Restorative Dentistry
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Item Resident doctors’ perception and practice of resin-bonded bridges(2019) Abiodun-Solanke, I.M.F.; Ajayi, D.M.; A Egbe, ABackground: Resin bonded bridges (RBB) was introduced as an alternative to conventional bridges for tooth replacement under certain clinical conditions. It was designed as a temporary restoration which is reversible and the clinicians’ major concern has been its longevity. The major cause of failure was attributed to de-bonding caused by complex multi- directional inter-abutment stresses associated with the 3-unit bridge that challenges the retainer and adhesive bond. The study aimed to assess the attitude, knowledge and practice of resident doctors on the performance factors of RBB. Methods: A cross-sectional study conducted amongst residents at an update course using self –administered questionnaires. The first part of the questionnaire consisted of questions related to participants’ sociodemographics, intended area of expertise, years of experience and percentage of RBBs performed in their clinical prosthodontic / restorative practice. The second part of the questionnaire comprised closeended multiple-choice questions which were designed to extract the opinion and understanding of the respondents regarding performance factor for RBBs. The questions were related to clinical indications, prosthesis design etc Results: Eighty percent of the participants indicated that had <10% tooth replacement service was done with RBB, 44.7% of the respondents considered RBB as a provisional restoration while 28 (36.8%) regarded RBB as both provisional and permanent restoration. About 76% of the respondents believe that perforated retainers were associated with clinical success of RBBs. 70% considered anterior maxilla as the most favorable location while class 1 jaw relation was preferred by 60% of participants Conclusion: With less than 10% of teeth replacement done using RBBs, there is a need for continuing education opportunities for practicing dentists and better exposure of undergraduate and postgraduate students to clinical application of RBBsItem 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.