Restorative Dentistry- Scholarly Publications

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    Open Access
    Oral health status and service utilization among a group of rural older Nigerians
    (African Journal of Oral Health, 2018) Akinboboye B.O
    Objectives: To determine oral health status and explore factors associated with use professional oral health care among a Nigerian rural older population. Methods: Recruitments of 400 participants aged 60 and above done by multi - stage-sampling method. Pretested structured questionnaire administered with oral examination done. Results: Mean ages of participants were 67.06+/- 8.37 years. Proportion of participants with poor oral hygiene was 49.5%, caries (17.4%), periodontal disease (16.5%), tooth loss (71.3%) and tooth replacement was done by 5.5% of this population. Majority (64.8%) had never used professional oral health care. Main reason for seeking professional care was pain (73.05%). The proportion that went for routine checkup (8.5%) was the least. Proximity to dental service (p = 0.01), presence of oral pain (<0.001), attitude to professional oral care (p = <0.001) and ability to afford professional dental care (p = 0.001) had significant association, with utilization of professional oral care. Discussion: The poor oral health and elevated tooth loss is at variance with universal access to health and the rural older population is deprived of oral health interventions. There are various factors attributed to these, such as financial constraint and negative attitude. All of these may translates to social exclusion of the rural older population. Conclusion: Oral health in the older population studied is poor with an increased tendency to tooth loss and poor utilization of professional oral care. Factors influencing professional oral care were proximity to service centre, attitude to oral health, and perception of cost.
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    Open Access
    Evaluation of the use and effectiveness of telemedicine among the health professionals during the COVID 19 lockdown period: A cross sectional study.
    (J Clin Sci, 2021) AKINBOBOYE B O
    Background: Telemedicine has been documented as a viable option in attending to patient’s need where distance is a critical factor. The Federal Government of Nigeria on March 27, 2020, imposed a total lockdown in Lagos state in orderto curb the spread of the coronavirus disease 2019 (COVID 19) pandemic. The restriction in movement prevented many patients from attending their regular clinics and physical consultations. The aim of this study was to evaluate the use and effectiveness of telemedicine among the hospital health professionals during the lockdown period. Methods: This was an online cross sectional study among doctors at a tertiary health facility in Lagos. Ethical approval was obtained from the institutional ethical committee. A list of the telephone and WhatsApp contacts of doctors were obtained from the hospital directory; the SurveyMonkey tool was used as an online web based structured questionnaire for data collection. The information obtained was analyzed to find means and averages. Results: A total of 104 doctors completed the survey. The proportion of participants who used telemedicine was 93.3%, with the most commonly used telemedicine option being phone call (27.1%) and WhatsApp video call (27.1%). The main management provided during this period was counseling (56.6%). Seventy nine percent of the participants were satisfied with the result of the management provided through telemedicine options, but the major concern was that of ethical issues (36.2%). Majority (44.2%) of the respondents agree that telemedicine was effective during the COVID 19 lockdown period. Therewas no association found between gender, age, designation, and perceived effectiveness of telemedicine by respondents in this study (P = 0.88, 0.4, and 0.07, respectively). Conclusion: Telemedicine was found to be a useful tool for effective patient’s management during the lockdown period although there exist ethical concerns. The formulation of policies guiding its use will ensure the security of information and patient’s confidentiality.
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    Open Access
    Oral Health Status and Diet Habit of Institutionalized Elderly Group.
    (Annals of biomedical Sciences, 2018) AKINBOBOYE B O
    Objectives: the objective of the study was to determine the oral health status and diet habits of institutionalized elders in Lagos, Nigeria. Materials and Methods: This cross-sectional study was conducted among institutionalized elders in Lagos State, Nigeria. Age and sex matched non-institionalized elderly were also selected to serve as control for the study. Data were obtained through interviewer - administered questionnaire and clinical oral examination was carried out. Data was analyzed using SPSS version 20. Results A total of 100 subjects with age range 60-90years participated in the study. Majority of the subjects in institutions were widows. Socioeconomic class was a strong factor determining institutionalization(P=0.016). Oral hygiene of institutionalized elders was poor compared with non-institutionalized counterpart (p<0.05). None (0%) of the institutionalized subjects wore any form of prosthesis compared to their non -institutionalized counterpart -63.2%-(p<0.05). There was a significant association between association between education and dental status of subjects (p<0.05). Edentulism and soft diet were significantly associated(p<0.05). Conclusion: Oral health status of the institutionalized elders was poor compared to the non-institutionalized elderly but diet habits were relatively the same in both studied groups.
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    Open Access
    Treatment Needs, demand association of missing and replaced tooth among older population in a rural setting.
    (Nigerian Journal of dental research, 2019) AKINBOBOYE B O
    Objectives: To determine the need, demand, association between missing and replaced tooth in older population in a rural setting. Methods: Pretested structured questionnaire were administered seeking dental needs and demand. Likert scale ranging from 0 - 4 additive index was used to score intensity of symptoms(12 items). This individual score was aggregated to give a maximum score of 48. Descriptive statistics was calculated , categorical variables were presented as frequencies and percentages. Chi -square test and student T test was used to determine statistically significant differences. Results: The study participants were 393 with a mean age of 67.29+/-7.19 years. The DMFT index was 2.74+/-5.34[Decayed(19.6%)teeth mean -0.40+/-1.06)-, missing(58.1%, mean -2.35+/- 4.28), No filled teeth]. Only 1.3% were edentulous and 33.3% had Kennedy Class III. Mean index of felt need was 12. 95+/-4.5 and 30.4% of those with mild felt needs demanded dental care(p=0.003). Only 33.6% of population demanded for dental care, 42.5%had dental pain/ discomfort in the past 12 months and 88.5% of this population visited the dentist (p<0.001). Mild felt needs (p=0.001), affordability(p<0.001) and socioeconomic status(p=0.023) were factors that influenced demand. The average missing teeth (2.35+/- 4.28) was higher than average replaced teeth (0.39+/-1.09)(p<0.0001). Conclusion: The average felt need was mild and the demand for oral care was low. Average number of replaced teeth was significantly lower than average number of missing teeth.
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    Open Access
    Prosthetic management in orofacial trauma
    (Nigerian Journal of Dental and Maxillofacial Traumatology, 2019) AKINBOBOYE B O
    Orofacial trauma result in tissue loss that can be of soft tissue, hard tissue or both tissues. This tissue loss can range from minimal to extensive tissue loss and the result can be impairment of oral function and compromise in quality of life. In management of orofacial trauma, various factors such as defect site, extent age among other factors are considered. There are variety of prosthetic replacement option depending on site of defect and these ranges from removable denture, fixed prosthesis, dental implants, obturators, nasal prosthesis, orbital prosthesis and auricular prosthesis. The advent of three-dimensional (3D) technologies has enabled the design and manufacture of prosthesis using computer aided design/ computer aided manufacturing (CAD/CAM) software that has helped in realization of treatment goals.