MUTAVE DRJAMESREGINA. "
Management of Dental Waste by Practitioners in Nairobi, Kenya.". In:
African Journal of oral Health Volume 2 Numbers 1 & 2 2005: 24-29. Osamong LA, Gathece LW, Kisumbi BK, Mutave RJ; 2005.
AbstractABSTRACTObjective: Dental wastes are material that has been utilized in dental clinics, which are no longerwanted for use and therefore discarded. Improper disposal of these dental wastes can cause harmto the dentist, the people in immediate vicinity of the dentist, waste handlers and general publicand the environment through production of toxins or as by products of the destruction process.This study aims to determine the knowledge, attitudes and practice on management of dentalwastes among dental practitioners in Nairobi, Kenya.Methods: Descriptive cross-sectional study of 70 dental practitioners practicing in Nairobi,Kenya.Results: A total of 50 dental practitioners were included in the study. Majority had graduatedbetween 1991-1995. 47.5% had only a bachelors degree, 25% had masters 7.5% had PhD and12.5% had postgraduate diploma. Forty five percent of the respondents indicated they haveattended training on management of dental waste while 89.5% had been attending continuousdental education. Forty-two percent of the respondents worked in public institution while the restwere in private practice. Only 48.7% of the practitioners were aware of the existence of wastemanagement guidelines. Only 64% felt it was important to follow the set guidelines, 5% thought itwas tedious, 2% said they were not practical and the rest were not interested in the guidelines.Eighty-two percent of the respondents said that amalgam was toxic if disposed improperly withonly 10.7% indicating pollution to be a consequence of improper disposal of amalgam. Seventysevenpercent of the respondents did not know the hazardous effects of improper disposal ofamalgam. Only half of the respondents stored waste amalgam under water, 25% said they did notknow how to dispose amalgam. All (100%) knew about occurrence of cross-infection withimproper disposal of bloody waste but only 56.1% said they incinerated bloody body waste while24.4% disposed off bloody waste with general waste 35.7% of the respondents indicated thatsharps were hazardous if improperly disposed. Only 52.4% incinerated their pathological wasted.On expired drugs, 7.3% disposed them off as part of general wastes.Conclusion: There is need for continuous professional development on waste management amongdentists in Kenya.
MUTAVE DRJAMESREGINA. "
Mutave R, Chindia ML, Guthua SW. East Afr Med J. 2005 Jun;82(6):311-3. Post-operative re-construction of dentoalveolar tissue and the mandible and maxillae using prosthetic therapy. East Afr Med J. 2005 Jun;82(6):311-3.". In:
East Afr Med J. 2005 Jun;82(6):311-3. East African Medical Journal; 2005.
AbstractOBJECTIVE: To determine the range of ablative surgery and rehabilitative procedures performed on maxillofacial structures. DESIGN: A retrospective descriptive study. SETTING: University of Nairobi Dental Teaching Hospital. SUBJECTS: Patients operated on at the institutions theatre, and followed up at the University of Nairobi Dental Teaching Hospital Oral Surgery Outpatient Clinic during the period February 1996, August 1998. RESULTS: Forty four patients underwent ablative surgery during the study period. Complete records were available for 38 patients, 27 females and 11 males aged 10 to 79 years (mean 32.6 years). Surgical procedures performed included: partial mandibulectomy, marginal mandibular resection, subtotal maxillectomy, sequestrectomy and enucleation. Six (15.8%) patients who underwent mandibular resection had rigid bone plating. Five (13.2%) patients who had maxillary involvement were given surgical obturators post-operatively with one receiving a complete denture after full recovery. A total of 22 (57.9%) patients who would have reaped benefits from prostheses therapy received none. Individual patient follow-up periods ranged from seven days for two patients who had cyst enucleation to two years for three cases with ameloblastoma, and two cases with squamous cell carcinoma. CONCLUSION: It is concluded that prosthetic rehabilitation of patients undergoing extensive surgery at the University of Nairobi Dental Teaching Hospital is largely inadequate.
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