Browsing by Author "Ajayi, D.M"

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Coronal tissue loss in endodontically treated teeth
(2012) Sulaiman,A.O.; Shaba,O.P.; Dosumu,O.O.; Ajayi, D.M
Aim: To categorize the endodontically treated teeth according to the extent of coronal tissue loss in order to determine the appropriate restoration required. Material and methods: A two year descriptive study was done at the Conservative Clinic of the Department of Restorative Dentistry, Dental Centre, University College Hospital, Ibadan. Successful endodontically treated teeth were assessed and categorized according to the extent of tissue loss based on standard criteria proposed by Smith and Schuman. Results: Two hundred and ninety endodontically treated teeth were assessed for success both clinically and radiographically. Eighty (27.6%) were anterior teeth, 78 (26.9%) were premolars while 132 (45.5%) were molars. Dental caries was found to be the most common (61.4%) indication for endodontic treatment and caused more coronal tissue damage (moderate and significant) when compared with other indications for endodontic treatment. Two hundred and twenty seven (78.3%) endodontically treated teeth had moderate coronal tissue loss, 41 (14.1%) had minimal damage while 22 (7.6%) had significant tissue damage. Dental caries was the most common indication for endodontic treatment of the posterior teeth while trauma was the most common indication for the anterior teeth. Conclusion: Majority of the endodontically treated teeth that were evaluated for tissue loss had moderate coronal tissue damage. It is therefore recommended that proper and prompt evaluation of the remaining coronal tooth tissue following successful endodontic treatment be carried out in order to determine the appropriate definitive restoration required that will be easy for the clinician and less
Evaluation of Patients’ Experience Following Dental Implant Surgical Procedure
(2020) Ajayi, D.M; Gbadebo, S.O.,; Ogunrinde,T.J.,; Sulaiman, A.O.; Adebayo, G.E.
Background: Patient’s acceptability of dental implant prostheses may be influenced by the fact that a surgical procedure is involved. Adequate relevant information by the dental professionals pre-surgery, is therefore, paramount to alleviating the fear of surgery and contribute positively to patient’s ability to cope with post-surgical experience. This study, therefore, aimed at evaluating the postsurgical experience of the dental implant patients as against what was expected, and relate this with the information given pre surgery. Methodology: Post treatment self-completed questionnaires were administered to consented patients that had dental implants placed between July 2017 and December 2019. The surgical procedure followed the standard protocol and data related to post-surgical experience were collected one week after the surgery to obtain information on the level of pain/discomfort and amount of swelling experienced following surgery. The effect of the information on coping ability following surgery was also assessed. Data were analyzed using descriptive statistics (p value ≤ 0.05). Results: Twenty-seven patients received 44 implants to replace 48 teeth. The mean age of the patients was 45 ± 16.3 (SD) years. Teeth mostly replaced were the maxillary central incisors (39.6%). The majority of the patients 77.7% reported to experience less pain/discomfort than expected and 66.6% had less swelling than expected. While 29.6% felt they had excellent explanation of what to expect, 51.9% said they had good explanation. The post-surgical experience between males and females was not statistically significant (pain: p = 0.08, swelling: p = 0.64). However, the majority (8/12) that had good to excellent information preoperatively, had significantly less discomfort than expected. Conclusion: Positive, encouraging and satisfactory experience of patients following implant surgical procedure is related to adequate and correct information pre-surgery. How
Knowledge and Practice of Nigerian Dentists About Shortened Dental Arch Therapy (SDAT)
(2010) Arigbede, A.O.; Ajayi, D.M; Onyeaso, C.O.
Objecti ve: To determine the knowledge and practi ce of a cross-secti on of Nigerian denti sts about shortened dental arch therapy (SDAT). Method: A cross-secti onal study was conducted using a selfadministered structured questi onnaire. The questi onnaire requested for informati on on knowledge and practi ce of the respondents as regards to the SDAT. The questi onnaires were randomly distributed among general dental practi ti oners and residents (postgraduate doctors) in dental training insti tuti ons in Nigeria. Results: Only 47 (43.5%) respondents were aware of the concept of shortened dental arch therapy (SDAT). Most of the respondents were not aware of the age group indicati on and the suggested criteria for acti ve shortening of the dental arches. The percentage of pati ents with shortened dental arch was put at ≤ 5% by most of the respondents. About half of the respondents list the SDAT as a treatment opti on in ≤5% of cases. Most of the respondents have never applied acti ve and or passive shortening in their practi ce. Conclusion: The knowledge of the respondents about SDAT is generally less than sati sfactory. The applicati on of the concept in a developing country like Nigeria also appeared grossly inadequate at the moment.
Patients’ waiting experiences and satisfaction with oral care delivery at two levels of care in Ibadan, Nigeria
(2018) Abiodun-Solanke, I. M.F; Lawal, F.B; Ajayi, D.M
Patients waiting experiences at the dental centre and their satisfaction with services rendered by the health care team have not been fully explored and may be important factors that have influenced the pattern of utilization of dental services in this part of the world. The aim of this study was to determine what patients’ waiting experiences are, at two dental centres and find out how satisfied patients were with the services provided. A cross sectional study was conducted at two dental centres in Ibadan, Oyo State, Nigeria over a period of twelve months. Data was collected using a 29-item structured questionnaire. Information sought were patients’ bio data, reasons for presenting at the dental centre, time on entry into the centre, their experiences from point of entry into the dental centre to consultation with the dentist and how satisfied they were with the services rendered. Data were analyzed using SPSS version 22. Two hundred and sixty six respondents participated in the study with a mean age of 36.3 ±17years. The mean waiting time at the Primary Oral Health Care Center (POHCC) and tertiary health centre (UCH) were 11.5 ± 17.0 and 102.3 ± 47.3 minutes respectively. Many (85.3%) were satisfied with the services offered by the dentist, 78.0% were comfortable while waiting to see the doctor. Patients attending the POHCC were more satisfied with the stage of dropping appointment cards but less satisfied with the stage of being called in to see the doctor (22.9%) and when with the doctor (20.6%) compared with patients attending UCH (13.3%)(p<0.005). Many patients were comfortable while waiting to be seen by the dentist and the majority were satisfied with the stages of service delivery. However, causes of dissatisfaction and discomforts experienced by some of the patients will have to be addressed
Prevalence of neck and back pain among dentists and dental auxillaries in South-western Nigeria
(2010) Abiodun-Solanke, I.M.F; .Agbaje,J.O.; Ajayi, D.M; Arotiba, J.T
Dental health workers like other workers have occupation related health problems and hazards which include neck and low back pain. Previous studies have shown that the prevalence and location of pain may be influenced by posture and work habits and as well as demographic factors. The aim of this study was to determine the prevalence of neck and back problems among dentists and dental auxillaries in private and government dental hospitals in south western Nigeria. Structured self administered questionnaire was sent to dentist and dental auxillaries by randomly selecting 3 out of the 6 state capital from the southwestern Nigeria. Participants included those in private clinics, teaching hospitals and general hospitals. The questionnaire was composed of respondents biodata, questions about specific information on neck and back pain and routine practice posture while working at chairside. The total number of properly filled questionnaire was 210 with a male to female ratio of 1.04:1. Respondents included 147 dentists, 37 dental surgeon assistants (DSA), 14 dental therapists and 12 dental technologists. Prevalence of back and neck pain among the respondents was 88.1% and 81.9% respectively. Among the male respondents, the prevalence of back pain was 86.9% and 89.3% in female while for neck pain , the prevalence was 83.2% in male and 80.6% in female. Within the different professional groups, the prevalence of back pain was highest among the DSA(89.2%), closely followed by the dentists(88.4%), then therapists(85.7%) and least among the technologists(83.3%). For neck pain, the prevalence was highest among therapists followed by technologists , dentists and least among the DSA. More females missed work due to back and neck pain than males. There is therefore the need to address ergonomic issues and change the way dentistry is practiced.