Department of Child Dental Health

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https://ir.unilag.edu.ng/handle/123456789/4514

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Browsing Department of Child Dental Health by Author "Aikins, E.A"

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    Open Access
    Evaluation of the Orthodontic Training programme by Residents in Nigeria
    (West African Journal of Orthodontics, 2015) Isiekwe, G.I; Olurotimi, I; Aikins, E.A
    Background: Postgraduate Orthodontic training in Nigeria began over forty years ago at the Lagos University Teaching Hospital, Lagos, Nigeria. The Orthodontic residency program in Nigeria currently runs for five to six years, culminating in the award of a fellowship in orthodontics by either the National Postgraduate Medical College of Nigeria or the West African College of Surgeons Aim and Objectives: To assess the perceptions of orthodontic residents in Nigeria on postgraduate orthodontic training. Design: A cross-sectional descriptive study Setting: Annual Scientific Conference of the Nigerian Association of Orthodontists, held in Lagos, Nigeria in October 2014. Subjects and Methods: This study was carried out amongst orthodontic residents attending the conference stated above. Data collection was via self-administered questionnaires. The self-administered questionnaires contained questions assessing different aspects of the residency training program and their future plans. Data analysis was carried out using SPSS version 19. Results: The response rate was 92.9%, with 26 residents consenting to participate in the study. This represented over 80% of orthodontic residents in the country at that time. About 46% (12) of the respondents reported that the clinical training received was sufficient, while about 27% (7) reported the training as being insufficient. With respect to research based training, 73.1% (19) rated the training received as insufficient, with 19.2% (5) rating it as satisfactory. When asked their future plans, 15.4% (4) desired to engage in a full time career in teaching/research post-graduation, with the rest opting for private practice. Conclusion: Orthodontic residents in Nigeria believe that although sufficient clinical training is currently being received in the residency training, certain aspects of the training, particularly research based training, are still grossly insufficient.
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    Open Access
    Malocclusion and early orthodontic treatment requirements in the mixed dentitions of a population of Nigerian children
    (Journal of Orthodontic Sciences, 2016) daCosta, O.O; Aikins, E.A; Isiekwe, G.I; Adediran, V.E
    Introduction: The aims of this study were to establish the prevalence of dental features that indicate a need for early intervention and to ascertain the prevalence of different methods of early treatment among a population of Nigerian children in mixed dentition. Methods: Occlusal relationships were evaluated in 101 children in mixed dentition between the ages of 6 and 12 years who presented at the Orthodontic Unit, Department of Child Dental Health, Lagos University Teaching Hospital over a 2 years period. The need for different modes of early orthodontic treatment was also recorded. Results: Anterior tooth rotations (61.4%) and increased overjet (44.6%) were the most prevalent occlusal anomalies. Others included deep bite (31.7%), reverse overjet (13.9%), and anterior open bite (14.8%). Severe maxillary spacing and crowding were exhibited in 12.0% and 5.0%, respectively. About a third (35.7%) of the subjects presented with crossbite while lip incompetence was observed in 43.6% of the subjects. About 44% of the subjects also presented with various oral habits with digit (15.8%) and lip sucking (9.9%) being the most prevalent. Subjects were recommended for treatment with 2 by 4 fixed orthodontic appliances (22.3%), habit breakers (20.7%), removable orthodontic appliances (16.5%), and extractions (15.7%). Conclusions: Increased overjet and anterior tooth rotation were the majority of occlusal anomalies seen, which are not only esthetically displeasing but may also cause an increased susceptibility to trauma to these teeth. Treatment options varied from extractions only to the use of appliance therapy.