West African Journal of Orthodontics https://wajo.oauife.edu.ng/index.php/wajo <p>There is an urgent need to develop learning outcomes for Residents in orthodontics based on the analysis of the professional performance of an orthodontist. Once defined, this can be broken down into knowledge, skills and attitudes that must be imbibed.The skills must include clinical information gathering, treatment planning and procedures. The trainers must also ask the simple question of the teaching methods to adopt and the assessment tasks to find out whether the residents have achieved the intended outcomes within the context of their future professional role. Once our educational outcomes are clearly specified, then the decisions about teaching methods, course content, educational cum infrastructural environment,and assessment procedures are made in the context of these learning outcomes. According to Chadwick in 2004, 'the ability to reflect on our own actions, articulate what makes a successful performer and the desireto continually improve on that performance is, an essence, what lies at the heart of professionalism itself'. This is food for thought!</p> West African Journal of Orthodontics en-US West African Journal of Orthodontics 2315-9502 Artificial Intelligence in Orthodontics https://wajo.oauife.edu.ng/index.php/wajo/article/view/234 <p><span class="fontstyle0">Artificial Intelligence (AI) refers to the development of computer systems that can perform tasks that would typically require human intelligence. In recent years, the integration of artificial intelligence (AI) in orthodontic practice has revolutionized the way orthodontists diagnose, plan treatments, and monitor progress, leading to more efficient and accurate outcomes. AI is being applied in the evolution of Intelligent Aligner Systems, Robot-Assisted Orthodontics, AI-Enhanced Bracket Placement, Adaptive Orthodontic appliances and others. AI plays a crucial role in improving patient communication and engagement by assisting orthodontists in creating interactive treatment simulations and visualizing potential treatment outcomes. This empowers patients to make informed decisions about their treatment options and fosters a stronger doctor-patient relationship. There is the need for ethical considerations such as: Patient Data Privacy and Confidentiality, Informed Consent, Accountability and Responsibility and Regulatory Compliance asAI technology is embraced. The limitations of AI include the need for large datasets, lack of interpretability, limited incorporation of subjective factors, and ethical considerations. In Nigeria, the challenges of constant power outage, rising inflation, lack of good internet connectivity and lack of regulatory compliance compound these challenges. In conclusion, the integration of AI into orthodontic practice holds immense potential for enhancing treatment outcomes, improving efficiency, and strengthening patient engagement. The decision to embraceAI technology is not just a choice but a necessity for orthodontists and trainees who strive to deliver the highest quality of care to their patients.</span></p> Ernest MA Traore-Shumbusho A Copyright (c) 2024 2024-06-27 2024-06-27 12 1 4 10 Knowledge and Practice of Oral Habits in Children by Medical Practitioners at The Lagos State University Teaching Hospital https://wajo.oauife.edu.ng/index.php/wajo/article/view/236 <p><span class="fontstyle0">Background: </span><span class="fontstyle2">Oral habits existing beyond the age of 4 years are a major risk factor for malocclusion, which negatively impacts on the functional and psychosocial well-being of a child. The majority of these patients present first to a physician, which is why their ability to detect these habits and refer them to the orthodontist is crucial. The purpose of this study was to assess the knowledge and practice of medical practitioners at the Lagos State University Teaching Hospital (LASUTH) concerning oral habits in children.</span></p> <p><span class="fontstyle0">Methods:</span><span class="fontstyle2">Asurvey was conducted among medical resident doctors in LASUTH. Questionnaires were distributed through an online data collection platform. Data collected was analysed using SPSS IBM 2023. </span><span class="fontstyle0">Results: </span><span class="fontstyle2">Amajority of the respondents (57.8%) were unaware that malocclusions are more likely to develop in children with oral habits. Although 93.3% agreed that patients with oral habits should be referred to paediatric dentists, only 66.7% (n = 120) of the respondents referred their patients. </span></p> <p><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">The results showed inadequate knowledge and practice concerning oral habits in children by medical practitioners. This highlighted the need to educate more medical practitioners about oral habits and their effects on occlusion. </span></p> Bamgbose AL Yemitan TA Odunsi OY Copyright (c) 2024 2024-06-27 2024-06-27 12 1 11 16 Orthodontic Bond Failure Rate using Light Cure Adhesive in a Tertiary institution in North Central Nigeria. https://wajo.oauife.edu.ng/index.php/wajo/article/view/238 <p><span class="fontstyle0">Background: </span><span class="fontstyle2">Orthodontic treatment involves many procedures including direct bonding of an orthodontic bracket to the tooth using a variety of techniques, including the acid etch technique. An orthodontic bracket bond failure is said to have occurred when the bracket attachment to the enamel surface of a tooth ceases to be attached by the adhesive bond.</span></p> <p>&nbsp;</p> <p><span class="fontstyle2">The aims of this study were to determine the failure rate of Orthodontic brackets bonded using light-cure adhesive and to determine the effect of age and sex on bracket failure rate. </span><span class="fontstyle0">Methods: </span><span class="fontstyle2">One hundred and one patients (101) made up of forty-one males and sixty females respectively (41 M, 60 F), </span><span class="fontstyle2">with a mean age </span><span class="fontstyle2">of 16.52 ± 8.32 years participated in the study, using an interviewer-administered questionnaire. A total of one thousand five hundred and twenty-six brackets were bonded by a single operator using light cure adhesive. </span><span class="fontstyle2">Data was analyzed using frequency, percentage, mean statistics, t-test, correlation, and multiple linear regression analyses. A p-value of 0.05 or less was considered statistically significant. </span><span class="fontstyle0">Results: </span><span class="fontstyle2">The orthodontic bond bracket failure rate was </span><span class="fontstyle2">10.2%.</span><span class="fontstyle2">Age and sex were significant predictors of bracket failure rate ( p-values of 0.001 and 0.013) respectively.</span></p> <p>&nbsp;</p> <p><span class="fontstyle0">Conclusion: </span><span class="fontstyle2">The bracket failure rate was similar to other studies. In this study, age and sex had a significant influence on the bracket failure rates of orthodontic brackets.</span> </p> Ernest MA Adeyemi MF Sanni-Abdullahi SO Copyright (c) 2024 2024-06-27 2024-06-27 12 1 17 26 Multidisciplinary Management of a Class III Malocclusion with Congenitally Missing Maxillary Lateral Incisor using a one-couple force system approach: A Case Report https://wajo.oauife.edu.ng/index.php/wajo/article/view/240 <p><span class="fontstyle0">A case of a 12 year old female who presented at the Orthodontics and Paedodontics Department of the University of Ghana Dental School. She was diagnosed with a Class III malocclusion on a Class 3 skeletal base with reduced vertical proportions and a congenitally missing upper right lateral incisor. Treatment involved the extractions of mandibular second molars and the use of a one-couple system to correct the malocclusion, followed by the prosthetic replacement of the upper lateral incisor.</span></p> Pobee RD Amoah GK Newman-Nartey M Toledo Mayari Yabang G Copyright (c) 2024 2024-06-27 2024-06-27 12 1 27 33 The Spontaneous Correction of Anterior Cross Bite in an Eleven-Year-Old Boy https://wajo.oauife.edu.ng/index.php/wajo/article/view/242 <p><span class="fontstyle0">Anterior cross-bite, a malocclusion affecting the alignment of upper and lower incisors, poses significant challenges necessitating early diagnosis and intervention to mitigate potential complications. This case study presents an eleven-year-old Nigerian boy exhibiting anterior cross-bite involving teeth 11, 12, 21, and 22, diagnosed asAngle's Class III malocclusion on skeletal pattern 1. Of particular interest was the spontaneous correction observed within six months. This unexpected selfcorrection stands in contrast to conventional orthodontic patterns recommended in numerous studies, including removable appliances, fixed bracket systems, and clear aligners. In conclusion, this case study underscores the significance of early diagnosis and intervention in anterior cross-bite cases while shedding light on the rare occurrence of spontaneous correction, potentially attributable to distinct physiological factors in individual cases</span> </p> Babalola A Shubhita S Agrawal N Traore-ShumbushoA Nwadiani A Copyright (c) 2024 2024-06-27 2024-06-27 12 1 34 39