Department of Child Dental Health

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Browsing Department of Child Dental Health by Author "Dacosta, O.O"

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    Open Access
    Craniofacial Orthodontic Care amongst Orthodontists in Nigeria
    (West African Journal of Orthodontics, 2015) Isiekwe, G.I; Dacosta, O.O; Fashemo, D.V
    Background: The aim of this survey study was to assess the clinical experience in cleft care and craniofacial orthodontics of orthodontists in Nigeria and to identify the challenges they face in providing care. Methods: A cross-sectional questionnaire survey was carried out among 26 Orthodontists attending the annual scientific conference of the Nigeria Association of Orthodontists (NAO) in October 2014. The questionnaires were self-administered and contained 19 close ended questions, which evaluated the clinical experience of the respondents in different craniofacial orthodontic procedures and the challenges they faced in providing this sub-specialty service. Results: The response rate was 80.8%. Sixty two percent of the orthodontists were currently providing craniofacial orthodontic care at their respective centers. The most commonly performed procedure was pre-surgical infant orthopedics (96.4), while the least clinical experience was recorded in orthodontic preparation for orthognathic surgery (7.4%,). The two most commonly reported challenges (61.6%,) were the lack of working tools and materials and poor support from the hospital management. Conclusion: Orthodontists in Nigeria are currently providing a limited scope of craniofacial orthodontic care. A lot more needs to be done to overcome the current challenges being experienced and also to expand the scope of care provided.
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    Open Access
    'One Phase' versus 'Two-phase' Orthodontic treatment in the Management of Angles Class II Malocclusion: A case report comparing treatments of two biological sisters
    (West African College of Surgeons, 2014) Isiekwe, G.I; Adekoya, M.N; Dacosta, O.O
    The objective of this study was to compare two different treatment protocols (‘one phase’ and ‘two-phase’ treatments) for the management of Angle’s Class II Division I malocclusion, using the case reports of two biological sisters treated at the Lagos University Teaching Hospital (LUTH), Idi-araba, Lagos. A comparison was made of the orthodontic treatment of both sisters, aged 15 and 10 years, who presented at the Orthodontic Unit of the Child Dental Health Department of the LUTH Dental Clinic, in 2005 and 2008, respectively. On examination, they both had severe cases of Angles Class II Division I malocclusion, with overjets of 12mm and 13mm, respectively, and very deep bites. One-phase (delayed) orthodontic treatment, involving a two- unit extraction in the upper arch, with fixed appliance therapy and reinforced anchorage was chosen for the older sister; while for the younger sister, a two-phase (early) treatment plan was chosen. This involved the use of a functional appliance: the twin block of Clark, in the first phase and fixed appliance therapy in the second phase. The same clinicians treated both sisters. Active treatment duration lasted approximately 57months and 48months for the older and younger patients, respectively. Post-treatment overjets of 4mm and 3.5mm, respectively, with normal overbites, were obtained in both patients. One phase and two-phase treatment protocols can be successfully used in the management of Angles Class II Division I malocclusion. Each protocol has its advantages and limitations. However, a thorough patient assessment and selection is required for the best treatment outcome in each case.