Restorative Dentistry

Permanent URI for this communityhttps://repository.ui.edu.ng/handle/123456789/378

Browse

Start date: 2020End date: 2022

Search Results

Now showing 1 - 7 of 7
  • Thumbnail Image
    Item
    Restorative Dental Care and CO V ID -19 Pandemic: Reviewing the Treatment Guidelines and Evaluating Patients' Opinion Qualitatively in a Nigerian Tertiary Hospital.
    (2020) Ajayi, D.M.,; Ogunrinde,T.J.; Gbadebo, S.O.,; Sulaiman, A.O.; Ogundare, T.
    Objectives: The study aimed at reviewing the different measures and strategies put in place globally to ensure successful management of restorative dental patients during the COVID-19 era and to evaluate the knowledge and information on patients' opinion on the impact of the pandemic on their restorative care through a qualitative study design. Methodology: Search for articles on guidelines for restorative care through PUBMED using the keywords COVID-19, guidelines, protocols and restorative care was done. About 42 related articles were downloaded and appraised for necessary information as regards standard protocols in restorative care. The qualitative study involved individual interview of randomly selected 15 patients seeking restorative care that consented to participate in the study. The audiotaped interviews were transcribed verbatim and thematic analysis of data generated was done. Four themes were identified from the data and these included knowledge about COVID-19, view about the infection and infection control, the effects of the lockdown on treatment as well as the fear about contracting the disease. Result: Standard guidelines for different phases (pre, intra and post treatment) were carefully outlined. Fifteen patients, 8 females and 7 males between ages 19 and 72 years with mean age of 39.6 ±17.53 years were interviewed. All the patients had knowledge about COVID-19 infection but the majority were not familiar with the relationship between dentistry and spread of the infection. Repeated visits to dental clinic without being attended to, during the lockdown resulted in patients using self-medication. The fear of contracting the infection in dental clinic was low among the participants and the few that had the fear were those that showed good knowledge about the risk of contracting COVID-19 infection through restorative care. Conclusion: Strict adherence to standard protocols and guidelines should always be followed even after COVID-19 pandemic to ensure continual confidence of patients in the clinicians.
  • Thumbnail Image
    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 group
  • Thumbnail Image
    Item
    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
  • No Thumbnail Available
    Item
    Predisposing factor of cracked teeth among adult patients in a Nigerian teaching Hospital
    (2020) Ogundare, T.O.,; Ajayi, D.M.,; Idon, P.I.,; Bamise, C.T.,; Oginni, A.O.; Esan, T.A.
  • Thumbnail Image
    Item
    Prevalence and Distribution of Cracked Posterior Teeth among Adult Patients
    (2020) Ogundare, T.O.; Ajayi, D.M.; Idon, P.I.,; Bamise, C.T.,; Oginni, A.O.; Esan, T.A.
    Background: There are challenges in detection and prevalence of cracked teeth, especially in asymptomatic cases. This underestimates the actual prevalence and possibility of preventive restorative treatment. Objectives: To determine the prevalence and distribution of cracked posterior teeth among adult patients attending the dental clinic of OAUTHC, Ile-Ife, Osun State, Nigeria. Materials and Methods: A cross sectional study where consecutive patients aged 18 years and above were examined for the presence of cracked posterior teeth over a period of one year (May 2016-April 2017). The teeth were initially examined with the naked eye. Thereafter, transillumination, methylene blue dye and magnifying lens were used to aid detection of more cracks. Data was analyzed with the IBM Statistical Package for Social Sciences (SPSS) for Windows (version 21.0). Level of significance was set at p ≤ 0.05. Results: Out of the 64,370 posterior teeth examined for cracks in 3345 patients, 264 were diagnosed as cracked in 152 patients, giving a patient prevalence of 4.5% and tooth prevalence of 0.4%. Amongst the 152 patients, the prevalence was 9.1%. There was a slightly higher male preponderance while cracked tooth was observed to increase with age (p = 0.007). The skilled (56.6%) and those that attained tertiary education (77.6%, p = 0.023) had more cracked teeth. Mandibular first molar (19.7%) was the most frequently cracked tooth type. The cracks were usually centrally placed (91.7%) and run in a mesiodistal direction (61%). Transillumination (44.7%) detected more cracked teeth. Conclusion: Prevalence of cracked tooth was observed to be low with a slightly higher proportion in male and the figure increases with age. Mandibular first molar was the most frequently cracked tooth while transillumination was the most useful diagnostic tool. Most cracks ran in the mesiodistal direction and fracture lines were usually centrally placed.
  • Thumbnail Image
    Item
    Impact of Tooth Surface Loss on the Quality of Life of Patients Seen in a Nigerian Teaching Hospital
    (2020) Ogunrinde, T.J.,; Ajayi, D.M.; Abiodun-Solanke, I..F.
    Background: Tooth surface loss (TSL) is a progressive process arising from erosion, abrasion, attrition or abfraction. It can affect individuals of any age group: children, young adult, adults or the elderly and can compromise the health of individual tooth or the entire dentition leading to poor quality of life of the affected person. Objective: To evaluate the pattern of TSL among dental patients in a Nigerian Teaching Hospital and to assess the impact of TSL on their quality of life. Subjects and Methods: The study was a cross-sectional study among patients with TSL in a Nigerian Teaching Hospital. The Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to obtain information on the impact of TSL on the quality of life of the participants. Data collected were analysed using IBM SPSS version 20. Chi-square test was used to assess association between types of TSL and quality of life of the patients. Level of significance was set at p ≤ 0.05. Results: One hundred and twenty-five patients (Males = 72; Females = 53) with tooth wear lesions participated in the study. The most common type of tooth surface loss was attrition (40%) followed by abrasion (23.2%). The highest impact of TSL on the quality of life was painful sensation strongly affecting 39 (31.2%) patients. This was followed by problem with chewing. There was no statistically significant relationship between patients’ quality of life and types of tooth surface loss. Conclusion: The most common negative impact of TSL on patient quality of life was painful sensation.
  • Thumbnail Image
    Item
    Influence of resilient obturator material on self reported obturator function in individuals with maxillectomies
    (2022) Ikusika O.F., Dosumu O.O., Ajayi D.M. and Sulaiman A.O.
    Removable maxillary obturators are the standard of care in rehabilitating individuals who have had maxillectomies in most specialist healthcare facilities in Nigeria. The rehabilitation of these individuals should emphasise quality of life rather than normative standards by the healthcare professional. This study sought to examine the relationship, if any, between the materials used for obturator fabrication and self- perceived quality of life as reported by the individuals rehabilitated. Materials and methods: Twelve individuals with maxillary defects participated in the trial. They were provided with two definitive obturators each after undergoing post surgical rehabilitation. One of the obturators had a hollow all acrylic bulb while the other had a hollow acrylic bulb with an outer layer of silicone resilient denture liner. The participants wore each prosthesis for a two - week period and crossed over to the other without wash out. The adapted Obturator Functioning Scale questionnaire was administered after the patient had worn each prosthesis. Paired t-test was employed to compare mean obturator functioning scores.