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Etiology, Prevalence, and Management of Oral and Maxillofacial Soft Tissue Injuries in Children at the Komfo Anokye Teaching Hospital, Kumasi-Ghana

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Open Journal of Stomatology 2023年第8期13卷 243-255页

作者： robert Nii Lamy larmie Ama Agyeibea Amuasi Solomon Obiri-Yeboah Alexander Oti Acheampong Peter Donkor Department of Oral and Maxillofacial Surgery Komfo Anokye Teaching Hospital Kumasi Ghana School of Medicine and Dentistry Kwame Nkrumah University of Science and Technology Kumasi Ghana Department of Orthodontics and Child Oral Health KomfoAnokye Teaching Hospital Kumasi Ghana

Background: Maxillofacial injury may vary from simple soft tissue lacerations to complex fractures of the orofacial region. Soft tissue injuries, whether isolated or in combination with other injuries, form part of the frequent traumatic craniofacial injuries seen at the emergency department. The force of impact and the injury type is directly related to the severity of the injury sustained. This study aimed to analyze the etiological factors, prevalence, and management of oral and maxillofacial soft tissue injuries at the Komfo Anokye Teaching Hospital. Methods: This was a prospective study that involved children presenting with oral and maxillofacial injuries at the Accident and Emergency Department and the Oral and Maxillofacial Surgery unit of the Komfo Anokye Teaching Hospital in Kumasi between the period of April to October 2020 (6 months). Patient selection was by convenience sampling targeting all children with injuries who met the inclusion criteria. Inclusion criteria were children below the age of 18 years whose parents or caregivers consent to participation. Children with maxillofacial injuries as a result of burns were excluded from the study. Results: During the study period a total of 134 children were reviewed with oral and maxillofacial injuries at KATH. Of these, 107 (78.9%) were recorded cases of orofacial soft tissue injuries. There were 63 (58.9%) males and 44 (41.1%) females and the male-to-female ratio was 1.5:1. The age range of patients studied was 8 months – 17 years, with mean age ± SD being 9.5 ± 5.3 years. Road Traffic Crash (50.5%) was the most common etiology of which Motor cycle crash constituted 24.3% and Pedestrian knockdown was 19.6%. Falls (42.1%) were the next most common etiology. The lips (19.8%) and the forehead (18.5%) were the most frequently injured sites on the face whiles the tongue (3.3%) had the most injuries intraorally. Laceration (45.7%) was the most frequent injury reviewed, followed by abrasions (35.8%). Most of th

关键词： Laceration Soft Tissue Injury Etiology Maxillofacial Injury Prevalence Management Children

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Maxillofacial Injuries at the Komfo Anokye Teaching Hospital, Kumasi, Ghana: A Preliminary Study

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Open Journal of Stomatology 2021年第3期11卷 133-147页

作者： Solomon Obiri-Yeboah robert Nii Lamy larmie Nana Tuffour Ampem Gyimah Alexander Oti Acheampong Elijah Asomaoh Peter Donkor School of Medicine and Dentistry Kwame Nkrumah University of Science and Technology Kumasi Ghana Komfo Anokye Teaching Hospital Kumasi Ghana

Background: The aetiology and pattern of maxillofacail injuries vary in different parts of the world and even the same country. The purpose of the study was to determine the epidemiology of maxillofacial injuries at a tertiary Hospital in Ghana. Methodology: This is a six-month (January to June 2015) prospective study. Information on age, sex, aetiology, injury type etc. was collected using a specialized design data collection form. Data was analyzed using the SPSS 17th version. Ethical approval was obtained. Result: The total study sample was 111 with a male to female ratio of 2.5:1. Majority (34.2%) were within the ages of 21 to 30 years. Majority of the victims were urban dwellers. Most of the injuries occurred on the highway (42.3%) and in the evening (35.2%). Only a small percentage (5.4%) of the road traffic crashes (RTC) victims were in some form of protection. Twenty-one (18.9%) of the injuries were intentional, of which 18 (85.7%) were assault. The commonest maxillofacial injury was a combination of soft and hard tissues 72 (64.7%). The commonest cause of maxillofacial soft tissue injuries was RTC, 72.8%. Laceration (55.6%) was the most common soft tissue injury recorded. Mandibular fractures constituted the commonest hard tissue injuries. Conclusion: This study has shown that road traffic crashes are the most common cause of injuries to the maxillofacial region. The mandible is the most frequent site of fracture, while the commonest soft tissue injury is laceration. Majority of the victims were young energetic males and adherence to road traffic regulations was very low.

关键词： Maxillofacial Injury Road Traffic Crush Mandibular Le Forte Fracture

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Evaluation of the Golden Proportion in Patients Visiting the Oral Health Directorate of the Komfo Anokye Teaching Hospital, Kumasi

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Journal of Biosciences and Medicines 2020年第8期8卷 116-126页

作者： Ama Agyeibea Amuasi Alexander Oti Acheampong Shadrack Owusu robert larmie Daniel K. Sabbah Angela-Ruth Buabeng David Edem Dompey School of Medicine and Dentistry Kwame Nkrumah University of Science and Technology Kumasi Ghana Komfo Anokye Teaching Hospital Kumasi Ghana The Greater Accra Regional Hospital Ridge Ghana

Background: Aesthetics is a primary consideration for patients seeking dental treatment. The size and shape of the maxillary anterior teeth have significant effects not only on the dental aesthetics, but also on the complete facial aesthetics of a person. To satisfy this expressed need, the “Golden Proportion” is a numerical value that is used as a rule in achieving dental aesthetics. In the last two decades, several studies have questioned the application of this rule in dentistry. Aim: The aim of this study is to evaluate the presence of “The Golden Proportion in the maxillary anterior teeth widths of clients visiting the Komfo Anokye Teaching Hospital’s (KATH) Oral Health Directorate, Kumasi”. Materials and methods: A total of 100 dentulous subjects comprised of 50 males and 50 females, with ages ranging between 18 and 37 years were chosen using convenience sampling. Their dental casts were evaluated for apparent width by digital calliper. Results: The results of the study were expressed in relation to gender and tooth laterality. The results revealed that the golden proportion existed in 14% and 20% for the left and right respectively between the central incisor and the lateral incisor for males, 12% and 16% respectively for the left and right sides of females, 8% and 20% for the left and right sides respectively for males between the lateral incisor and canine and 16% and 20% for the left and right respectively for females. Conclusion: Comparison of our results with the established golden value shows differences between 1.618 and from the range that was acquired from this study. The results suggest that the rule of the golden proportion should not be strictly applied when restoring anterior teeth of patients in the dental clinic.

关键词： Golden Proportion Dental Cast Analysis Smile Aesthetics

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Surgical Science 2019年第3期10卷 106-112页

作者： Alexander Oti Acheampong Merley Newman-Nartey Solomon Obiri-Yeboah Jonathan Mensah Ama Amuasi Daniel Sabbah Jonathan Olesu Elijah Ebenezer Asamoah robert Nii Lamy larmie Peter Donkor School of Medicine and Dentistry Kwame Nkrumah University of Science and Technology Kumasi Ghana School of Medicine and Dentistry University of Ghana Accra Ghana KomfoAnokye Teaching Hospital Kumasi Ghana

Background: Motorcycle related injuries have become a major public health problem because the increased use of motorcycles has been accompanied with a corresponding increase of road traffic accidents. Objective: The purpose of this study was to evaluate the occurrence of oral and maxillofacial injuries associated with motorcycles as seen at the second largest Teaching Hospital in Ghana, the Komfo Anokye Teaching Hospital (KATH). Method and Materials: The compiled data that were reviewed for this retrospective study were obtained from the Accident and Emergency unit of KATH. These comprised 135 successive maxillofacial trauma patient records entered from August 2017 to August 2018. Results: Total number of road traffic related injuries seen at OMFS was 135 during the study period. Out of this number, 66 were related to motorcycle injuries. This represented 48.7% of the Road Traffic Accidents seen at oral and maxillofacial surgery department (OMFS). The age range was from 3 to 64 years. The average age was 26.7 years. 62 (93.9%) were males and 4 (6.1%) were females. 16 (24.2%) of the motorcycle injuries were caused by the “Okada”, 2 (3.0%) by “Pragia” and 48 (72.8%) by the “Aboboyaa”. 46 (69.7%) of the motorcycles victims were themselves the riders, 12 (18.2%) were pedestrians and 8 (12.1%) were passengers. There were 8 deaths. 6 (75.0%) of the deaths were caused by the “Aboboyaa”. “Okada” accounted for only 2 (15.0%) deaths. Concerning the riders and the passengers, only 8 (14.8%) of the victims were helmeted. The majority were unhelmeted (85.2%). Conclusion: Motorcycle transportation is the cause of many oral and maxillofacial injuries. Majority of the victims suffered multiple facial bone fractures. Males were more often affected than females and the majority were unhelmeted.

关键词： Motorcycle Oral Maxillofacial Injuries Kumasi

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The Perspectives of Kwame Nkrumah University of Science and Technology Dental School Graduates

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Open Journal of Stomatology 2018年第5期8卷 158-167页

作者： Alex Oti Acheampong Felix Ampofo Anafi Nana Tuffuor Ampem Gyimah Ama Amuasi Solomon Obiri-Yeboah Daniel Kwesi Sabbah Alfred Nyarko Merley Newman Nartey Patrick Ampofo Stephen Ankoh Joseph Abu-Sakyi Isaac Kwaku Asiamah robert Nii Lamy larmie Francis Adu-Ababio James Appiah Amoateng Peter Donkor Kwame Nkrumah University of Science and Technology Dental School Kumasi Ghana Kumasi South Hospital Kumasi Ghana Komfo Anokye Teaching Hospital Oral Health Directorate Kumasi Ghana University of Ghana School of Medicine and Dentistry Accra Ghana

Background: The idea of establishing a Dental school at the Kwame Nkrumah University of Science and Technology (KNUST) was borne out of a need. There was a shortfall in the supply of dental surgeons, especially in the northern half of the country. Aim/Objective: To seek for feedback from KNUST Dental school graduates over the past six about their overall assessment of the BDS courses taught during their clinical training and challenges faced in the course of their training. Methodology: A cross-sectional retrospective study of all KNUST Dental school graduates from 2012 to 2017. A structured goggle form questionnaire was developed. The Google form link was emailed to the representatives who in turn forwarded the link to their year mates. The questionnaire was filled online and submitted as requested. Results: This represented 63.0% of the entire graduates from KNUST Dental School. The male to female ratio was 1.3:1.0. The age range of our graduate was from 24 yrs (3.8%) to 32 years (1.9%). The average age was 26.3 years. 48.10% of respondents said their training was very good. The major challenges were inadequate clinical space (25.2%) and lack of materials and dental chairs for students’ clinic (27.3%). Conclusion: On the whole, the quality of the training was rated as very good even though some of the courses taught during the clinical training were rated as poor. Inadequate dental chairs, laboratory and clinic materials, supervision of student’s clinic were some of the major challenges expressed by the graduates.

关键词： Dentistry Perspective Graduates Challenges Students

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Prevalence of Thumb Sucking Habits amongst Children at the Knust Basic School

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Journal of Biosciences and Medicines 2023年第9期11卷 17-30页

作者： Ama A. Amuasi Daniel K. Sabbah Yvonne Agyapong Alexander Oti-Acheampong robert N. L. larmie The Department Child Oral Health & Orthodontics School of Medicine and Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana The Department of Oral & Maxillofacial Sciences School of Medicine and Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana

Main Objective: To determine the prevalence of thumb sucking habits amongst children at the KNUST Basic School. Methodology: This study was quantitative and descriptive with the design being a cross-sectional type. The data was obtained from KNUST Basic School with a sample size of 200. Data was obtained through questionnaires and clinical examination. Results: Out of the 200 children studied, 19 (9.5%) were identified as thumb suckers, with a majority being females (13, 68.42%) and the rest being males (6, 31.58%). Most of the thumb suckers (47.37%) engaged in the habit due to hunger. The clinical manifestations observed among the thumb suckers included Class I malocclusion (94.7%), high arched palate (89.5%), anterior open bite (4), increased overjet (3, 15.8%), proclined maxillary incisors (4, 22.2%), linguoversion of mandibular incisors (1, 5.6%), unilateral posterior crossbite (2, 10.5%), speech changes (7, 41.2%), thinner thumb (7, 36.8%), elongated thumb (9, 47.4%), and callus formation on the thumb (2, 10.5%). Conclusion: Thumb sucking is a common oral habit which stimulates the growth of the orofacial complex from ages 0 to 3 years. The habit of thumb sucking is usually outgrown by age 3 but beyond this age, it turns out as a deleterious habit which has to be seen as such and measures put in place to stop thumb sucking.

关键词： Thumb Sucking Malocclusion

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