Browsing by Author "Arigbede, A.O."

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Dental anxiety: investigative and management techniques often employed in a cross section of Nigerian Specialist Dental Clinics
(2009) Arigbede, A.O.; Ajayi, D.M.; Adeyemi, B.F.
Background: Information on the pattern of dental anxiety’ management in Nigeria is currendy not available. Aim: The study was designed to determine the awareness and frequency of application of dental anxiety assessment questionnaires as well as the current pattern in the management of dental anxiety’ in Nigeria. Methods: The cross-sectional study was conducted using structured questionnaires distributed among dental residents and house officers in Nigerian dental schools. Information requested included demographic variables, frequency of presentation of dental anxiety’, awareness and frequency of application of dental anxiety' questionnaires. The respondents were also asked to rate the frequency of application of the outlined dental anxiety’ management techniques on a 5-point Likert scale. The median score and the range for each technique was determined and compared between the male and female respondents. Results: A total of 96 questionaires were sent out to dental surgeons of all grades. Response was obtained from 86 giving a response rate of 90%. Only 23 (26.7%) respondents were aware of dental anxiety’ questionnaires while only 13 (15.1%) have seen the instrument applied. The percentage of patients with dental anxiety’ was estimated by the respondents to be <20%. Behaviour therapy was the most frequently employed dental anxiety management technique. The female respondents employ behaviour therapy and intramuscular sedation more frequently. Conclusion: The awareness and frequency of application of dental anxiety’ questionnaires appeared poor. Behaviour therapy was the most frequently employed dental anxiety’ management technique. It appears the female respondents employ behavior therapy and intramuscular sedation more frequently.
Evaluation and Treatment of Failed Amalgam Restorations at Ibadan, Nigeria
(2013) Ajayi, D.M.; Abiodun-Solanke,I.M.F; Arigbede, A.O.
OBJECTIVE: Failure of tooth restoration is a major clinical problem of interest to patients, dentists and employers of labour. This study was designed to find out the average life span of amalgam as well as causes and management of failed amalgam restorations at the dental center, University College Hospital, Ibadan. The distribution of new caries in patients with this condition was also investigated. MATERIALS AND METHODS: This was an interventional study conducted among consenting patients who presented with failed amalgam restoration in our conservative clinic over a threo-yonr period. Oral examination was conducted to detect primary caries and causes of failure of the restoration. Bitewing radiograph was taken where necessary. The following data were recorded: socio-demographic variables of the patients and their complaints; life span of the failed restorations and the treatment given. Summary statistics was generated. RESULTS: One hundred and forty three patients (54 males, 89 females) presented with 198 defective restorations, Sixty five (45.5%) of thpse had 118 new carious lesions which were majorly occlusal cavities (66.9%). Fractured restoration was the commonest cause of failure. Management was variable, but replacement with amalgam was the commonest treatment. The average life span of restoration was 8.3years. CONCLUSION: The average life span of amalgam restoration was 8.3years and the major cause of failure was amalgam fracture. Replacement with amalgam was the commonest treatment. WAJM 2013; 32(4): 248-253.
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.
Pattern Of Iatrogenic Damage To Approximal Tooth Surface During Class Ii Cavity Preparation In A Clinically Simulated Environment
(2014) Arigbede, A.O.; Ajayi, D.M.; Abiodun-Solanke, I.M.F.
Background/Aim: Iatrogenic tooth damage is a well recognized and longstanding problem that appears to have refused to disappear from restorative clinical practice. This study was designed to determine the pattern of distribution of iatrogenic tooth surface damage caused by a cross section o f dental students and residents during Class II cavity preparation in a clinical simulated environment. Methods: Residents rotating through the Department of Restorative Dentistry and randomly selected 1SI year and final year dental undergraduates were told to prepare either mesio-occlusal or disto-occlusal Class II cavity on pre-selected normal upper plastic posterior tooth mounted on phantom head after obtaining inform consent. The type of preparation that is selected is based on the adjacent tooth surface that is intact. At the end, the location of the damage and the type (Groove; indentation; Scratches; Extensive) as described by Medeiros and Seddon (2000) was evaluated under a magnifying lens. Summary statistics was generated. Results: The frequency of iatrogenic tooth damage was 100% and “indentation” was the commonest pattern, followed by grooves. More damages occurred in the cervical area. Extensive damage formed 19.0% of the total damages and this type of damage was found more adjacent to MO cavity (25.0%) compare to DO (15.4%) but there was no difference between the extensive damage that occurred on the right and left sides. Conclusion: The frequency of iatrogenic tooth damage was 100% and indentation was the commonest pattern. Extensive type of damage was found more adjacent to MO cavity.