Restorative Dentistry

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Resident doctors’ perception and practice of resin-bonded bridges
(2019) Abiodun-Solanke, I.M.F.; Ajayi, D.M.; A Egbe, A
Background: 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 RBBs
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.
The practice of mercury hygiene among Nigerian dentists in three southwestern states
(2015) Iwaola,M.O.; Ajayi, D.M.; Abiodun-Solanke I.M.F.; Oke, G.
Background: Dental amalgam has been in use for a very long time in the field of restorative dentistry as an intracoronal restorative material. Despite its long usage, there have been reports about adverse health effects arising from the exposure to minute mercury released from amalgam to the dentists if not properly handled. Aim: The aim was to find out the compliance of Nigerian dentists with recommendations on mercury hygiene practices. Materials and Methods: A cross-sectional study using self-administered questionnaire consisting of three parts was conducted among registered dentists. The first part of the questionnaire sought demographic characteristics of. respondents while second part assessed measures taken by the caregiver himself while working with amalgam and the last part assessed measures taken to control and prevent mercury contamination within the clinical setup. Result: There was total compliance with the use of gloves when working with amalgam among the participants. However, the house officers had the highest tendency of always wearing face mask and protective clothing followed by specialist in training. There, was a statistically significant difference in the tendency to always wear face mask (x2 = 2.1.37, P= 0.00) and protective clothing (y2 = 24.77, P= 0.00) as against occasional and never wearing them,' among the different categories of dentists. Compliance with the use of .rubber dam and alternative source of air was found to be generally poor among the professionals studied. More than two-third of all dentists studied never used the two preventive measures. About 78% never used rubber dam when working with amalgam. The method of handling excess mercury was found to be more appropriate among the respondents in the teaching hospitals and poorest among those in private set-up. Furthermore, a great majority (87.5%) of those working in private clinics had never heard of mercury vapor monitoring. Conclusion: It was noted that some of the standard mercury hygiene practices such as the use of rubber dam, high volume suction, and water cooling when removing or polishing amalgam restorations were not followed properly.

Restorative Dentistry

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