bone healing has led to preferment of immediate implants.Aim: To evaluate the knowledge and attitude of Nigerian dentists to immediate loading of dental implants.Materials and Methods: Pretesting of the questionnaires was earlier carried out on 20 dentists at the Lagos University Teaching Hospital, Lagos. It was a questionnaire based cross sectional study conducted among dentists that attended Nigerian Dental Association Conference. Participants were recruited through a simple random sampling through a selection of “Yes or No”. Questionnaires were given to individuals that picked the “Yes” option. Three hundred and fifty questionnaires were distributed and 250 were duly filled and returned to the researchers. Analysis of data was done using SPSS Version 20.Results: Sixty five point eight percent of the participants were females and the commonest age group of the respondents was 35-39 years (30.8%). Most of the respondents (81.8%) have a minimum of 10 years clinical experience. 74.4% of respondents had knowledge of immediate loading of dental implants however, 66.2% of respondents do not place dental implants in their clinics. 74.4% of those that do, do not practise immediate loading of dental implants.Conclusion: Though most dentists know about immediate loading of dental implants, only a few practise it. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45400787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Restorative materials used in dentistry are constantly exposed to salivary components like enzymes that have a high impact on the degradation of these materials and subsequent leaching of some of their constituents which may be harmful to the oral tissues in some patients. Released triethyleneglycolmethacrylate, bisphenol A-glycidyl methacrylate (Bis-GMA), diurethanedimethacrylate (UDMA) and formaldehyde have been detected from incompletely polymerized composite and are implicated in occurrence of various adverse reactions. We present a case of a 60 year old female who had composite restorations done. She later presented with complaints of several episodes of intermittent gingival and cheek swellings of sudden onset adjacent to the restored teeth. The filling was taken off and patient was placed on anti-allergy medications with a close follow-up. This presentation highlights the occurrence of a typical allergy to composite material in our centre. It serves to educate dental practitioners about the awareness of such adverse reactions to dental resin materials and the need to be prompt in management of the condition.
{"title":"Immediate Hypersensitivity Reaction to Composite Restorations","authors":"O. Oderinu, O. E. Makinde","doi":"10.61172/ndj.v24i2.14","DOIUrl":"https://doi.org/10.61172/ndj.v24i2.14","url":null,"abstract":"Restorative materials used in dentistry are constantly exposed to salivary components like enzymes that have a high impact on the degradation of these materials and subsequent leaching of some of their constituents which may be harmful to the oral tissues in some patients. Released triethyleneglycolmethacrylate, bisphenol A-glycidyl methacrylate (Bis-GMA), diurethanedimethacrylate (UDMA) and formaldehyde have been detected from incompletely polymerized composite and are implicated in occurrence of various adverse reactions. We present a case of a 60 year old female who had composite restorations done. She later presented with complaints of several episodes of intermittent gingival and cheek swellings of sudden onset adjacent to the restored teeth. The filling was taken off and patient was placed on anti-allergy medications with a close follow-up. This presentation highlights the occurrence of a typical allergy to composite material in our centre. It serves to educate dental practitioners about the awareness of such adverse reactions to dental resin materials and the need to be prompt in management of the condition. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43721081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Dental service utilization in children is reduced as a result of long treatment times and prohibitive cost of treatment. This may result in an increase in early childhood caries and subsequent premature tooth loss. Fissure sealants are a preventable method in the management of dental caries but the cost may be a barrier to early treatment. Aim: To compare the duration and cost of sealant treatment between glass ionomer and resin based fissure sealants among children in Benin City,Nigeria. Materials and Methods: All occlusal surfaces of the lower permanent first molars (2 teeth each in a total number of 50 children) were sealed andincluded in the study (n=100). A split-mouth design was used in which a light cure Bis-GMA resin-based sealant was compared with a glass-ionomersealant. They were then randomly placed in 50 matched contralateral pairs of permanent first molar teeth and a stop watch used to record the duration of placement. The cost of treatment was calculated by dividing the cost of the sealant kit with the total number of sealed occlusal surfaces. Statistical analysis was done using Statistical Package for Social Sciences version 21.0 with the chi square test for determination of variables. Probability values of p<0.05 were considered statistically significant. Results: The duration of sealant treatment using resin based sealant ranged from 235 to 446 seconds (mean time 318.86 +55.54 secs); while theduration of sealant treatment using glass ionomer based sealant ranged from 238 to 360 seconds (a mean time 292.57 +33.56 secs); and this wasstatistically significant (P<0.001). The cost of sealing a tooth surface using resin sealant (Clinpro®) was five hundred and seventy naira only. Similarly, the cost of sealing a tooth surface using glass ionomer based sealant (GC Fuji triage®) was eight hundred and forty naira only. Conclusion: Less chairside time is required for sealant treatment using glass ionomer than resin based sealant for fissure sealing procedures. The use of resin based fissure sealant is relatively cheaper when compared with glass ionomer based sealant
{"title":"A Comparative Analysis of the Duration and Cost of Treatment Between Glass Ionomer and Resin Based Fissure Sealants among Children in Benin City, Nigeria","authors":"PU Ogordi, E. Sote, F. Oredugba, I. Ize-Iyamu","doi":"10.61172/ndj.v25i1.7","DOIUrl":"https://doi.org/10.61172/ndj.v25i1.7","url":null,"abstract":"Background: Dental service utilization in children is reduced as a result of long treatment times and prohibitive cost of treatment. This may result in an increase in early childhood caries and subsequent premature tooth loss. Fissure sealants are a preventable method in the management of dental caries but the cost may be a barrier to early treatment. \u0000Aim: To compare the duration and cost of sealant treatment between glass ionomer and resin based fissure sealants among children in Benin City,Nigeria. \u0000Materials and Methods: All occlusal surfaces of the lower permanent first molars (2 teeth each in a total number of 50 children) were sealed andincluded in the study (n=100). A split-mouth design was used in which a light cure Bis-GMA resin-based sealant was compared with a glass-ionomersealant. They were then randomly placed in 50 matched contralateral pairs of permanent first molar teeth and a stop watch used to record the duration of placement. The cost of treatment was calculated by dividing the cost of the sealant kit with the total number of sealed occlusal surfaces. Statistical analysis was done using Statistical Package for Social Sciences version 21.0 with the chi square test for determination of variables. Probability values of p<0.05 were considered statistically significant. \u0000Results: The duration of sealant treatment using resin based sealant ranged from 235 to 446 seconds (mean time 318.86 +55.54 secs); while theduration of sealant treatment using glass ionomer based sealant ranged from 238 to 360 seconds (a mean time 292.57 +33.56 secs); and this wasstatistically significant (P<0.001). The cost of sealing a tooth surface using resin sealant (Clinpro®) was five hundred and seventy naira only. Similarly, the cost of sealing a tooth surface using glass ionomer based sealant (GC Fuji triage®) was eight hundred and forty naira only. \u0000Conclusion: Less chairside time is required for sealant treatment using glass ionomer than resin based sealant for fissure sealing procedures. The use of resin based fissure sealant is relatively cheaper when compared with glass ionomer based sealant \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49015679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Oyeneyin, O. Bankole, M. Asha, A. Amoo, E. Anorue, C. O. Olojede, G. Arotiba
The coronal scalp flap is a versatile and aesthetically pleasing approach for access to the cranial vault, cranial base, forehead, nose, upper and middle third of the face, and orbits. In spite of its extensive nature, it is associated with few complications when properly planned. Despite, its versatility of the coronal flap, its use by oral and maxillofacial surgeons is limited especially in Nigeria. A case of surgical remodeling of fibrous dysplasia of the right supra orbital bone region using coronal approach is reported. This article highlighted surgical technique of coronal flap and indications for the use of coronal flap in maxillofacial surgery. Similarly, possible complications of the procedure, prevention and management of such complications were also emphasised. Additionally, it is meant to serve as a guide to young practising surgeons in Nigeria. It is our hope that this will embolden young surgeons in Nigeria to employ its use when indicated.
{"title":"The Coronal Flap in Oral and Maxillofacial Surgery – A Case Report","authors":"A. Oyeneyin, O. Bankole, M. Asha, A. Amoo, E. Anorue, C. O. Olojede, G. Arotiba","doi":"10.61172/ndj.v24i2.15","DOIUrl":"https://doi.org/10.61172/ndj.v24i2.15","url":null,"abstract":"The coronal scalp flap is a versatile and aesthetically pleasing approach for access to the cranial vault, cranial base, forehead, nose, upper and middle third of the face, and orbits. In spite of its extensive nature, it is associated with few complications when properly planned. Despite, its versatility of the coronal flap, its use by oral and maxillofacial surgeons is limited especially in Nigeria. A case of surgical remodeling of fibrous dysplasia of the right supra orbital bone region using coronal approach is reported. This article highlighted surgical technique of coronal flap and indications for the use of coronal flap in maxillofacial surgery. Similarly, possible complications of the procedure, prevention and management of such complications were also emphasised. Additionally, it is meant to serve as a guide to young practising surgeons in Nigeria. It is our hope that this will embolden young surgeons in Nigeria to employ its use when indicated. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47986047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Soyele, M. Gbotolorun, R. Braimah, A. Taiwo, A. Ibikunle
Fibrous dysplasia (FD) and Ossifying fibroma (OF) of the jaws belong to a group of lesions called benign fibro-osseous lesions of the craniofacial skeleton (BFOL). This group of intraosseous disease processes which are comparable in their microscopic features are characterized by hypercellular fibroblastic stroma containing various combinations of bone or cementum-like tissue and other calcified structures. Of these lesions, FD and OF are the most closely related, and although FD is recognized as a harmatomatous lesion and OF a tumour, these lesions are difficult to distinguish both clinically and histologically from each other. This review of current literature aims to highlight emerging features clinically, genetically and histologically that can help in distinguishing these two lesions.
{"title":"Fibrous Dysplasia and Ossifying Fibroma - Solving the Diagnostic Dilemma","authors":"O. Soyele, M. Gbotolorun, R. Braimah, A. Taiwo, A. Ibikunle","doi":"10.61172/ndj.v25i1.5","DOIUrl":"https://doi.org/10.61172/ndj.v25i1.5","url":null,"abstract":"Fibrous dysplasia (FD) and Ossifying fibroma (OF) of the jaws belong to a group of lesions called benign fibro-osseous lesions of the craniofacial skeleton (BFOL). This group of intraosseous disease processes which are comparable in their microscopic features are characterized by hypercellular fibroblastic stroma containing various combinations of bone or cementum-like tissue and other calcified structures. Of these lesions, FD and OF are the most closely related, and although FD is recognized as a harmatomatous lesion and OF a tumour, these lesions are difficult to distinguish both clinically and histologically from each other. This review of current literature aims to highlight emerging features clinically, genetically and histologically that can help in distinguishing these two lesions. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48741778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The elderly population of Nigeria has grown dramatically since the beginning of the twentieth century indicating the need for an increased geriatric care.Objective: To evaluate the status and need for geriatric dental education in Nigeria.Materials and Methods: A search of reports in libraries of Universities that offer Bachelor of Dental Surgery programme and websites of relevant educational agencies and institutions such as the Nigerian University Commission and the Medical and Dental Council of Nigeria on dental education in Nigeria focusing on geriatric dental education was undertaken.Results: There are nine universities that offer Bachelor of Dental Surgery in Nigeria; eight are owned by the federal government and one owned by the state government. Of the nine Faculties of Dentistry, four were established over 40 years ago producing about 160 dental graduates every year. The other five Faculties of Dentistry were established about 15 years ago producing about 100 dental graduates every year. At postgraduate level, there are ten recognized specialties in Dentistry and approximately 12 accredited health institutions offer about 80 places for specialist training every year. The specialist training is regulated by both the National Postgraduate Medical College of Nigeria and West African College of Surgeons and a Fellowship is awarded by these colleges to about 15 specialists every year. There are only two universities that offer postgraduate academic Masters programmes comprising Masters in dental public health and Master in dental sciences. Only one dental school has an undergraduate curriculum that has geriatric dentistry. At postgraduate level, geriatric dentistry was not developed as a separate and independent specialty. Undergraduate dental education is monitored by both the Medical and Dental Council of Nigeria and the National University Commission.Conclusion: It is recommended that geriatric dentistry should be included in the curriculum of undergraduate dental students and should be well structured in postgraduate specialists' curriculum. Postgraduate diploma and degree programmes in geriatric dentistry should be established to address the needs of the vast elderly population in Nigeria.
{"title":"The Need for Geriatric Dental Education in Nigeria","authors":"O. Ibiyemi, S. Ibiyemi","doi":"10.61172/ndj.v24i2.11","DOIUrl":"https://doi.org/10.61172/ndj.v24i2.11","url":null,"abstract":"Background: The elderly population of Nigeria has grown dramatically since the beginning of the twentieth century indicating the need for an increased geriatric care.Objective: To evaluate the status and need for geriatric dental education in Nigeria.Materials and Methods: A search of reports in libraries of Universities that offer Bachelor of Dental Surgery programme and websites of relevant educational agencies and institutions such as the Nigerian University Commission and the Medical and Dental Council of Nigeria on dental education in Nigeria focusing on geriatric dental education was undertaken.Results: There are nine universities that offer Bachelor of Dental Surgery in Nigeria; eight are owned by the federal government and one owned by the state government. Of the nine Faculties of Dentistry, four were established over 40 years ago producing about 160 dental graduates every year. The other five Faculties of Dentistry were established about 15 years ago producing about 100 dental graduates every year. At postgraduate level, there are ten recognized specialties in Dentistry and approximately 12 accredited health institutions offer about 80 places for specialist training every year. The specialist training is regulated by both the National Postgraduate Medical College of Nigeria and West African College of Surgeons and a Fellowship is awarded by these colleges to about 15 specialists every year. There are only two universities that offer postgraduate academic Masters programmes comprising Masters in dental public health and Master in dental sciences. Only one dental school has an undergraduate curriculum that has geriatric dentistry. At postgraduate level, geriatric dentistry was not developed as a separate and independent specialty. Undergraduate dental education is monitored by both the Medical and Dental Council of Nigeria and the National University Commission.Conclusion: It is recommended that geriatric dentistry should be included in the curriculum of undergraduate dental students and should be well structured in postgraduate specialists' curriculum. Postgraduate diploma and degree programmes in geriatric dentistry should be established to address the needs of the vast elderly population in Nigeria. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47048386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Literature has shown the existence of difference in perception of esthetics between dentists and lay people. Could this difference be attributable to undergraduate dental education? This study aims to determine the influence of dental education on the relative perception of dental aesthetics among undergraduate dental students.Materials and methods: A cross-sectional study was carried out amongst all dental students attending a Nigerian University. The dental aesthetics selfperception questionnaire originally designed by Goldstein was administered to subjects. The data were subjected to descriptive analysis. Independent sample t-test and one-way analysis of variance were used to compare means across groups. Due to the multiple comparisons a post-hoc test (Bonferoni) was carried out with the one-way analysis of variance. Chi square was used to determine association between variables with p set at 0.05.Results: A total of 132 students participated in the study. Majority (91.7%) were self-confident about smiling. More than half (54.5%) of the respondents believed there was someone with a better smile. With regards to wish of whiter teeth, 67.4% wished their teeth were whiter. The aesthetic self-perception scores of the respondents ranged from 0-12 with a mean score of 4.28± 2.64. There was no statistically significant association between the mean aesthetic self-perception score and the level of study of the participants. Conclusion: A positive aesthetic self-perception was observed in dental students when it comes to their smile. However, there was no statistically significant association between the level of study of the respondents and the self-perception of dental student.
{"title":"Influence of Dental Education on the Perception of Dental Aesthetics among Undergraduate Dental Students in a Nigerian University","authors":"GG Ameh, J. Enabulele","doi":"10.61172/ndj.v24i1.20","DOIUrl":"https://doi.org/10.61172/ndj.v24i1.20","url":null,"abstract":"Background: Literature has shown the existence of difference in perception of esthetics between dentists and lay people. Could this difference be attributable to undergraduate dental education? This study aims to determine the influence of dental education on the relative perception of dental aesthetics among undergraduate dental students.Materials and methods: A cross-sectional study was carried out amongst all dental students attending a Nigerian University. The dental aesthetics selfperception questionnaire originally designed by Goldstein was administered to subjects. The data were subjected to descriptive analysis. Independent sample t-test and one-way analysis of variance were used to compare means across groups. Due to the multiple comparisons a post-hoc test (Bonferoni) was carried out with the one-way analysis of variance. Chi square was used to determine association between variables with p set at 0.05.Results: A total of 132 students participated in the study. Majority (91.7%) were self-confident about smiling. More than half (54.5%) of the respondents believed there was someone with a better smile. With regards to wish of whiter teeth, 67.4% wished their teeth were whiter. The aesthetic self-perception scores of the respondents ranged from 0-12 with a mean score of 4.28± 2.64. There was no statistically significant association between the mean aesthetic self-perception score and the level of study of the participants. \u0000Conclusion: A positive aesthetic self-perception was observed in dental students when it comes to their smile. However, there was no statistically significant association between the level of study of the respondents and the self-perception of dental student. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46653728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The study was carried out to assess the pattern of non compliance with instructions given after fitting of RPDs and to evaluate the reasons for non compliance.Patients and method: The study was a cross-sectional study among consecutive denture wearers in a Nigerian teaching Hospital. An interviewer administered questionnaire was used to assess the pattern and causes of noncompliance with post denture insertion instructions. Data collected were imputed into a personal computer and analyzed using SPSS version 16. Chisquare was used to test association between categorical variables. The level of significance was set at p<0.05.Results: Two hundred and thirty two patients, participated in the study. One hundred and twenty nine patients did not comply with brushing the denture with brush and soft soap. The proportion of males (56.9%) and patients above 40 years (61. 0%) that did not comply was greater than the proportion of females (54.3%) and patients 40 years and below (41.2%) respectively. There was a statistically significant relationship between the age of the patient and non compliance with cleaning the denture with soft soap. One hundred and ninety four patients did not comply with twice annual routine visit to dentist. The proportion of males (84.5%) and patients above 40 years (84.1%) that did not comply was greater than the proportion of females (82.8%) and patients 40 years and below (82.4%) respectively. The reasons for non compliance with cleaning denture with brush and soft soap included; more convenience (4.3%), detest the taste of soap (5.6%), while the reasons for non compliance with routine visit to dentist included no time (15.1%), financial problem (12.1%), and "I see no need for it when there was no dental problem" (44.0%).Conclusion: Non compliance is more common among male patients and patients above forty years. Dentists should lay more emphasis on post denture insertion instructions especially for male patients.
{"title":"Causes and Pattern of Non Compliance with Instructions given after Fitting of Removable Partial Dentures (RPDs) among Patients in a Nigerian Teaching Hospital","authors":"TJ Ogunrinde","doi":"10.61172/ndj.v24i1.17","DOIUrl":"https://doi.org/10.61172/ndj.v24i1.17","url":null,"abstract":"Objective: The study was carried out to assess the pattern of non compliance with instructions given after fitting of RPDs and to evaluate the reasons for non compliance.Patients and method: The study was a cross-sectional study among consecutive denture wearers in a Nigerian teaching Hospital. An interviewer administered questionnaire was used to assess the pattern and causes of noncompliance with post denture insertion instructions. Data collected were imputed into a personal computer and analyzed using SPSS version 16. Chisquare was used to test association between categorical variables. The level of significance was set at p<0.05.Results: Two hundred and thirty two patients, participated in the study. One hundred and twenty nine patients did not comply with brushing the denture with brush and soft soap. The proportion of males (56.9%) and patients above 40 years (61. 0%) that did not comply was greater than the proportion of females (54.3%) and patients 40 years and below (41.2%) respectively. There was a statistically significant relationship between the age of the patient and non compliance with cleaning the denture with soft soap. One hundred and ninety four patients did not comply with twice annual routine visit to dentist. The proportion of males (84.5%) and patients above 40 years (84.1%) that did not comply was greater than the proportion of females (82.8%) and patients 40 years and below (82.4%) respectively. The reasons for non compliance with cleaning denture with brush and soft soap included; more convenience (4.3%), detest the taste of soap (5.6%), while the reasons for non compliance with routine visit to dentist included no time (15.1%), financial problem (12.1%), and \"I see no need for it when there was no dental problem\" (44.0%).Conclusion: Non compliance is more common among male patients and patients above forty years. Dentists should lay more emphasis on post denture insertion instructions especially for male patients. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45429691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gbolahan, Oo, A. Fasola, A. Ayantunde, O.I. Olaopa
Background: Causes and rate of non attendance at review appointment in the outpatient clinics vary widely among various clinics and different regions all over the world. Solving the problem of non-attendance may therefore require different and individualized approaches tailored to the peculiarity of the clinic and the locality in focus. The aims of this study were to evaluate the causes and the predictors of nonattendance at review appointments following treatment for maxillofacial injuries at a sub Saharan tertiary health facility. Materials and Methods: A prospective, cohort descriptive hospital based study was carried out in a tertiary health facility in South Western Nigeria. Sixty three consecutive adult patients treated for maxillofacial injuries during the study period who met the inclusion criteria were included in the study. The demographic and clinical data of these patients were prospectively collected and analysed. Results: The mean age of the study participants was 34 (range of 17-83) years with a male to female ratio of 5.3:1. Only 17(27.0%) of the patients attended all four clinic review appointments giving an overall default rate of 73.0%. One hundred percent and 30.8% of the patients with mandibular fractures and soft tissue injuries alone respectively attended the first review appointment. The non-attendance rate at the first outpatient review clinic appointment was 28.6% and this progressively increased to 41.3%, 61.9% and 71.4% at the second, third and fourth review clinic appointments respectively. Out of the 18 patients that missed the 1st review appointment, only 1(5.6%) subsequently attended any of the other appointments. Significant factors that are associated with non-attendance at the follow up review clinic appointments following maxillofacial injuries were age of the patients and types of maxillofacial injury. Commonest reasons cited by study participants for default were 'feeling okay', relocation and financial reasons. Conclusion: The most significant factors predicting non-attendance at review appointment following treatment for maxillofacial injuries are type of injuries and age of the patient while the most common reason cited by patient for non attendance was feeling okay. Motivating patients adequately before discharge by letting them know the advantages of attending and possible implications of not attending post-op review may be a way to improve attendance.
{"title":"Evaluation of causes and predictors of non-attendance at review appointments following treatment of Maxillofacial injuries","authors":"Gbolahan, Oo, A. Fasola, A. Ayantunde, O.I. Olaopa","doi":"10.61172/ndj.v23i2.27","DOIUrl":"https://doi.org/10.61172/ndj.v23i2.27","url":null,"abstract":"Background: Causes and rate of non attendance at review appointment in the outpatient clinics vary widely among various clinics and different regions all over the world. Solving the problem of non-attendance may therefore require different and individualized approaches tailored to the peculiarity of the clinic and the locality in focus. The aims of this study were to evaluate the causes and the predictors of nonattendance at review appointments following treatment for maxillofacial injuries at a sub Saharan tertiary health facility. \u0000Materials and Methods: A prospective, cohort descriptive hospital based study was carried out in a tertiary health facility in South Western Nigeria. Sixty three consecutive adult patients treated for maxillofacial injuries during the study period who met the inclusion criteria were included in the study. The demographic and clinical data of these patients were prospectively collected and analysed. \u0000Results: The mean age of the study participants was 34 (range of 17-83) years with a male to female ratio of 5.3:1. Only 17(27.0%) of the patients attended all four clinic review appointments giving an overall default rate of 73.0%. One hundred percent and 30.8% of the patients with mandibular fractures and soft tissue injuries alone respectively attended the first review appointment. The non-attendance rate at the first outpatient review clinic appointment was 28.6% and this progressively increased to 41.3%, 61.9% and 71.4% at the second, third and fourth review clinic appointments respectively. Out of the 18 patients that missed the 1st review appointment, only 1(5.6%) subsequently attended any of the other appointments. Significant factors that are associated with non-attendance at the follow up review clinic appointments following maxillofacial injuries were age of the patients and types of maxillofacial injury. Commonest reasons cited by study participants for default were 'feeling okay', relocation and financial reasons. \u0000Conclusion: The most significant factors predicting non-attendance at review appointment following treatment for maxillofacial injuries are type of injuries and age of the patient while the most common reason cited by patient for non attendance was feeling okay. Motivating patients adequately before discharge by letting them know the advantages of attending and possible implications of not attending post-op review may be a way to improve attendance. \u0000 ","PeriodicalId":79241,"journal":{"name":"Nigerian Dental Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47996727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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