Department of Restorative Dentistry

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Browsing Department of Restorative Dentistry by Author "Adeyemo, W.L."

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    Open Access
    Dental Implant Education in Nigeria: A curriculum Guide
    (Niger Postgrad Med J 2007, 2007) Adeyemo, W.L.; Akeredolu, P.A.; Oderinu, H.O.; Olorunfemi, B.O.
    Aim: Anecdotal evidence suggests that the practice of implant dentistry, "gold standard" for edentulism is presently very low in Nigeria. This article proposes a model for teaching dental implant education and also emphasises the need for inclusion of standardised dental implant education in the dental curriculum in Nigeria. Methods: A literature search using the MEDLINE was conducted on various models for teaching of dental implant education worldwide. Results: Implant dental education for undergraduate and postgraduate programmes has 3 components namely: didactic educational programme, laboratory hands-on experience, and clinical hands-on experience. In addition, dentists and dental educationists can gain proficiency in basic and advanced implant dentistry through implant dental education organised by recognised universities, private and international implant organisations, manufacturersponsored educational programmes as well as training and courses organised by dental associations. Conclusions: Dental implant education should be given a priority and be included in both the undergraduate and postgraduate dental curriculum in Nigeria. In addition, a standardised implant dentistry programme should be formulated and developed for all dental schools in Nigeria.
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    Open Access
    Indications for Extraction of Permanent Teeth in a Nigerian Teaching Hospital: A 16 year Follow-up Study
    (Nig Quarterly J Hosp Med, 2008) Adeyemo, W.L.; Oderinu, H.O.; Oluseye, S.B.; Taiwo, O.A.; Akinwande, J.A.
    Aim: The aim of the present study was to investigate reasons for permanent tooth extraction at the Lagos University Teaching Hospital, Lagos, and compare this with a study done 16 years previously in the same institution, with a view to evaluating trends in reasons for tooth extractions in the studied environment. Methods: A retrospective review of patients who had nonsurgical extraction of their teeth at the Lagos University Teaching Hospital, Nigeria between January and December, 2006 was carried out. The following data were retrieved: Age and sex of patients, reason for the extraction and types of tooth removed. The data obtained was compared with similar study done 16 years previously in the same institution. Results: Caries and its sequelae and periodontal diseases were the main reasons for tooth extraction in both study periods. Caries and its sequelae as a reason for dental extraction in the second period increased by a factor of 1.2 in comparison with the first period, whereas periodontal disease as a reason extraction in the second period decreased by a factor of 2.7. In addition, orthodontic reasons and tooth impaction as a reason for dental extraction increased by a factor of 4 and 1.3 in the second period respectively. In both study periods, most extractions were carried out in patients within age group 11-40 years (1990,77%; 2006, 62.3%). Teeth most frequently extracted were posterior teeth (1990, 89.2%; 2006, 89.4%). Conclusions: Dental caries and its sequelae, and periodontal disease despite being preventable diseases, still remain the two most common reasons for dental extraction in our environment. Therefore,efforts must be made to improve the dental health awareness and status of Nigerian populace to reduce the morbidity associated with the two preventable causes of tooth loss.
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    Open Access
    Oral health-related quality of life following non-surgical (routine) tooth extraction: A pilot study.
    (Contemporary clinical dentistry, 2012) Adeyemo, W.L.; Taiwo, O.A.; Oderinu, O.H.; Adeyemi, M.F.; Ladeinde, A.L.; Ogunlewe, M.O.
    Aim: The study was designed to explore the changes in oral health‑related quality of life (QoL) in the immediate postoperative period following routine (non‑surgical) dental extraction. Setting and Design: A prospective study carried out at the Oral and Maxillofacial Surgery clinic of the Lagos University Teaching Hospital, Nigeria. Materials and Methods: Subjects attending who required non‑surgical removal of one or two teeth under local anesthesia were included in the study. A baseline QoL questionnaire (oral health impact profile‑14 [OHIP‑14]) was filled by each patient just before surgery, and only those who were considered to have their QoL “not affected” (total score 14 or less) were included in the study. After the extraction, each subject was given a modified form of “health related QoL” [OHIP‑14]‑instrument to be completed by the 3rd day‑after surgery, and were given the opportunity to review the questionnaire on the 7th day postoperative review. Results: Total OHIP‑14 scores ranged between 14 and 48 (mean ± SD, 26.2 ± 8.3). Majority of the subjects (60%) reported, “a little affected.” Only few subjects (5.8%) reported, “not at all affected,” and about 32% reported, “quite a lot.” Summation of OHIP‑14 scores revealed that QoL was “affected” in 41 subjects (34.2%) and “not affected” in 79 subjects (65.8%). More than 30% of subjects reported that their ability to chew, ability to open the mouth and enjoyment of food were affected following tooth extraction. Few subjects (14‑34%) reported deterioration in their speech and less than 20% of subjects reported that change in their appearance was “affected.” Only few subjects (12.5‑15.1%) reported sleep and duty impairment. Thirty‑percent of subjects reported their inability to keep social activities, and 41% were not able to continue with their favorite sports and hobbies. Multiple regression analysis revealed no significant association between age, sex, indications for extraction, duration of extraction, intra‑operative complications, and deterioration in QoL (P < 0.05). Consumption of analgesics beyond postoperative day 1 (POD1) was more common in subjects with socket healing complications than those without (P = 0.000). About 33% of subjects reported, “inability to work” (1‑3 days). Conclusion: About a third of subjects experienced significant deterioration in QoL. The most affected domains were eating/diet variation and speech variation. Therefore, patients should be informed of possible deterioration in their QoL following non‑surgical tooth extraction.