Nigerian Journal of Dental Sciences

Replantation Of Permanent Tooth Thirty-Two Hours Post Avulsion: A Two-Year Follow-Up.

Collins OSEMWEGIE — Tue, 01 Jul 2025 00:00:00 +0000

Background: Avulsion is a rare and serious traumatic dental injury that needs immediate and complex management. But this is not always possible all the time.

O: This case report highlights a successful replantation of an avulsed maxillary central incisor despite an extended extra-oral duration of thirty -two hours without transport media.

Case report: A 19-year-old male patient presented with a traumatic dental injury sustained to the anterior maxillary region due to a fight. Clinical examination revealed an avulsed tooth 21 that was replanted and splinted after root canal therapy was done extra oral in first visit. Patient was seen at regular intervals of two, four weeks and splint removed after 2 months, with a two year follow up.

Conclusion: Replantation should always be considered in tooth avulsion, despite an extended extra-oral dry time without transport media, it can have a favourable outcome if all the recommended guidelines and protocols are followed.

An Appraisal of Early Loss of First Permanent Molar in Children: A Clinic Based Study.

Orighoye Tosan TEMISANREN, Morenike Omobola OLANLOYE — Tue, 01 Jul 2025 00:00:00 +0000

Background: The loss of first permanent molars (FPMs) in children is an important clinical concern due to their role in dental occlusion and function. Dental caries remains the most frequently cited cause of tooth loss.

Methods: A retrospective cross sectional descriptive study of 311 children; 158 males and 153 females. Their sociodemographic and clinical informations over a 2 year period were retrieved with the aid of the clinic daily attendance record book and case note records.

Results: Mean age of the sample population was 8.56±3.16 years. The prevalence of FPM extraction was 64.2%. A total of sixty-six FPMs of children with a mean age of 12.74±2.06 were extracted in all and forty five (68.2%) of these extractions were done in males. More FPM extraction was done in the lower jaw, and the lower right quadrant was the prevalent. The predominant cause of these enforced extractions of FPM was caries and its sequelae.

Conclusion: Caries is the commonest reason for FPM loss and males are more susceptible. These extractions are done more in older children and adolescents, and the lower right quadrant is the most prevalent side.

Management of Oral Bony Exostosis: A Report from a Teaching Hospital Northwest, Nigeria

Olatunde Oluleke OMISAKIN, Ibrahim Joseph DEKAH, Ibrahim Joseph DEKAH — Tue, 01 Jul 2025 00:00:00 +0000

Background: An oral exostosis is a benign growth of bone that protrude outward from the bone surface. It is a localized bony growth of insidious onset. It may be a nodular, sessile or pedunculated protuberance located on the alveolar surface of the jaw bones, and in the midline of the palate. Genetical factors, trauma, infection, bony disorder, and disorders of calcium metabolism have been implicated in the etiology. When occurred in the jaws, depending on the anatomic location they are named as torus palatinus (TP), torus mandibularis (TM), or buccal bony exostoses (BBE) and palatal bony exostsosis (PBE).

Aim: The aim of this study was to present the management of oral bony exostosis in our Centre

Methods: This was an observational study of patients that presented to our Dental/Maxillofacial unit at the Barau Dikko Teaching hospital, Nigeria with various forms of exostosis. The study period spanned from June, 2024 to March, 2025. Patients were screened for oral exostosis routinely. Structured questionnaires were fill for each patient that had any form of this condition. The Information that was collected includes patient demography, location of the growth, associated symptoms, size at presentation, treatment received and complications observed. This data obtained were analyzed using statistical package for social sciences (IBM SPSS) version.

Results: 54-Patients were noted to present with oral exostosis during the period of study. 33 (61.11%) were females while 21 (38.89%) were males. The ratio of females to males was 1.57 to 1.00. The age ranged from 26 years to 74 years, the mean age is 50 years SD ±13.86. It affected the fourth and fifth decade of life most. Mandibular torus was the commonest 21 (34.5%), then palatal tori. Site of occurrence of this growth include buccal and lingual alveolar process of mandible and maxillae, and midline palate. The treatment giving for 15-patients was excision of the growth and smoothening of the bone surface. Indications for treatment include interference with swallowing, denture placement, pains and irritation of adjacent mucosa. The complications of the surgery were recurrence, tissue retraction, and gingival recession.

Conclusion: The commonest exostosis was mandibular torus; surgical excision was the treatment of choice. Denture placement and discomfort were the major reasons for the excision. Adult females were more affected. All the surgical excision procedures were done under local anaesthesia.

ommunity Engagement and Collaboration for Optimal Oral Health in Nigeria

Ukachi Chiwendu NNAWUIHE — Tue, 01 Jul 2025 00:00:00 +0000

Oral health is essential for daily living, is mutually linked with general health and contributes to wellbeing. Optimal health is a state of oral health inclusive of the absence of oral diseases with maximum utility obtained from orofacial tissues in function. Community engagement and collaboration entails working together of individuals, groups and communities with regards to mutually agreed action plans. In health, it usually has a strong preventive component which makes it suitable for resource-disadvantaged settings like Nigeria. Control of health determinants is key for achievement of optimal oral health and this is most effective when carried out in the oral health system. The Nigerian oral health system has certain challenges such as weak governance, inadequate manpower, financing and oral health awareness. Community engagement and collaborations can enhance the strengthening of oral health system. In Nigeria, prioritisation of efforts by community engagement and collaborations in strengthening the oral health system through enhancing leadership, governance, financing, manpower development and behavioural reorientation of the populace favourable to optimal oral health are recommended.

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