Restorative Dentistry
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Item Self Reported Tooth Discolorations Among Patients Seen At Dental Center University College Hospital Ibadan(2015) Gbadebo S.O.; Ajayi D.M.Background: Tooth discoloration is an aesthetic problem that is linked to a variety of causes and it could be a source of embarrassment, leading to reduced self-esteem. Aim: To determine the prevalence of self reported tooth discoloration and the distribution of the different intrinsic tooth discolorations. Methodology: A retrospective study that reviewed the distribution of tooth discoloration reported by patients that presented for treatment of tooth discoloration at conservation clinic of the dental centre University College Hospital, Ibadan between December 2011 and December 2014. Data collected from patients' case files included patients' demographics, type of tooth discoloration as diagnosed by attending consultant and treatment offered. Data were analyzed using SPSS version 20. Frequencies and means were used for continuous variables while chi square was used to compare the categorical variables. P value was set at ≤ 0.05. Results: One hundred and thirty six patients reported tooth discoloration as their major reason for presentation at the clinic. The patients were between age 16-75 years with mean age of 35.62±14.31 years and male to female ratio of 1:1.13. Prevalence of reported tooth discolouration during the study period was 9.8%. Pulpal necrosis was the most reported cause of (86.8%) tooth discolouration, while fluorosis was the least (0.7%) reported. Non vital tooth bleaching was the most common treatment (72.1%) offered for tooth discoloration. No significant comparison was observed between gender and type of tooth discoloration, p=0.088. Conclusion: : Pulpal necrosis is a major cause of discoloration which leads to reduced self esteem. There is need to improve on dental awareness on causes of tooth discoloration for prevention and early presentation for management.Item Oral health status of children seen at a paediatric neurology clinic in a tertiary hospital in Nigeria(2012) Denloye, O.; Ajayi, D.; Lagunju, I.The study was carried out to determine oral health status and oral health needs of children presenting at the paediatric neurology clinic of the University College Hospital, Ibadan, Nigeria. Diagnosis of each child’s disability was performed by the Consultant Paediatric Neurologist. Data on socio-demographic characteristics and previous history of trauma to the o rofacial structures for each child were obtained and intraoral examinations were done using WHO guide lines. Sixty-one children were diagnosed within the period of study and highest proportion (44.3%) had epilepsy while 41.0% had cerebral palsy. Prevalence of dental caries and trauma were 11.5% and 39.3% respectively while 72.1% had good oral hygiene. Despite the relatively good oral health of the children under study, periodic dental recall appointments will be beneficial in order to supervise and evaluate oral health when early detection and prevention of lesions can be instituted.Item Dental service utilization among junior secondary school students in Ibadan, Nigeria(2010) Denloye,O.; Ajayi,D.; Bankole O.; Bamidele, P.The study was carried out to determine factors affecting oral health care service utilization among a representative sample of junior secondary school children in Ibadan, Nigeria. The study was a cross sectional one in which self administered questionnaire was filled by each student. Data were collected on their socio-demographic characteristics, previous visit(s) to the dental clinic and reasons for the visit(s), reasons for non dental visits for those who have never visited the dentist, the students’ beliefs in regular dental visits and reasons for these beliefs. Only 457 students completed their questionnaires reasonably well and their responses were analysed. Their mean age was 13.04 1.10 years. Over 80% of the children claimed they have never visited the dentist and lack of perceived need accounted for 82.8% of the various reasons given for the non visit. Sixty eight point nine percent of the children believed in regular dental visits while 27.8% of them did not believe in regular dental visits. Equity in access and opportunity for disease prevention among young adolescents may be achieved by school oral health program whereby regular oral health talks/education is instituted.Item 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.