Babatunde O. Bamgbose
Department of Oral and Maxillofacial Radiology and Surgery, Lagos University Teaching Hospital, Lagos, Nigeria

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Effects of vasoconstrictor on arterial blood pressure during minor oral surgical procedures Abubakar M. Kaura; Babatunde O. Bamgbose; S.A.B Ogunwande; Amole I.O; Junichi Asaumi; Thomas Owobu
Journal of Dentomaxillofacial Science Vol. 3 No. 3 (2018): (Available online: 1 December 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1096.151 KB) | DOI: 10.15562/jdmfs.v3i3.768

Abstract

Objective: A majority of minor oral surgical procedures require the use of local anaesthetics containing vasoconstrictors as part of the composition. These vasoconstrictors cause some hemodynamic changes either by direct action on the cardiac muscle or by stimulation of the autonomic innervations of the heart. Depending on the concentration of the vasoconstrictor, an increased heart rate, increased force of cardiac contraction, and ultimately increased blood pressure may ensue. The aim of this study was to assess the effect of vasoconstrictors contained in local anaesthetics on arterial blood pressure during minor oral surgical procedures.Material and Methods: This was a one-year prospective, randomized, comparative study involving the assessment of blood pressure and pulse rate by using an electronic digital blood pressure monitoring device amongst consenting patients who were referred for tooth extraction. The potential research participants were randomly allocated into either the study or the control group. The study group was treated using 2% lignocaine with 1:80,000 epinephrine, while the control was treated using 2% plain lignocaine (without epinephrine). Normal or controlled-hypertensive patients between the ages of 18 to 55 years were enrolled into the study.Results: A total of 100 subjects with a mean age of 34.66±10.3 years participated in the study. There was no statistically significant difference in blood pressure and pulse rate between the patients in both the study group and control group.Conclusion: Optimal use of adrenaline-containing local anaesthetic does not cause a statistically significant increase in blood pressure or pulse rate.
Localized alveolar osteitis: the role of suture technique following disimpaction of mandibular third molars in a Nigerian Teaching Hospital Thomas Owobu; Auwal S. Balarabe; Sylvester Nwabueze; Babatunde O. Bamgbose
Journal of Dentomaxillofacial Science Vol. 4 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.531 KB) | DOI: 10.15562/jdmfs.v4i3.937

Abstract

Objective: The formation of localized alveolar osteitis following mandibular third molar disimpaction is a result of a complex interaction between systemic factors, local infection and surgical trauma. This study evaluates the relationship between wound closure techniques in the development of localized alveolar osteitis (Dry Socket) following disimpaction of mandibular third molar teeth in Aminu Kano Teaching Hospital.Material and Methods:  A total of 120 patients between the ages of 18 and 45 years were recruited into the study. A gender ratio of male to female, 1,07 :1, was recorded.  They were then divided into two groups (A & B) according to wound closure technique used.  Group A had suture-less/partial wound closure and Group B had complete wound closure technique. Data were analyzed using SPSS version 20.0 (SPSS Inc, Chicago IL), with simple descriptive statistics and the X2 text, as appropriate. P < .05 was considered significant.Results: A total number of 23 patients (7.2%) developed localized alveolar osteitis from both groups. The prevalence of localized alveolar osteitis was higher in patients who received suture-less/partial wound closure technique (91.3%), while (8.7%) developed dry socket in complete wound closure technique. The difference between the two group was statistically significant (p<0.05).Conclusion: This study revealed that wound closure technique following disimpaction of mandibular third molar teeth is a major factor in the development of localized alveolar osteitis.
Cow gore related orofacial injuries: a review of cases managed at a semi-urban Hospital in Nigeria Babatunde O. Bamgbose; Thomas Owobu; Basil T. Ojukwu; Auwal S. Balarabe
Journal of Dentomaxillofacial Science Vol. 5 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v5i3.1118

Abstract

Objective: This study reviewed such cases with oro- facial injuries as presented at the hospital for the period of seven years.Material and Methods: The study sample size consists of a total of 22 patients who had various degrees of orofacial injuries were seen and managed during the period of study. Although some of the case were considered severe, there was no fatality recorded during the period under review. Some patients with soft tissues avulsion at any part of the body revealed jagged wound edges and, in some cases, the wounds were still bleeding at the time of presentation.Results: A total of 22 patients of which 19 were males (86.36%) and 3 females (13.64%) were received and treated at the Oral and Maxillofacial department during the period under review. A gender ratio of male to female, 6.33 :1, was recorded. 14(63.64%) of the number had fracture of oro-facial bone.  The data were analyzed using statistical package for social sciences (SPSS) version 20.0 (SPSS Inc, Chicago, IL).Conclusion: Farm safety experts estimate that more than half of cow injuries can be prevented by using some type of personal protective equipment, depending on the work activity. Unfortunately, most herders in developing world does not have this protective equipment thereby increasing the risk or frequently sustaining injuries from cow attacks.