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Biomedical subjects

Oluwole O Dosumu

Publications and source records attributed to Oluwole O Dosumu.

2 recordsLinked to original sources

Acceptability of maxillary major connectors in removable partial dentures.

BACKGROUND: The choice of connector lies between plate, a bar or a combination of bars, which may cross the palate in various positions. Many opinions have been expressed concerning the acceptability to the patients of the various forms of palatal connectors but there have been few investigations. OBJECTIVES: The aim of this study is to compare subjective patients' reactions to three maxillary major connectors: metal bar, metal plate, and acrylic connectors and to establish the most acceptable and the least acceptable maxillary major connectors. METHODS: Fifteen consecutive patients attending the prosthetic out-patient clinic of Dental Center, University College Hospital, Ibadan who had never worn dentures were recruited into the study. Three dentures each with a different maxillary major connector design were fabricated for each patient. A questionnaire was administered to ascertain their reactions to each of the three denture designs. RESULTS: Fourteen patients (93.3%) preferred the denture with metal palatal bar major connector whereas only one patient preferred the denture with acrylic plate major connector design. No patient preferred the palatal metal plate connector design. CONCLUSIONS: The metal bar major connector was the most acceptable maxillary major connector while acrylic resin plate was more acceptable than metal plate maxillary major connector. It also confirmed the influence of connector design on patient acceptance of removable partial denture.

Acrylic Resins↗

Esophageal impacted dentures.

OBJECTIVES: This study aims to highlight the problems associated with impacted acrylic dentures and proffers advice to check them. PATIENTS AND METHODS: Retrospective review of all cases of impacted acrylic dentures over a 16-year period. RESULTS: Twenty-two adults had impacted esophageal acrylic dentures of which 16 (72.7%) and six (27.3%) were males and females, respectively (M:F ratio = 2.7:1) with age range 23-77 years. Fourteen patients (63.6%) had worn their dentures for more than 10 years without check-up, and 54.5% presented within 48 hours of impaction. The common symptoms in all the patients were difficulty with swallowing, throat pain and discomfort, followed by tenderness in the neck in 15 (68.2%). Dentures were extracted through esophagoscopy (17 cases) and cervical (three cases) esophagotomy, respectively. Observed complications included pulmonary edema in one and esophageal perforation in five patients. CONCLUSION: Endoscopic extraction of dentures carries a high risk of perforation. Extraction of an impacted denture via esophagoscopy can be undertaken under direct vision and in an ideal situation with judicious use of the Shears forceps. In the absence of these, the safest option is an esophagotomy. Proper treatment planning in the fabrication of dentures with incorporation of radiopaque materials in the dental resins and adequate postdenture delivery instructions are necessary as preventive measures.

Adult↗