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Papers by Emmanuel Adelusi
Medical Journal of Dr. D.Y. Patil Vidyapeeth, 2021
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
Introduction: There have been some controversies in the literature about the effect of Local Anes... more Introduction: There have been some controversies in the literature about the effect of Local Anesthetic (LA) solutions with and without adrenaline on plasma glucose and hemodynamics during dental treatment. The purpose of this study was to investigate and compare the hemodynamic and metabolic effects of two local anesthetic agents in patients undergoing intra-alveolar tooth extraction. Methods: All medically fit normotensive and nondiabetic patients were included and randomized into two groups. Participants had breakfast before coming in for tooth extraction. The blood pressure, pulse rate, respiratory rate, and temperature were measured pre-anesthesia and 10 and 15 minutes post administration of local anesthesia and blood glucose was measured before and 30 min after administration of local anesthetic agents. Results: Both groups showed a modest increase in their blood glucose and systolic pressure post administration of local anesthesia, while there was neither statistically signif...
Third molar is said to be the most commonly impacted tooth in the oral cavity and accounts for 98... more Third molar is said to be the most commonly impacted tooth in the oral cavity and accounts for 98% of all impactions and mandibular third molars are the most frequently impacted. The aim of the study is to access the pattern of presentation of mandibular the third molar impaction. A retrospective review of cases of impacted mandibular third molar extraction in the oral surgery clinic, UCH Ibadan between January 1997 and December 2018. 1271 cases of impacted mandibular third molar teeth reviewed, only 1223 with complete information, were included in the analysis. Information was extracted from the patients case notes and maxillofacial daily record book included. Distributions of obtained values were compared using the Pearson χ2 test and student t test. Among 1223 cases, 490 (40.1%) were male and 733 (59.9%) were female (X2 = 17.2 and P Value = 0.002) (Table 1). The most common angulation of impaction was mesioangular (679; 55.5%).
Background: One or more tooth/teeth may fail to erupt fully or fail to erupt at all into the oral... more Background: One or more tooth/teeth may fail to erupt fully or fail to erupt at all into the oral cavity due to one reason or the others, such a tooth is termed impacted tooth. Indication for extraction of impacted third molar teeth has generated some levels of controversy in the literature. While some reported Caries, some reported pericoronitis, and other pathologies as the main indication for extraction of impacted third molar teeth. Objective: To determine the indications for the extraction of impacted mandibular third molars in the oral surgery clinic of oral and maxillofacial surgery department in University College Hospital (UCH) Ibadan, Nigeria. Materials and Method: A retrospective study of all the patients who presented at the Oral Surgery clinic in UCH Ibadan between 1997 and 2018 was carried out. Necessary information was extracted from the Oral Surgery daily record book and the patient case file. Variable extracted include Age, Gender, Tribe, presenting complaint, Diagn...
Journal of Dentistry and Oral Sciences, 2019
Introduction: Though changing patterns of tooth extraction have been reported in the literature w... more Introduction: Though changing patterns of tooth extraction have been reported in the literature which included the age, gender, tooth type and indications for extraction, there is still paucity of studies that have examined the variation and changes in the pattern of tooth extraction over a period of time in a given nation. We therefore accessed the pattern and indications of tooth loss in the patients who presented at oral surgery clinic for intra-alveolar tooth extraction over a twelve month period. Methods: This is a prospective cohort study of adult patients tooth extraction between September 2015 and August 2016. Patients’ demographic and clinical data were collected with a structured questionnaire. Data were analyzed using statistical package for social sciences (SPSS) version 23.0. Variables were subjected to Pearson’s chi-square test and P <0.05 was considered statistically significant. Results: A total of 240 adults age range between 18 to 75 years of age with mean age o...
Introduction: The mandible like other facial bones can be associated with pathological processes ... more Introduction: The mandible like other facial bones can be associated with pathological processes which can either be primary or secondary, usually being treated by resection of the affected portion of the mandible. There exist different mandibular defect classification; most of the available classifications are directed to mandibular defects following the surgical excision of mandibular tumors or composite defects due to various etiologies mentioned. Materials and Methods: About 47 cases of mandibulectomy done at the oral and maxillofacial surgery department University College Hospital were reviewed and different patterns and distributions were observed and these were used to generate a spread sheet which was then analyzed using SPSS version 23. The result of this review was used to propose the classification. Result: About 47 cases of mandibulectomies were reviewed and different portion of the mandible resected were recorded. The most common types of mandibulectomy was that of one ...
Introduction: Limited number of publications describe the influence of tumor growth rate on clini... more Introduction: Limited number of publications describe the influence of tumor growth rate on clinicopathologic features of giant (extreme or gigantic) forms of ameloblastoma (GA). This paper explores the relationship between these two factors. Objectives: To determine the relationship between tumor growth rate of GA and clinico-pathologic factors such as age, gender and histopathologic subtype. Material and methods: GA cases were selected from the published literature based on the criteria described by Kanoi et al., availability of clinical data, such as age and gender of patient, duration of lesion, and three-dimensional size (volume) of specimen after surgical resection. Data collected were used to calculate individual tumor growth rate using modified formula of Merhara et al. Clinico-pathological features and calculated tumor growth rates were compared with other publications. Results: In total, 18 reviewed patients were included into this study, from sixteen publications with 17 ...
Medical Journal of Dr. D.Y. Patil Vidyapeeth, 2021
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
Introduction: There have been some controversies in the literature about the effect of Local Anes... more Introduction: There have been some controversies in the literature about the effect of Local Anesthetic (LA) solutions with and without adrenaline on plasma glucose and hemodynamics during dental treatment. The purpose of this study was to investigate and compare the hemodynamic and metabolic effects of two local anesthetic agents in patients undergoing intra-alveolar tooth extraction. Methods: All medically fit normotensive and nondiabetic patients were included and randomized into two groups. Participants had breakfast before coming in for tooth extraction. The blood pressure, pulse rate, respiratory rate, and temperature were measured pre-anesthesia and 10 and 15 minutes post administration of local anesthesia and blood glucose was measured before and 30 min after administration of local anesthetic agents. Results: Both groups showed a modest increase in their blood glucose and systolic pressure post administration of local anesthesia, while there was neither statistically signif...
Third molar is said to be the most commonly impacted tooth in the oral cavity and accounts for 98... more Third molar is said to be the most commonly impacted tooth in the oral cavity and accounts for 98% of all impactions and mandibular third molars are the most frequently impacted. The aim of the study is to access the pattern of presentation of mandibular the third molar impaction. A retrospective review of cases of impacted mandibular third molar extraction in the oral surgery clinic, UCH Ibadan between January 1997 and December 2018. 1271 cases of impacted mandibular third molar teeth reviewed, only 1223 with complete information, were included in the analysis. Information was extracted from the patients case notes and maxillofacial daily record book included. Distributions of obtained values were compared using the Pearson χ2 test and student t test. Among 1223 cases, 490 (40.1%) were male and 733 (59.9%) were female (X2 = 17.2 and P Value = 0.002) (Table 1). The most common angulation of impaction was mesioangular (679; 55.5%).
Background: One or more tooth/teeth may fail to erupt fully or fail to erupt at all into the oral... more Background: One or more tooth/teeth may fail to erupt fully or fail to erupt at all into the oral cavity due to one reason or the others, such a tooth is termed impacted tooth. Indication for extraction of impacted third molar teeth has generated some levels of controversy in the literature. While some reported Caries, some reported pericoronitis, and other pathologies as the main indication for extraction of impacted third molar teeth. Objective: To determine the indications for the extraction of impacted mandibular third molars in the oral surgery clinic of oral and maxillofacial surgery department in University College Hospital (UCH) Ibadan, Nigeria. Materials and Method: A retrospective study of all the patients who presented at the Oral Surgery clinic in UCH Ibadan between 1997 and 2018 was carried out. Necessary information was extracted from the Oral Surgery daily record book and the patient case file. Variable extracted include Age, Gender, Tribe, presenting complaint, Diagn...
Journal of Dentistry and Oral Sciences, 2019
Introduction: Though changing patterns of tooth extraction have been reported in the literature w... more Introduction: Though changing patterns of tooth extraction have been reported in the literature which included the age, gender, tooth type and indications for extraction, there is still paucity of studies that have examined the variation and changes in the pattern of tooth extraction over a period of time in a given nation. We therefore accessed the pattern and indications of tooth loss in the patients who presented at oral surgery clinic for intra-alveolar tooth extraction over a twelve month period. Methods: This is a prospective cohort study of adult patients tooth extraction between September 2015 and August 2016. Patients’ demographic and clinical data were collected with a structured questionnaire. Data were analyzed using statistical package for social sciences (SPSS) version 23.0. Variables were subjected to Pearson’s chi-square test and P <0.05 was considered statistically significant. Results: A total of 240 adults age range between 18 to 75 years of age with mean age o...
Introduction: The mandible like other facial bones can be associated with pathological processes ... more Introduction: The mandible like other facial bones can be associated with pathological processes which can either be primary or secondary, usually being treated by resection of the affected portion of the mandible. There exist different mandibular defect classification; most of the available classifications are directed to mandibular defects following the surgical excision of mandibular tumors or composite defects due to various etiologies mentioned. Materials and Methods: About 47 cases of mandibulectomy done at the oral and maxillofacial surgery department University College Hospital were reviewed and different patterns and distributions were observed and these were used to generate a spread sheet which was then analyzed using SPSS version 23. The result of this review was used to propose the classification. Result: About 47 cases of mandibulectomies were reviewed and different portion of the mandible resected were recorded. The most common types of mandibulectomy was that of one ...
Introduction: Limited number of publications describe the influence of tumor growth rate on clini... more Introduction: Limited number of publications describe the influence of tumor growth rate on clinicopathologic features of giant (extreme or gigantic) forms of ameloblastoma (GA). This paper explores the relationship between these two factors. Objectives: To determine the relationship between tumor growth rate of GA and clinico-pathologic factors such as age, gender and histopathologic subtype. Material and methods: GA cases were selected from the published literature based on the criteria described by Kanoi et al., availability of clinical data, such as age and gender of patient, duration of lesion, and three-dimensional size (volume) of specimen after surgical resection. Data collected were used to calculate individual tumor growth rate using modified formula of Merhara et al. Clinico-pathological features and calculated tumor growth rates were compared with other publications. Results: In total, 18 reviewed patients were included into this study, from sixteen publications with 17 ...