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Impact of COVID-19 Outbreak on Oral Healthcare Services 新冠肺炎疫情对口腔保健服务的影响
Pub Date : 2020-06-01 DOI: 10.61172/ndj.v28i1.89
To Aladelusi
Objectives: To assess the impact of COVID-19 outbreak on patient attendance at the dental clinic, University College Hospital, Ibadan and to make recommendations on how the oral healthcare services can adapt and evolve practices to appropriately care for increasing patients' load following the ease of lockdown.Materials and Methods: The attendance records of patients in the second quarter of 2019 and 2020 was retrieved from the medical records department of the Dental clinic of the University College Hospital, Ibadan and reviewed. Data collected included age, gender and the specialty clinic attended. Descriptive statistics were used to analyse the data. Frequencies and meanage were calculated and comparison of attendance was done using the student t test.Results: Three thousand, six hundred and seventy patients were seen in the second quarter of 2019 while 1276 were attended to during the same period in 2020. This showed a 66% decrease in clinic attendance in the period under review with reduction of 86.99% and 26.28% in April and June of these years respectively. The reduction in the attendance in the second quarter of 2019compared to the second quarter of 2020 was statistically significant (p=0.002).Conclusion: The COVID-19 epidemic is still a major public health concern that may still persist for some time therefore preventative measures are necessary to curtail the spread of this viral disease. Dental practitioners have an important role in this global fight for preventing the transmission of infectious diseases such as COVID-19 and must be trained ready for this role. It isrecommended that pragmatic approaches including standard infection prevention and control measures must be strictly adhered to in the oral health care settings to mitigate the spread of infection.  
目的:评估COVID-19疫情对伊巴丹大学学院医院牙科诊所患者就诊的影响,并就口腔保健服务如何适应和发展实践提出建议,以适当照顾在放松封锁后增加的患者负荷。材料与方法:检索伊巴丹大学附属学院医院牙科诊所病案部2019年第二季度和2020年第二季度患者的就诊记录并进行复习。收集的数据包括年龄、性别和所到的专科诊所。采用描述性统计方法对数据进行分析。计算频率和平均值,并使用学生t检验比较出勤率。结果:2019年第二季度共就诊33670例患者,2020年同期为1276例患者。这表明,在回顾期内,诊所就诊率下降了66%,其中4月和6月的就诊率分别下降了86.99%和26.28%。与2020年第二季度相比,2019年第二季度的出席人数减少具有统计学意义(p=0.002)。结论:COVID-19疫情仍是一个重大公共卫生问题,并可能持续一段时间,因此有必要采取预防措施,遏制这一病毒性疾病的传播。牙科医生在预防COVID-19等传染病传播的全球斗争中发挥着重要作用,必须为这一角色做好准备。建议在口腔卫生保健机构中必须严格遵守包括标准感染预防和控制措施在内的实用方法,以减轻感染的传播。
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引用次数: 0
COVID-19 Pandemic and Oral and Maxillofacial Surgery COVID-19大流行与口腔颌面外科
Pub Date : 2020-06-01 DOI: 10.61172/ndj.v28i1.86
O. Akadiri, K. S. Yarhere
Objective: To present a brief overview of global adjustments to COVID-19 by oral and maxillofacial surgeons and to characterise the reactions and adaptations of the oral and maxillofacial surgery specialty in Nigeria.Materials and Methods: A review of the global literature was done to highlight available guidelines for oral and maxillofacial surgery under COVID-19 pandemic. Questionnaires were electronically sent to maxillofacial surgeons in Nigeria and, a telephone survey of the Nigerian oral and maxillofacial surgery centres was done to characterise the reactions and adaptations of local practitioners to the pandemic situation.Results: Out of the 822 questionnaires electronically delivered to maxillofacial surgeons across 156 centres worldwide, the response rate was only 20.2%. Twenty-eight (17.9%) centres were completely shut down while only 6 (3.8%) centres were functioning normally. Other centres scaled down services and/or number of personnel. Surgeons older than 60 years were made to stay away in some centres while some personnel were drafted to support the medical team at the frontline COVID-19 treatment centres.Conclusion: It concluded that the variability of practices is remarkable and this is largely due to unequitable resources and lack of uniform policies even among federal tertiary health institutions and the authors therefore proposed an algorithm to guide oral and maxillofacial patients' classification and management in the face of COVID-19 pandemic.    
目的:简要概述口腔颌面部外科医生对新冠肺炎的全球调整,并描述尼日利亚口腔颌面部外科专业的反应和适应。材料和方法:对全球文献进行回顾,以强调新冠肺炎大流行下口腔颌面部手术的可用指南。问卷以电子方式发送给尼日利亚的颌面外科医生,并对尼日利亚口腔颌面外科中心进行了电话调查,以描述当地医生对疫情的反应和适应情况。结果:在全球156个中心的822份电子问卷中,回复率仅为20.2%。28个(17.9%)中心完全关闭,而只有6个(3.8%)中心运行正常。其他中心缩减了服务和(或)人员数量。60岁以上的外科医生被要求留在一些中心,而一些人员则被征召来支持新冠肺炎一线治疗中心的医疗团队。结论:实践的可变性是显著的,这在很大程度上是由于不公平的资源和缺乏统一的政策,即使在联邦三级卫生机构之间也是如此,因此作者提出了一种算法来指导口腔颌面部患者在新冠肺炎大流行面前的分类和管理。
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引用次数: 0
Ethical Issues in the Publication of Scientific Articles 科学论文发表中的伦理问题
Pub Date : 2019-01-01 DOI: 10.61172/ndj.v27i1.92
A. Fasola
   
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引用次数: 0
Prosthetic Rehabilitation of a patient with partially amputated index finger 1例部分食指截肢患者的假肢康复
Pub Date : 2019-01-01 DOI: 10.61172/ndj.v27i1.94
S. Agarwal, A. Chopra, R. Mittal, M. Sethi, S. Tripathi
Hands are capable of a wide variety of functions like touching, grasping, feeling, holding, manipulating, caressing, and more. It is a vital and important part of a person's identity and well being. Loss of part of the hands can affect esthetics; functions are undermined depending upon the severity of loss and it causes a great psychological disturbance. The prosthetic rehabilitation of a partially amputated finger presents a challenge to the Prosthodontist. This case report illustrates the procedure of fabrication of finger prosthesis using room temperature vulcanizing (RTV) silicone and intrinsic staining with modern prosthetic design to improve the esthetics of a patient with partially amputated left index finger.  
手具有多种功能,如触摸、抓握、感觉、握持、操纵、爱抚等。它是一个人身份和幸福的重要组成部分。失去一部分手会影响美观;功能受损取决于损失的严重程度,它会引起巨大的心理障碍。部分截肢手指的假肢康复对口腔修复学家来说是一个挑战。本病例报告说明了使用室温硫化(RTV)硅树脂和现代假肢设计的固有染色制造手指假肢的程序,以改善左食指部分截肢患者的美学。
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引用次数: 0
Pattern of Maxillofacial Trauma in the Nigerian Population 尼日利亚人群的颌面创伤模式
Pub Date : 2019-01-01 DOI: 10.61172/ndj.v27i1.93
B. Badmos, F. Kolawole, A. Omo Lawal, I. Oni, O. Oso, A. Salawudeen, O. Talabi
Introduction: The pattern of trauma to the maxillofacial region differs in various parts of the world. Studies have shown that not only does it differ from one continent to the other, it differs from one country to another within the same continent and from one zone to another within the same country. These have been ascribed to the prevailing socioeconomic, cultural and environmental factors in the study area. It is important that patterns of maxillofacial injuries should be continuously evaluated so that efforts should be put in place to reduce the incidence. The aim of the present study is therefore to describe the patterns of maxillofacial injuries in the Nigerian literature.Methods: The MEDLINE was used to conduct a computerized literature search using for publications on maxillofacial trauma in Nigeria. For this search, the medical subject headings on "maxillofacial fractures" or "mandible fractures" or "middle-third fractures" or "facial fractures" or "zygoma fractures" were combined with "Nigeria". Also, the publications cited in these articles to look for additional important articles but were not found on MEDLINE were searched for.Results: Most of the studies were retrospective while the commonest geopolitical zone where studies were done was the South West region. The commonest cause of maxillofacial injuries was road traffic accident while the commonest age group was the 21-30 years.Conclusion: Road traffic accident is the commonest cause of maxillofacial injuries. It is therefore recommended that the appropriate authorities should enforce seat belt and helmet laws. The government should provide street lights, good roads, pedestrian bridges and traffic lights to reduce vehicular/vehicular and human/vehicular/human collisions.      
引言:世界各地的颌面部创伤模式各不相同。研究表明,它不仅在一个大陆与另一个大陆之间有所不同,而且在同一大陆内的一个国家与另一国家之间以及在同一国家内的一地区与另一地区之间也有所不同。这些都归因于研究区域内普遍存在的社会经济、文化和环境因素。重要的是,应不断评估颌面部损伤的模式,以便努力降低发病率。因此,本研究的目的是描述尼日利亚文献中颌面部损伤的模式。方法:使用MEDLINE进行计算机文献检索,检索尼日利亚颌面部创伤的出版物。在本次搜索中,将“颌面部骨折”或“下颌骨骨折”、“中三分之一骨折”、《面部骨折》或“颧骨骨折”的医学主题标题与“尼日利亚”合并。此外,还搜索了这些文章中引用的出版物,以寻找其他重要文章,但在MEDLINE上没有找到。结果:大多数研究都是回顾性的,而进行研究的最常见的地缘政治区域是西南地区。颌面部损伤最常见的原因是道路交通事故,而最常见的年龄组是21-30岁。结论:道路交通事故是颌面部损伤最常见的原因。因此,建议有关当局执行安全带和头盔法律。政府应提供路灯、良好的道路、人行天桥和红绿灯,以减少车辆/车辆和人与人之间的碰撞。
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引用次数: 0
Achieving Universal Health Coverage for Oral Health in Nigeria: Prospects, Barriers and Strategies 尼日利亚实现口腔健康的全民覆盖:前景、障碍和战略
Pub Date : 2018-06-01 DOI: 10.61172/ndj.v26i1.96
E. Otoh
The United Nations instituted the Sustainable Development Goals (SDGs) to solve health problems by integrating the social determinants of health in the management of diseases. However, oral health is not one of the issues addressed by the Sustainable Development Goals despite the facts that orodental diseases are on the rise in Nigeria and the diseases are related toneglected lifestyles and socio-economic health determinant factors. The objective of the paper is to provide evidence based facts for the expansion of the scope of dental services in the National Health Insurance Scheme. The barriers to and the strategies to achieving Universal Oral Health Coverage in Nigeria are also discussed.  
联合国设立了可持续发展目标(sdg),通过将健康的社会决定因素纳入疾病管理来解决健康问题。然而,尽管口腔疾病在尼日利亚呈上升趋势,而且这些疾病与被忽视的生活方式和社会经济健康决定因素有关,但口腔健康并不是可持续发展目标要解决的问题之一。本文的目的是为扩大国家健康保险计划中牙科服务的范围提供基于证据的事实。还讨论了在尼日利亚实现全民口腔健康覆盖的障碍和战略。
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引用次数: 0
Prevalence of Oral Impacts as Daily Performances among Adult Dental Patients in a Nigerian Tertiary Hospital 尼日利亚一家三级医院成年牙科患者口腔影响作为日常表现的患病率
Pub Date : 2018-06-01 DOI: 10.61172/ndj.v26i1.97
B. Edetanlen, K.M. Ezigbo
Background: Oral conditions do not only cause pain but affect the various aspects of individual's daily performances.Objective: To investigate the prevalence of oral health impact on daily performance in adult patients at a Southern Nigerian tertiary hospital. Patients and Methods: A cross-sectional study was conducted on dental patients that attended the University of Benin Teaching Hospital, Benin-City, Nigeria. Oral Impacts on Daily Performance (OIDP) questionnaire was used to evaluate the impact of oral health status on the daily performance. The data collected were analysed with descriptive and inferential statistics. P-value less than 0.05 was considered statistically significant. Results: A total of 110 patients (43 males and 67 females) participated in the study. The age range of the participants was 18-70 years and the mean age of the participants was 31.8±12.8 years. The mean ODIP score of the study participants was 1.58 ±2.77 with a range of 0 to 14. Sixty percent of all subjects had at least one daily performance affected by an oral impact in the previous six months. The ODIP indicators most commonly affected by oral health status were eating and enjoying food (31.8%), smiling and showing teeth (13.6%), and enjoying social contact with people (10.9%) and cleaning teeth (10.0%), The least commonly affected were maintaining usual emotional status (9.1%), sleeping and relaxing (9.1%), carrying out daily school task (8.20%), and speaking and pronouncing words clearly (7.30%).There were no statistically significant difference between ODIP score and age, gender, place of residence, level of education and oral/dental conditions.Conclusion: Oral health had an impact on daily performances of adult dental patients in southern Nigeria. The daily activities mostly affected was eating and enjoying food.  
背景:口腔状况不仅会引起疼痛,还会影响个人日常表现的各个方面。目的:调查尼日利亚南部一家三级医院成年患者口腔健康对日常表现影响的患病率。患者和方法:对尼日利亚贝宁城贝宁大学教学医院的牙科患者进行横断面研究。口腔对日常表现的影响(OIDP)问卷用于评估口腔健康状况对日常成绩的影响。对收集到的数据进行了描述性和推断性统计分析。P值小于0.05被认为具有统计学意义。结果:共有110名患者(43名男性和67名女性)参与了这项研究。参与者的年龄范围为18-70岁,参与者的平均年龄为31.8±12.8岁。研究参与者的平均ODIP得分为1.58±2.77,范围为0至14。60%的受试者在前六个月内至少有一次日常表现受到口腔影响。口腔健康状况最常见的ODIP指标是进食和享受食物(31.8%)、微笑和露出牙齿(13.6%)、享受与人的社交接触(10.9%)和清洁牙齿(10.0%)。最不常见的影响是保持正常情绪状态(9.1%)、睡眠和放松(9.1%,口语发音清晰(7.30%)。ODIP评分与年龄、性别、居住地、教育水平和口腔/牙齿状况之间无统计学显著差异。结论:口腔健康对尼日利亚南部成年牙科患者的日常表现有影响。受影响最大的日常活动是吃饭和享受食物。
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引用次数: 0
Dental Students Educational Experiences and Knowledge in regard to Child Abuse and Neglect: The Experience in a Nigerian University in South Western Nigeria 牙科学生关于虐待和忽视儿童的教育经验和知识:尼日利亚西南部一所大学的经验
Pub Date : 2018-06-01 DOI: 10.61172/ndj.v26i1.98
OO Bankole, J. Eigbobo, B. Popoola
Background: Child abuse is now established as an international issue. In recent times, many researchers have suggested the need to check the level of readiness of graduating dental students regarding how they can successfully handle child abuse cases.Objective: To determine the knowledge of child abuse among undergraduate dental students in a Nigerian university.Methods: A cross sectional study was conducted among undergraduate students in five classes of the Faculty of Dentistry, University of Ibadan, Nigeria. Demographic information was collected through a self-administered structured questionnaire distributed among the dental students. Other information obtained included their educational experiences and level ofknowledge on child abuse and neglect. The data was analyzed using SPSS version 13 and the level of significance was set at p < 0.05.Results: One hundred and sixty one subjects consisting of 80 males and 81 females with a mean age of 22 (+2.4) years participated in the study. The majority (61.5%) had encountered the topic of child abuse and neglect during studies at the university. The subjects scored less than 50.0% regarding some aspects of knowledge of signs of physical abuse while they scored over 60.0 % on signs of emotional and sexual abuse and neglect. In their knowledge of signs of diagnostic indicators of abuse, a quarter of the subjects knew that child abuse and neglect was not basically associated with stress and poverty. Only 8.7 % knew correctly that dentists in Nigeria are not legally required to report child abuse. There were some statistically significant associations between respondents' knowledge of physical, emotional/sexual abuse and neglect and diagnostic indicators of abuse and their levels of study with respondents in the senior classes having higher scores.Conclusion: Knowledge gaps particularly with recognition of signs of child abuse exist among dental students. We recommend that a mandatory course that deals with child abuse and neglect issues should be included in the dental curriculum especially at the pre-clinical stage.  
背景:虐待儿童现已成为一个国际问题。最近,许多研究人员建议有必要检查毕业的牙科学生的准备水平,看看他们如何能够成功地处理虐待儿童的案件。目的:了解尼日利亚某大学牙科本科学生对虐待儿童的认知情况。方法:对尼日利亚伊巴丹大学牙科学院五个班的本科生进行横断面研究。人口统计信息是通过在牙科学生中分发的自我管理的结构化问卷收集的。获得的其他信息包括他们的教育经历和关于虐待和忽视儿童的知识水平。数据采用SPSS version 13进行分析,显著性水平设为p < 0.05。结果:共纳入研究对象161人,男80人,女81人,平均年龄22(±2.4)岁。大多数(61.5%)在大学学习期间遇到过虐待和忽视儿童的话题。受试者在身体虐待迹象的某些方面的知识得分低于50.0%,而在情感和性虐待和忽视的迹象方面得分超过60.0%。在他们对虐待诊断指标的了解中,四分之一的受试者知道虐待和忽视儿童与压力和贫困基本上没有联系。只有8.7%的人正确地知道,在尼日利亚,没有法律要求牙医报告虐待儿童。被调查者对身体虐待、情感虐待/性虐待、忽视和虐待诊断指标的认知与他们的学习水平之间存在统计学上显著的关联,高年级的被调查者得分较高。结论:在牙科学生中存在知识差距,特别是对儿童虐待迹象的认识。我们建议,处理儿童虐待和忽视问题的强制性课程应该包括在牙科课程,特别是在临床前阶段。
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引用次数: 0
Lymphoepitheloal-like carcinoma of the submandibular gland 颌下腺淋巴上皮样癌
Pub Date : 2015-01-22 DOI: 10.4314/NDJ.V22I1
A. Adisa, Olusanya Aa, B. Adeyemi, A. Lawal, B. Kolude, O. Ogun
Lymphoepithelial-like carcinoma (LELC) of the salivary gland is uncommon, with about 80% of these occurring In the parotid gland. Its occurrence In the submandibular gland is very rare. It has a higher Incidence In Eskimos and Orientals. Apart from a report about a North-African woman with LELC of the submandibular gland, to the best of the authors' knowledge, there are no other African reports In the English literature. We therefore report the case of a 3-year painless right submandibular swelling in a female Nigerian diagnosed as LELC. The patient was managed by submandibular salivary gland surgical excision with adjuvant chemotherapy and is currently disease free.  
涎腺淋巴上皮样癌(LELC)并不常见,约80%发生在腮腺。它发生在颌下腺是非常罕见的。在爱斯基摩人和东方人中发病率更高。据作者所知,除了一份关于一名患有下颌下腺LELC的北非妇女的报告外,在英语文献中没有其他关于非洲的报告。因此,我们报告的情况下,3年无痛的右下颌骨肿胀的女性尼日利亚诊断为LELC。患者接受了下颌下唾液腺手术切除和辅助化疗,目前无疾病。
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引用次数: 0
An assessment of cross infection control practice in Nigerian oral health care workers 尼日利亚口腔卫生保健工作者交叉感染控制实践评估
Pub Date : 2014-09-15 DOI: 10.4314/ndj.v21i2
M. Gyang, O. Tokede, Oa Adeleke, Ga Chukwu, P. Jalo
Objective: This study was aimed at assessing the cross infection control practices among dental health care practitioners in Nigeria.Method: Questionnaires were administered to 137 Dentists, 56 Dental Therapists and 62 Dental Surgery Assistants (DSAs) practicing in both government and private practices across the six geopolitical areas of the country. Each questionnaire comprised of questions on basic infection control procedures.Result: Results indicate that all the participants use gloves during treatment, 93.8% wear face mask, 48.5% wear eye protection, 95.5% clinical gown/coat. Furthermore 27.3% have had a puncture or laceration from a dental needle or instrument while only 41.4% have had Hepatitis B vaccination.Conclusion: Infection control practice by dental personnel in Nigeria has improved compared to previous studies, particularly in the use of gloves. However in the areas of sterilization, vaccination, there are needs for improvement.  
目的:本研究旨在评估尼日利亚牙科保健从业人员的交叉感染控制做法。方法:对全国六个地缘政治地区的137名牙医、56名牙科治疗师和62名牙科手术助理(dsa)进行问卷调查。每份问卷都包括关于基本感染控制程序的问题。结果:所有受试者在治疗过程中使用手套,93.8%佩戴口罩,48.5%佩戴护目镜,95.5%佩戴临床服/大衣。此外,27.3%的人曾被牙科针或器械刺穿或撕裂,而只有41.4%的人接种过乙肝疫苗。结论:与以前的研究相比,尼日利亚牙科人员的感染控制实践有所改善,特别是在手套的使用方面。但是,在绝育和疫苗接种方面,仍有改进的需要。
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引用次数: 0
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Nigerian Dental Journal
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