Nigerian Journal of Dental Research <p>EDITORIAL <br /><br />The Nigerian Journal of Dental Research: Dawn of an Era<br /><br />The Nigerian Journal of Dental Research (NJDR) is a peer-reviewed scientific journal and an official publication of the School of Dentistry, College of Medical Sciences, University of Benin, Benin-City, Nigeria. Events leading to the birth of NJDR started in 2012, when the School Board of Studies then under the Chairmanship of Professor AA Umweni as the Dean of the School of Dentistry inaugurated a Scientific Committee to organize annual scientific conferences of the School as a means to showcase the various research activities of the faculty members both as individuals and in collaboration with researchers within and outside the University of Benin. <br /><br />It was in 2016, following the adoption of the recommendation of the report of the Scientific Committee that the seed was sown for the NJDR, with my humble self, sitting as the Dean of the School and Chairman of the School Board of Studies. Subsequently membership of the editorial board was approved by the School Board of Studies.<br /><br />On the Occasion of the 5th Annual Scientific Conference, under the Chairmanship of the Vice-Chancellor of the University of Benin, Professor FFO Orumwense FNSE, the birth of the Journal was pronounced in August 2016. With this, the Nigerian Journal of Dental Research joins the few University-based specialist journals in Nigeria, dedicated to disseminating research findings in Dentistry and its subspecialties.<br /><br />The specialties of Dentistry covered include all aspects of a) Diagnostics, Oral and Maxillofacial Medicine &amp; Pathology, b) Dental Therapeutics, c) Endodontics, Prosthodontics &amp; Restorative Dentistry, d) Oral &amp; Maxillofacial Surgery, e) Orthodontics, f) Paedodontics, g) Periodontics, h) Community Dental Health. These various specialties have erudite Professors and scholars as section editors and very quality articles are promised.<br /><br />Two issues of Nigerian Journal of Dental Research will be published annually: in January and July. Original research articles, special review articles, histories and reports of rare and special cases, new sciences, discoveries and innovations in surgical techniques relevant to the study and practice of Dentistry and all related subspecialties will be considered for publication. Preferences shall be given to clinical and translational researches.<br /><br />On behalf of the Editorial Board and the Board of Studies of the School of Dentistry, I present the inaugural issue of the Nigerian Journal of Dental Research with articles focusing on Maxillofacial Surgery, Paedodontics, Periodontics and Community dental health as well as oral health-related quality of life. <br /><br />In this maiden edition, there are one special report (invited), six original research articles and two case reports; Ogunbodede extensively discussed the role of Dentistry in the actualisation of Sustainable Developmental Goals. Onyegum and Ehizele studied tongue coating among undergraduates because of its contribution to oral malodour and found a low prevalence which was neither influenced by age nor sex. Nzomiwu et al. in their prospective study on the impact of oral health conditions on the quality of life (QoL) of preschool aged children reported negative impacts on the QoL of preschool aged children and their parents/caregiver which significantly improved after treatment. <br /><br />Isere and Azodo reported adverse social interaction and relationship effects of halitosis by the dominant non-receptive feelings, negative attitudes, stigmatizing and discriminatory reactions towards halitosis sufferers in their study. Nnawuihe and Okeigbemen assessed dental caries and periodontal disease burden in selected primary and secondary school children in Edo State, Southern Nigeria and recommended school oral health policy to reduce the burden of untreated preventable common oral diseases and the observed inequalities in oral health experience.<br /><br />Soroye and Braimoh in their study on oral health status of children in government and private secondary schools in Lagos State, Nigeria found a higher dental caries prevalence and poorer oral hygiene status among government school children compared to those in private schools. They recommended the need to develop, implement oral health education program and promote oral health among students especially in government schools yet not neglecting those in private schools. Mohammed and Umweni reported that traumatic dental injuries is still a common public health problem and the awareness of treatment of these conditions is still low in their study on prevalence of untreated trauma to anterior permanent teeth in 10-14 years old school children in Benin-City. They recommended that oral health education on prevention and treatment of these injuries should be taught in schools <br /> <br />Orbital floor fracture can result in significant visual impairment and hence may necessitate surgical intervention. Repair of orbital fractures is optimal when undertaken not more than 14 days post injury. The ideal material for orbital floor reconstruction has remained elusive with each having its own advantage and disadvantage. Cost of material, availability and the surgeon's skill and preference are some of the factors influencing the material used for reconstruction. Titanium mesh is one of the preferred materials used for orbital floor fracture repair because of its biocompatibility, malleability and rigidity. Okoturo et al. reported a case of orbital blowout fracture repair with titanium mesh. Umoh and Akhionbare reported a case of idiopathic thrombocytopenic purpura presenting as gingival bleeding in a periodontal clinic in Benin City, Nigeria. They concluded that this case can help dentists anticipate that some systemic diseases may present first with oral manifestations and high index of suspicion will result in favourable outcome.<br /><br />Finally, we want to thank all our authors, reviewers and indeed members of the editorial team and also express our gratitude to the University and College Management for their support so far. While congratulating the School of Dentistry on this laudable feat of floating a scientific journal, I encourage all dentists and allied professionals particularly the senior academics to seize this opportunity to have their specialists researches/manuscripts reviewed and published. I look forward to an enduring partnership! <br /><br /><br /><br />Professor ON Obuekwe<br />Editor-in-Chief<br /><br /><br /></p> en-US (Editor-In-Chief) (Soundgodworld Tech) Tue, 28 Feb 2023 17:18:24 +0000 OJS 60 Giant Cell Fibroma in an Elderly Woman: A Report of a Rare, Late and Unusually Large Presentation <p>Background<br>Giant cell fibroma (GCF) is a rare benign oral fibrous lesion which is predominantly found in the mandible of Caucasians but rarely in the maxilla and black population above the third decade of life.</p> <p>Objective: To draw the attention of clinicians to a rare, late and unusually large presentation of Giant Cell Fibroma</p> <p>Case report: The index case was a 68-year-old fisherwoman with a ten-year-old slow-growing painless swelling occupying the left anterior maxilla. The lesion crossed the midline to the right causing incompetent lips and teeth displacement leading to aesthetics and functional problems. <br>Upon clinical examination, a provisional diagnosis of peripheral giant cell granuloma was made. Radiological essentially revealed a soft tissue mass, histopathological evaluations confirmed the diagnosis of GCF and the patient was prepared for surgical excision. A surgical excision of the soft tissue mass and peripheral ostectomy was performed.</p> <p>Conclusion: GCF has distinct histopathologic features occurring in any age, race, site and decades of life; growing very large causing aesthetics and functional problems. Immunohistochemistry if available is an additional resource to unequivocally establish the diagnosis. <br><br><br></p> Remilekun T. OLUWAKUYIDE, , Babalola O. CASTANO, Abdulwarith O. AKINSHIPO, Adeshina O. AYODELE Copyright (c) 2023 Tue, 28 Feb 2023 00:00:00 +0000 A review of the presentations and treatment of oral pigmentation. <p>Background<br>Oral pigmentation can be either normal or abnormal discolouration of the oral mucosa.</p> <p>Objective: To help clinicians establish a better approach towards the care of patients with pigmented oral lesions and to establish early diagnosis and treatment of such conditions.</p> <p>Data source: Works of literature concerning oral pigmentations, clinical features and treatment were reviewed thoroughly from renowned electronic databases such as PubMed, Medline, Google Scholar, and Cochrane Library and personal clinical experience in managing such conditions. The following words were used for the search: oral pigmentation, aetiology, and clinical presentations.</p> <p>Findings: Oral pigmentation presents in various clinical patterns that can range from just physiologic changes to oral manifestations of systemic diseases and malignancies. Oral pigmentation may be physiological or pathological. Knowledge of the different presentations of oral pigmented lesions is quite crucial to improve and mastering the skill of differential diagnosis, definitive diagnosis and prompt treatment. The deposition of pigments in oral tissues may be due to various etiological factors. It can arise from intrinsic and extrinsic factors and can be physiological or pathological.</p> <p>Conclusion: A good understanding of the various presentations of oral pigmented lesions would aid in the proper diagnosis and treatment of the condition.</p> <p>&nbsp;</p> Mercy OKOH, Dickson S OKOH Copyright (c) 2023 Tue, 28 Feb 2023 00:00:00 +0000 Buffering of Local Anaesthesia in Dentistry: A Review <p>Background: Local anaesthetics (LA) constitutes one of the most important aspects of pain management in dentistry. It is currently being stored and marketed in an acidic form to maximize stability, and water solubility and prolong shelf life. However, acidic local anaesthetic solution has been associated with certain disadvantages including the slow onset of action and, pain during its administration. Buffering of the local anaesthetics has been documented to decrease the pain of injection and, shorten the onset time of the anaesthesia thereby, providing more comfortable and reliable anaesthesia. <br>Objective: To present a review of local anaesthetic buffering in dentistry<br>Data Sources: PubMed, Google Scholar, CINAHL and, MEDLINE databases were searched without a date limit. The phrases “local anaesthetic buffering” and Alkalinisation of local anaesthetics” were used to find articles related to local anaesthetic buffering.<br>Study Selection: A total of 24 publications were included in this review and, buffering agents, mechanisms, methods and, benefits of local anaesthetic buffering were discussed.<br>Finding: There was a paucity of literature on the effect of buffering on the duration of action of local anaesthetics. <br>Conclusion: Dental professionals are advised to adopt chair-side buffering of LA to increase patient confidence and acceptance of dental treatment.</p> <p>Local anaesthesia, pH, Pain.</p> Bala MUJTABA, Ramat Oyebunmi BRAIMAH Copyright (c) 2023 Tue, 28 Feb 2023 00:00:00 +0000 Oral Health Knowledge Attitude and Behaviour among Secondary School Children – a quasi-experimental study. Henry Uyi IGBINEDION, Ezi Abigail AKAJI, Felix Nzube CHUKWUNEKE, Uche Enuma EZEOKE, Esther Baragha IGBINEDION Copyright (c) 2023 Tue, 28 Feb 2023 00:00:00 +0000 The Role of Socioeconomic Class on Oral Healthcare Practices and Oral Health Status of Secondary School Students in Lagos, Nigeria <p>Background: Secondary school students are at a crucial stage in their life where decisions on oral health transit from the role of parents/guardians to their sole responsibility. Understanding factors that influence their oral healthcare practices is of paramount importance. Socioeconomic class (SEC) has been suggested to have a varied effect on oral health.<br>Objective: To determine the effect of SEC on the oral healthcare practices and oral health status of secondary school students</p> <p>Methods: The research was a descriptive cross-sectional study. Information collected via a self-administered questionnaire included socio-demographic characteristics, SEC, oral hygiene practices, dietary habits, oral healthcare utilization and oral health perception.</p> <p>Results: A total of 370 students with mean age 15.0+1.44 participated in the study. SEC distribution was low class 32%, middle class 55%; high class 13%. There were significant associations between high SEC and twice-daily tooth brushing (p&lt;0.05), frequent change of toothbrush (p&lt;0.05), use of dental floss (p&lt;0.05), consumption of carbonated drinks (p&lt;0.05), low oral hygiene index score (p&lt;0.05), high caries experience (p&lt;0.005) and high oral healthcare utilization (p&lt;0.05).</p> <p>Conclusion: Higher SEC is associated with better oral hygiene and oral hygiene practices, poorer dietary habits and higher caries experience.<br><br></p> Uchenna P. EGBUNAH, Oyinkansola O. SOFOLA, Omolara G. UTI Copyright (c) 2023 Tue, 28 Feb 2023 00:00:00 +0000