scholarly works
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Item Perception about tooth colour and appearance among patients seen in a tertiary hospital, SouthWest, Nigeria(2021) Ajayi, D.M.,; Gbadebo, S.O.; Adebayo, G.E.Introduction: patients´ satisfaction with their dental appearance and tooth colour is often influenced by certain factors which need to be addressed periodically among different populations. Methods: a self-administered questionnaire consisting of sociodemographic data, questions on patients´ satisfaction with tooth colour, perceived malalignment of teeth, nonaesthetic anterior tooth-coloured restoration and presence of tooth fracture were distributed. Data collected was analysed using Statistical Package for Social Sciences (IBM, SPSS version 20). Chi square was used to test the statistical differences at a significance of p> 0.05. Results: a total of 410 patients (M=147, F=263) participated in the study. About 73% had tertiary education while 36.3% were within the modified ISCO-08 Group 2. The respondents that were satisfied with the general dental appearance and tooth shade were 66.3% and 63.5% respectively. More males (65.1%) than females (62.7%) were satisfied with tooth colour while more females (69.1%) were satisfied with dental appearance. The older age group were more satisfied with dental appearance and tooth colour. Awareness of tooth whitening (Over 80%) and the desire to undergo tooth whitening was more among the post-secondary individuals. More of dental patients (73.1%) than medical (59.2%) were satisfied with teeth appearance (p=0.003). Conclusion: patients are increasingly aware of their dental appearance/tooth colour and the need to improve it with tooth bleaching and/or orthodontic treatment. Female were more dissatisfied with their tooth colour but more satisfied with their dental appearance than the male. Older people were more satisfied with their dental appearance and tooth colour compared to younger age groupItem Tooth reattachment: knowledge and practice of Nigerian dentists in postgraduate training(2017) Ajayi, D.M.; Gbadebo, S.O.; Abiodun-Solanke, I.M.F.Introduction. Trauma to teeth is relatively common and reattachment of fractured fragment is one of the available treatment modalities. It is conservative, provides immediate treatment with natural esthetics and faster restoration of function. Aim of the study. To assess the knowledge of resident doctors on tooth reattachment and investigate how much of this has been translated into current good clinical practice. Methodology. A cross-sectional study that made use of structured self-administered questionnaires completed by resident doctors from different dental specialties in Nigeria. The questionnaire included the demographics of respondents, knowledge about tooth reattachment, sources of information, practice of the procedure amongst others. Data was analysed with SPSS version 20, and p-value was set at ≤0.05. Result. Participants were aged between 28 and 57 years with mean of 35.1±5.7 years. The majority (95.7%) claimed they had heard about reattachment and 46.7% of these had more than one source of information. About 53% claimed it is indicated in tooth fracture while 4.3% of them stated that tooth avulsion is an indication. Also 53.2% believed that only anterior teeth could benefit from this procedure. Forty-two respondents had observed reattachment procedure before, out of which 18 (42.9%) had actually done it (p=0.04). A majority (89%), however, indicated a willingness to have a hands-on training workshop on the procedure. Conclusion. Though there is good awareness of reattachment, the practice is very low in this environment. There is, therefore, a need to create even more awareness on the current standard of practice of tooth reattachment among Nigerian dentists.Item Dental Implant Treatment At A Nigerian Teaching Hospital(2014) Ajayi D.M.; Abiodun-Solanke, I.M.F.; Gbadebo, S.O.; Fasola A.O.; Dosumu, O.O.; Arotiba, J.T.Background: There has been an increase in the awareness of dental implant as a replacement option for missing teeth and this has consequently led to an increased demand for dental implant. Aim & Objective: To determine the distribution and pattern of implant placement in a tertiary hospital in a developing country. Materials and Methods: This retrospective study was conducted at the University College Hospital to assess the treatment outcome of all the patients who had had osseointegrated root form endosseous dental implants over a period of five years. The data obtained included age, gender, socioeconomic status (SES), medical history, reason for implant placement, number of implants per patient, distribution of missing teeth, complications and treatment outcome. The data were analyzed for percentages, means, SD and presented in tables and figures. Results: Forty two implants (40 conventional & 2 immediate) were placed in the 23 patients (M-15, F=8).There were 15(65.2%) males and 8(34.8%) females. Pre-implant placement ridge augmentation was done in 3(7.1%) patients while 9 (39.1%) patients had augmentation during implant placement surgery. Left maxillary central incisor was the most commonly replaced tooth in 31% followed by the right maxillary central incisor in 19%. The success rates in the study at 1 year and 5 years were 97.4% and 95.2% respectively. Conclusion: A high success rate (95.2%) of implant therapy at 5 years recorded in this study compared favorably with what is obtainable in many other countries of the worldItem Survival of glass fiber post retained endodontically treated teeth preliminary report(2012) Gbadebo, S.O.; Ajayi,D.M.; Abiodun-Solanke, I.M.F; Sulaiman, A.O.Background: The use of fiber reinforced composite post in restoration of endodontically treated teeth have been found to prevent irreparable root fracture and the fact that the post is bonded to the root giving a monobloc restoration, also strengthens the tooth. This preliminary study aimed to evaluate the survival of endodontically treated teeth with compromised coronal tooth structure restored with glass-fiber posts after 6 months. Methodology: Twenty endodontically treated teeth with less than 50% coronal tooth structure, were assessed and restored with glass fiber reinforced post cemented with dual cure composite and porcelain fused to metal crown. Patients were recalled and the teeth re-assessed at 3 and 6 months to evaluate their survival. The criteria for success included post and core in situ with no displacement or detachment of the post, no crown or prosthesis decementation, no post, core, or root fracture and absence of periradicular conditions requiring endodontic retreatment. Result: Eighteen teeth were available for review at both 3rd and 6th months out of which none had postcore-crown fracture. One tooth (5%) had minimal crevice on probing the margin at 6 month’s review, while another tooth had < 1mm mobility of the crown during the same review period. Conclusion: Within the limitation of the study, there was an excellent performance of the teeth restored with glass fiber post with respect to post –core- crown and root fracture at the end of the 6months recall visit.Item Reattachment of Fractured Anterior Tooth: A 2-Year Review of a Case(2011) Ajayi D.M.; Abiodun-Solanke I.M.F; Gbadebo, S.O.Injury to anterior teeth is a relatively common occurrence. Dentists are confronted on regular basis with dental trauma and the management. Some clinical studies have reported reattachment of fractured tooth segment using adhesive resin cement and dentine bonding agent with or without intraradicular postplacement. Reattachment of tooth fragment is simple and can provide good functional and esthetic success. Case description: This article reports the reattachment of a fractured anterior tooth in a 17-year-old male patient with adhesive resin and a prefabricated metallic post. Result: Evaluation at 2 years revealed good reattachment, intact post, good esthetics (even after a repeat reattachment) and good periodontal health.