Department of Restorative Dentistry
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- ItemOpen AccessReasons for Endodontic Treatment of Permanent Teeth of Patients Seen in a Nigerian Teaching Hospital(Nig Quarterly J Hosp Med, 2006) Oderinu, OH; Shaba, OP; Adegbulugbe, IC
- ItemOpen AccessDental 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.
- ItemOpen AccessComparison of the dimensional stability of alginate impressions disinfected with 1% sodium hypochlorite using the spray or immersion method(Nig Quarterly J Hosp Med, 2007) Oderinu, OH; Adegbulugbe, IC; Shaba, OPObjective: To determine and compare the dimensional stability of alginate impressions disinfected with Sodium hypochlorite using the spray and immersion methods. Methodology: Alginate impressions of a master model of truncated metal cones were made and disinfected with 1% sodium hypochlorite constituted from 3.5% household bleach using the spray and immersion technique for 10;20 and 30 minutes. Impressions were cast in dental stone and the linear dimensional differences between the inter-abutment distances were measured with an electronic caliper. One sample T test and percentage differences were calculated. Result: There were no statistically significant differences in dimensions of alginate impressions of the control and those disinfected by either spraying or immersion methods when compared with the master model at 10 minutes. However, there was a statistically significant difference at 20 and 30 minutes. The spray technique showed the least percentage difference from the master model. Conclusion: Disinfection of alginate impressions with 1% sodium hypochlorite constituted from commercially available household bleach by the spray or immersion techniques for ten minutes will produce casts with minimal dimensional changes.
- ItemOpen AccessDens Invaginatus: Prophylactic Management(Nig Dental Journal, 2007) Oderinu, OH; Adegbulugbe, IC; Agbaje, LODensinvaginatus is thought to be asa result of distortion of the enamel organ during tooth development and the subsequent protrusion of a part leading to the formation of a linear enamel canal that ends at the cingulum, or at the incisal border, producing an irregular crown shape. food debris may become packed in this area with resultant caries and pulp necrosis and periradicular inflammation. The permanent maxillary lateral incisors are the most commonly involvedteeth and bilateral involvement is not unusual. Case Report This is a report of bilateral involvement of the maxillary incisors with associated carious involvement of the coronal pits in a 43year old man with a high caries index. Composite filling of the palatal pits of the involved teeth was done as a prophylactic treatment to prevent carious exposure of the pulp and subsequent periradicular pathology. Conclusion. Prophylactic filling of the coronal pit is recommended to avoid pulpal and periradicular complications that may warrant extensive and expensive treatment or even loss of the involved tooth.
- ItemOpen AccessIndications 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.
- ItemOpen AccessDental students' knowledge of human immunodeficiency virus(Journal of Dentistry Elsevier, 2008-03) Ajayi, Y.O.; Ajayi, E.O.OBJECTIVE: This study evaluated final year dental students' knowledge of human immunodeficiency virus (HIV), lesions associated with HIV, potential transmission routes of HIV, and their perception of the teaching received on cross-infection precautions, virology, sterilization practice and procedure, barrier dentistry and recognition of blood-borne virus risk group. METHODOLOGY: Structured questionnaires on knowledge of human immunodeficiency virus were filled by final year dental students of University of Lagos, Nigeria. A total of 35 out of 37 questionnaires were returned filled giving a response rate of 94.6%. RESULTS: Most of the students rated the teaching they received on cross-infection precautions, sterilization practice and procedure, as adequate. More than a quarter (28.5%) of the students rated the teaching they received on virology and recognition of blood-borne virus risk group to be less than adequate. Most of the students were able to recognize the association of oral Kaposi sarcoma, oral candidiasis, oral hairy leukoplakia, and salivary gland enlargement with HIV infection. There was a much lower level of knowledge of oral melanotic hyperpigmentation and idiopathic thrombocytopaenic pupura. Their knowledge of HIV and its potential transmission routes were adequate. CONCLUSION: This study revealed that final year dental students of the University of Lagos in southwestern region of Nigeria had adequate knowledge of routes of transmission of HIV in clinical practice. However, there is need for improvement in teaching of the students on virology and recognition of blood-borne virus risk group.
- ItemOpen AccessPrevalence of self reported hypersensitive teeth among a group of Nigerian undergraduate students(Niger Postgrad Med J, 2011) Oderinu, OH; Savage, KO; Uti, OG; Adegbulugbe, ICAIMS AND OBJECTIVES: To determine the prevalence of self reported hypersensitive teeth and relate this to the frequency and quantity of consumed carbonated drinks among a group on Nigerian dental and medical undergraduate students and the management of the condition by the students. MATERIALS AND METHODS: Self administered questionnaire was used to collect information on demography, consumption of carbonated drinks, hypersensitivity of teeth and its management from students. Students were chosen using stratified sampling method. Each level of study was taken as a stratum and students were then chosen from each stratum by systematic sampling. RESULTS: A total of 387 questionnaires were returned. Hypersensitivity of teeth was reported by 33.8% while 52.7% of them were bothered about the condition, half (50.0%) of those bothered by the condition had done nothing about it. About a third (29.7%) of the respondents, (16.3% consumed once daily and 13.4% consumed 2/more times daily) consumed carbonated drink at least once a day. A great majority (77.0%, 17.2%) either consumed 1-2 bottles (35cl/bottle) or 1-2(30cl/glass) of carbonated drinks per day respectively. Tooth sensitivity occurred more commonly among students who consumed carbonated drinks most frequently (i.e. 2 or more times a day) but there was no significant statistical association between frequency and quality of carbonated drink consumption and self-reported dentine hypersensitivity. (p>0.05) CONCLUSION: Hypersensitivity of teeth was common among the students studied but request for treatment was poor. There is need for increased public awareness on prevention and management of common dental conditions.
- ItemOpen AccessEvaluation of Linear Dimensional Stability of Various Combinations of Dental Stone and Plaster(Nig Quarterly J Hosp Med, 2011) Adegbulugbe, IC; Oderinu, OH; Shaba, OP; Oremosu, OABackground: It has been observed that due to the cheaper cost of dental plaster compared to dental stone, casts on which most of the dental prostheses and appliances were being fabricated in various laboratories were often mixtures of dental stone and dental plaster in order to reduce production cost. Objective: To evaluate the dimensional stability of various combinations of Dental Stone and Dental Plaster mixtures used to make dental casts. Methods: Alginate impressions of a master model of truncated metal cones were made and casts were produced by pouring with various combinations of dental stone and dental plaster mixtures. The linear dimensional differences between the inter-abutment distances on the casts were measured with an electronic calliper. One sample t-test and percentage differences were calculated. Results: Dimensional variations for the distances measured using either 50% dental stone or 25% dental stone with plaster were statistically significant (p d" 0.05). Mixture of 75% dental stone and 25% dental plaster produced casts with no statistically significant dimensional variation from the master model (p en0.05). Conclusion: A mixture of 75% dental stone and 25% dental plaster could be used for procedures not requiring very accurate replica like mounting of teeth for dental training and for study models.
- ItemOpen AccessRemovable partial denture use amongst a selected group of Nigerian undergraduates(2012) Akinboboye BTo determine the self-reported prevalence of removable partial denture use among a selected group of Nigerian undergraduates. Materials and Methods: Four hundred non-dental undergraduates of University of Benin recruited over four week’s period were studied. Results: The prevalence of removable partial denture use among the respondents was 1.8%. Denture use was more among those aged 17-25 years, females and right handed individuals. Removable partial denture users were less likely to have received professional instruction on tooth brushing and brush their teeth more than once-daily than non-denture users. Removable partial denture users were more likely to be cigarette smokers, regular soft drink consumer and report perceived efficacy in oral self-care and prevention of gingivodental diseases than non-denture users. Removable partial denture users were also more likely to have opened bottled drink with their teeth and experienced shocking sensation from their teeth than non- denture users. Conclusion: The prevalence of removable partial denture use was low among the respondents. The denture wearer were more likely to report higher perceived efficacy in oral self-care and prevention of gingivodental disease despite indulgence in unhealthy oral health practices and lower receipt of professional instruction on tooth brushing. The implication of this study is that dental practitioner should endeavor to give oral health instruction to removable partial denture users to improve their oral health practices and decrease the risk of preventable oral diseases.
- ItemOpen AccessOral 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.
- ItemOpen AccessFixed Bridge Prostheses Management of Epileptic Patients.(Nig Quarterly J Hosp Med., 2012) Umesi, DC; Oderinu, OH; Adegbulugbe, IC; Oremosu, OABackground: Epileptic patients in the course of seizures may suffer damage to or loss of teeth and other oral tissues. Moreover, they are at great risk during their seizures from aspiration of foreign bodies such as removable dental prosthesis or fragments of prosthesis. It is therefore, necessary to provide them a tooth replacement option that would" be safe and not constitute a source of danger in the course of seizures. Case Reports: Two patients are presented in this report that lost teeth as a consequence of trauma sustained during seizures. They both had porcelain-fused-to-metal (ceramo-metal) fixed bridge prostheses fitted to replace the missing teeth. The fixed bridges have been in service for seven years without damage despite the fact that the patients still have seizures at the same frequency as prior to treatment that are often associated with trauma to oral' tissues. Conclusion: Fixed bridge prostheses are a viable tooth replacement option for epileptic patients that do not pose any additional danger of being dislodged, swallowed or aspirated in the course of a seizure.
- ItemOpen AccessEndodontic patients' profile and experience in a dental school setting(2012-12) Ajayi, Y.O.; Gorduysus, O.The aim of this study was to assess patient's previous experience of endodontic treatment and satisfaction with the present endodontic treatment received in a dental school setting. A questionnaire on previous and present endodontic experience was administered to 83 consecutive patients receiving endodontic treatment between January 2010 and June 2010 in the Department of Restorative Dentistry of Lagos University Teaching Hospital (LUTH). 82% of the patients seen preferred root canal treatment (RCT) to extraction. 88% were satisfied and rated their treatment and the clinic average to very good. 61.5% reported that they would definitely recommend endodontic treatment to others. 9 (10.8%) patients reported that they would never recommend endodontic treatment. 8 out of the 9 patients experienced pain during the endodontic treatment. Patients' expectation of their tooth being preserved by root canal treatment was met by the LUTH dental centre. Patients' dissatisfaction with endodontic treatment is associated with a painful experience.
- ItemOpen AccessDescriptors of permanent teeth with cariously exposed pulp in patients presenting at a Nigerian hospital(Acta Odontologica Scandinavica, Taylor& Francis informa, UK, 2013-02-04) Ajayi, Y.O.; Sofola, O.O.Aim. To describe the pattern of presentation of carious permanent teeth with pulp exposure and to determine factors associated with choice of treatment for such teeth. Materials and methods.All patients presenting at the oral diagnosis clinic of Lagos University Teaching Hospital Dental centre between January 2009 and June 2009 were examined and those with carious lesion involving the pulp were included in the study. The history and character of pain from teeth, extent of tooth structure lost, proposed treatment and reason for proposed treatment was recorded. Results. The tooth most affected by pulp exposure due to caries is the lower first molar (17.5%). Extraction was the treatment of choice for many patients due to the following reasons: obliterated root canals (30%), patients' preference (30%) and non-restorable teeth (22%). Conclusion. Extraction was the predominant treatment chosen for cariously exposed permanent teeth due to the condition of the tooth.
- ItemOpen AccessSociodemographic determinants of usage of complete dentures in a Nigerian teaching hospital: A pilot study(2013-05) AKINBOBOYE, BOLANLE; SHABA, OLUFEMI; AKEREDOLU, PATRICIA; ODERINU, OLABISIObjective: To determine the sociodemographic factors that affects the usage of complete dentures. Material and Methods: A structured questionnaire was administered to edentulous patients seen in a prosthetic outpatient department of the Lagos University Teaching Hospital, Lagos, Nigeria. Complete dentures were fabricated, assessed, and fi tted, and the patients were followed up for six months. Information sought included demographics of the subjects, their socioeconomic status, reason for demand for complete dentures, and important considerations for its use. Data were analyzed using the Statistical Package for Social Sciences version 16.0 (SPSS 16). The level of statistical signifi cance was set at P < 0.05. Results: Thirty patients participated in the study. The mean age of patients seen was 63.30 ± 17.67 years. Grouping of subjects into socioeconomic levels by occupation showed that one-third (33.3%) was classifi ed as dependent. Twenty-one patients (70%) requested for both upper and lower dentures, six patients (20%) wanted upper dentures only, and three patients (10%) requested for lower dentures only. The commonest reason for demand for complete dentures was mastication (100%), followed by aesthetics (63%). The reasons for the use of dentures were basically aesthetics and mastication. Conclusion: Demand for complete dentures was greater among those 60 years and above. Age, gender, and socioeconomic status of patients had no statistically signifi cant effect on the reason for demand for and usage of dentures.
- ItemOpen AccessUtilization of Teeth Replacement Service Among the Elderly Attending Teaching Hospitals in Lagos, Nigeria(2014) Akinboboye, B; Akeredolu, P; Sofola, O; Ogunrinde, T; Oremosu, OThis was a retrospective study of 440 patients aged 60 years and above attending the prosthetic out‑patient clinics of Lagos University teaching hospital (LUTH) and Lagos state University teaching hospital (LASUTH) from January, 2008 to March, 2010. record books or case records: Age, sex, and number of teeth replaced. Results were collated and analyzed using Epi Info 2004. Values were presented as simple percentages. Results: There were 229/440 (52.0%) males and 211/440 (48.0%) females and were aged 60‑90 years with a mean age of 68.9 (6.92). A total number of 4,062 teeth were replaced. Average number of tooth replaced among the patients was 9.45 for LUTH and 8.94 for LASUTH. The maxillary anterior teeth were the most frequently replaced 1422/4062 (35.0%) and the least replaced were the mandibular posterior teeth 812/4062 (20.0%). The average number of tooth replaced generally increased with age in both sexes. A total of 90 complete maxillary and mandibular dentures were fabricated, while six single arch complete dentures were made. The remaining were partial dentures. Conclusion: The most common age of presentation is 60‑65 years. Patients that were 90 years and above appear to utilize teeth replacement facilities in this environment less than those in developed countries. Maxillary anterior teeth were the most frequently replaced.
- ItemOpen AccessPartial edentulism and unmet prosthetic needs among young adult Nigeria(2014-03) Akinboboye, B.; Azodo, C.; Soroye, M.
- ItemOpen AccessTranscultural perception of maxillary midline diastema(International Journal of Esthetic Dentistry, 2015) Akinboboye, B.O; Ajayi, Y.O; Umesi, D.CPurpose: Perception of maxillary midline diastema as an esthetic trait varies in relation to culture, age group, and racial background. Although midline diastema is accepted in Africa, there are few reports on interethnic perrception of midline diastema among Nigerians. Methods: Participants aged 19 to 45 years were selected from six geographical zone in Nigeria; one state was randomly selected from each zone, and a local government area (LGA) selected from each state. A structured questionnaire including a set of color smile photographs with varying sizes of maxillary midline diastema (narrowest = 2 mm; widest = 6 mm) was administered. Information sought was age, gender, socio economic group, tribe, presence of midline diastema and grading of smile attractiveness. Results: A total of 402 subjects aged 19 to 45 years and a mean age of 36.3 years (± 0.714) took part in this study. The highest proportion of subjects with midline diastema was aged 21 to 30 years (33.9%), females (29.8%), from the Hausa ethnic group (35%), and from the class II socioeconomic group (31.9%). Among the ethnic groups, Hausa had the highest (65%) preference for midline diastema. Females (58.8%) and those in the class II socioeconomic group (68.1%) also had the highest preference for midline diastema. There was a strong relationship between incidence of and preference for midline diastema (P = 0.000). All ethnic groups rated maxillary midline diastema as attractive, especially when the width was within 2 to 3 mm (P = 0.02). Conclusion: All ethnic groups perceived maxillary midline diastema to be an esthetic attribute, provided the width was within 2 to 3 mm.
- ItemOpen AccessUtilization of Oral Health Care Services by University Undergraduates in Lagos, Nigeria(Nigerian Quarterly Journal of Hospital Medicine, 2015) Makanjuola, J.O.; Uti, O.G.; Sofola, O.O.Utilization of Oral Health Care Services by University Undergraduates in Lagos, Nigeria JO Makanjuola, OG Uti, OO Sofola Abstract Background: Data on the utilization of the available oral health facilities by university undergraduates is scarce in Nigeria. Objectives: To determine the level of utilization of oral health care services and to identify the barriers to seeking treatment among University of Lagos students. Methods: A cross-sectional survey was carried out among University of Lagos undergraduates. Systematic sampling was used to select participants after randomly selecting a male and female hostel. Self-administered questionnaires were distributed to participants and collected immediately. The data was analyzed using Epi info version 6.04 software. Statistical significance was evaluated with chi square test and p-value <0.05 was regarded as significant. Results: About half (50.9%) of the respondents had visited the dentist previously while only 42.7% respondents had utilized dental services in the past 12 months. There was no significant association between the age, gender, year of undergraduate education, and the faculty of these students and their level of utilization of oral health care services. A high proportion of respondents that had attended the dental clinic went for dental checkup (33.6%) and extractions (30.9%).The major barriers to receiving dental treatment was a lack of perceived need for dental treatment (53.1%) followed by lack of time (27.1%), fear/anxiety (18.2%) and cost of treatment (18.2%). Conclusion: The low level of utilization among the undergraduates in Lagos, Nigeria shows that there is need for greater oral health awareness among the students, thereby increasing the use of oral health care facilities. Keywords: Utilization, oral health services, undergraduates.
- ItemOpen AccessFrequency and distribution of teeth treated by single- and multiple-visit root canal treatment by differently skilled operators at a Teaching Hospital in Nigeria.(APIDPM Sante Tropicale, 2016) Umesi, DC; Oremosu, OA; Makanjuola, JO; Nwachukwu, NCSingle visit root canal treatment (RCT) is being advocated around the world. This study profiles RCT in a Nigerian population and compares pattern of single versus multiple visit RCT to tooth type and skill level of the doctors.A retrospective study was carried out on RCT performed in one year by fresh graduates and postgraduate dentists. Records retrieved included patients' sex and age, tooth type, location in the jaw and whether single- or multiple-visit RCT was done.Records of 705 teeth were reviewed, 54.6% belonged to females. Age range was 18-87 years, mean of 31.76 (± 12.31) years. Majority (70.1%) belonged to 20-39 years' age group. Most teeth were located in the maxilla (60.8%) and in posterior regions (73.6%). The most frequently root filled tooth was the mandibular first molar (20.7%) followed by maxillary central incisor (18.4%) then maxillary premolar (12.8%). However, all molars accounted for 47.3%, premolars 26.3% and incisors 25.0%. Canines (1.45%) were least frequently root-filled. Incisors (54.8%) were the teeth most frequently treated in single-visit followed by premolars (28.8%). Most frequently treated by multiple-visit were molars (51.0%). All doctors performed multiple-visit RCT in an approximately equal proportion but a significant percentage of single-visit RCT was carried out by senior doctors (71.2%).The most frequently root filled teeth were mandibular first molars. Teeth most likely to be treated by single-visit RCT were incisors. Appropriate operator skill and experience is important in the decision to perform single-visit RCT. Single-visit RCT is advocated in the developing environment.
- ItemOpen AccessImpact of Tooth Loss on Individuals with Unrestored Partially Edentulous Arch in Southwestern Nigeria - A Preliminary Survey(2016-05) AKINBOBOYE, BOLANLE; SULAIMAN, A O; BAMIGBOYE, S A; AKEREDOLU, P A; DOSUMU, O OThe impact of tooth loss on individual with unrestored partial edentulous space in the southwestern part of Nigeria was assessed. The study was a prospective study of 160 partially edentulous subjects. Trained dentist administered a validated questionnaire. Information sought included, sociodemographics, duration, of tooth loss, causes of tooth loss and reason for replacement. Data analysis was done using descriptive statistics & Chi Square. Mean age of subjects was 45.06+/- 14.22 years. Majority (63.1%) of subjects were traders. Eighty percent of participants were married. More than half (53.1%) of studied population resides in Lagos. Commonest cause of tooth loss was caries (42.5%). Impact on tooth loss showed negative impact on the smile (16.2%), speech (10.6%), mastication (30%), and self-confidence (13.7%). Less than half of the population (43.1%) was indifferent to replacement. Acceptability of appearance following tooth loss was influenced by marital status (p<0.05), location of teeth on the arch (p<0.05). Denture was believed to be a treatment option for tooth loss (p<0.05). There was adverse effect of tooth loss on mastication but little subjective effect on confidence, smiling, and speech. The major reason for not replacing was due to an indifferent attitude (50%) to replacement option and lack of awareness (24.4%). Aesthetics was a strong determinant for replacement.
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