BRIEF HISTORY

Year established

In 1975, the objective of training highly skilled dental surgeons was initiated by the commencement of the programme of the Bachelor of Dental Surgery (BDS) Degree. Clinical training of the first batch of dental students started in 1977 and the programme of the Bachelor of Dental Surgery received full accreditation by the Nigerian Medical and Dental Council in 1978.

Event surrounding the establishment

Dental Surgeons who were employed by the University College Hospital before the inception of the Dental Programme worked in the Department of Surgery. Department of Dentistry was created in 1975 under the acting headship of Dr. J. O.Daramola. The single Dentistry Department was split into four autonomous departments in August 1981. The department of Oral and Maxillofacial Surgery was established in 1981 from the existing department of Dentistry. Other departments established were the departments of Restorative Dentistry, Preventive Dentistry and Oral Pathology.

Site /facilities

It is located at the Department of Surgery University College Hospital, Ibadan

Foundation staff

The first Head of Department was Dr. J. O. Daramola. Other members of the Department were Dr. H. A. Ajagbe and Dr B. O. Abiose.

Founding vision:  

The vision of the Department of Oral and Maxillofacial Surgery is to be a prominent department that provides knowledge and skills in oral and maxillofacial surgical services and research.    A department that;

• Fosters and encourages diversity of research, scholarship and interdisciplinary innovation
• Regards excellence in research and teaching as inseparable
• Nurtures talent and encourages personal achievement
• Encourages innovation and enterprise, in particular through partnerships with industry, business and the community
• Teaches its students in innovative and effective ways
• Engages in teaching and research which is internationally recognized and valued.
• Develops life-long relationships with its alumni to the mutual benefit of the department and the individual

Evolution over the years

Dr. J. O. Daramola was appointed Professor in 1983 and Dr. H. A. Ajagbe was appointed a professor in 1986. The programme of the Bachelor of Dental Surgery Degree received full Faculty status in April, 2002.

The department of Oral and Maxillofacial Surgery teaches Oral Surgery to undergraduate dental students for the award of Bachelor of Dental Surgery degree. It also teaches medical and nursing students leading to the award of their various degrees. In addition it provides professional Postgraduate training leading to the award of Fellowship in Oral and Maxillofacial Surgery by the West African College of Surgeons and the National Postgraduate Medical College of Nigeria.

The academic staff strength has increased from two (2) at inception to six (6). In addition to academic and research activities, the departments also provide clinical services to the University College Hospital, Ibadan.

The Department also teaches postgraduate students of the MDS (Master in Dental Sciences Programme) which is jointly run by the five departments in Dentistry.

A postgraduate Degree of Masters program in Oral Surgery is being proposed and will commence in the near future.

Major changes in structure, function, site/location, facilities

Present location on the 2nd acquisition of University College Hospital, Ibadan

An office structure (Administrative block) constructed on 30^th July, 2004

Recent expansion of Administrative block for ETF Grant 2013

Staff Dynamics  

Dr. Arotiba joined the department in 1992; Dr. Fasola joined the department in 1996 and others lectures followed as the department expanded

Advancements

Dr. Arotiba and Dr. Fasola both became professor with effect from 2006 and 2008 respectively.

Other members of staff include:

Dr. Victoria Nwebuni Okoje-Adesomoju joined as lecturer 1 in 2002, became a Reader in 2015

Dr. Victor Akinmoladun joined the staff as lecturer 1 in 2004, became a Reader in 2014

Dr. Adeola A. Olusanya as lecturer 1 1st September, 2010, became a Senior lecturer in 2015

Dr.Gbolahan as lecturer 1 on 4^th October, 2010 became a senior lecturer in 2013

Dr. Timothy Aladelusi joined staff as lecturer 1 on 24^th December, 2012, became a senior lecturer in 2018

Major challenges and interventions

1. Inadequate offices for lecturers–construction of Administrative block.A recent additional administrative block with offices, laboratory and large lecture hall.
2. Some members of staff have received the following grants:

• Mac Arthur Grants, Senate Research Grants.

1. Inadequate staff development programmes: Poor funding of training to subsidize procedures for training
2. Inadequate training materials for students: Need for a well-equipped skills laboratory, more regular supply of consumables for student training and equipment for training
3. No library for students at the Dental school

• No ICT centre for students use.

Landmark Achievements

Awards/distinctions, publications and linkages 

1. J.T. Arotiba was elected as the President of the National Association of Oral and Maxillofacial Surgeons at the 5th Biennial Scientific Conference and Annual General Meeting of the Association held from 3^th -5^th October, 2012 at the University College Hospital.
2. A.O. Fasola was elected as the Editor-in-Chief of the National Association of Oral and Maxillofacial Surgeons at the 5th Biennial Scientific Conference and Annual General Meeting of the Association held from 3^th -5^th October, 2012 at the University College Hospital.
3. Inaugural Lecture was delivered by Prof. A.O. Fasola on Thursday 13th June, 2013. The title of his lecture is “The Tripod of Maxillofacial trauma:  The Injury, the Injured and the Injury Career”
4. V.I. Akinmoladun was also elected as the General Secretary of the National Association of Oral and Maxillofacial Surgeons at the 5th Biennial Scientific Conference and Annual General Meeting of the Association held from 3^th -5^th October, 2012 at the University College Hospital.
5. Arotiba was elected Treasurer of the Pan African Association of Oral and Maxillofacial Surgeons at a meeting held in Cape Town South Africa between 10^th & 11^th Oct. 2012.
6. Victoria N. Okoje-Adesomoju got the Administrative Excellence Award in UCH- Nov 2011 and was appointed Deputy CMAC dentistry.
7. V. I. Akinmoladun won the Senate Grant Award.
8. Okoje-Adesomoju was sub- Dean (PG) 2010 -2012
9. V. I. Akinmoladun was appointed Sub-Dean (PG) in Dentistry.2012-2013
10. Dr. V. I. Akinmoladun was appointed DCMAC (Clinical Services) in May, 2016
11. Dr. V. I. Akinmoladun was also appointed Chairman, Medical Advisory Committee and   Director of Clinical Services, Research and Training of the University College Hospital,         Ibadan (CMAC) in November, 2016 till date.
12. Dr. V. I. Akinmoladun was appointed as member of the Board of management U.C.H. in 2016 till date.
13. Dr. V. I. Akinmoladun was appointed a member of the College Development Committee in 2018 till date.

14. Dr. O. O. Gbolahan was selected for the 2018 AOCMF fellowship with Dr. Sat Pamar and Dr. Prav Praveen, University Hospital Birmingham, Oral and Maxillofacial Surgery,

Birmingham, United Kingdom.

15. Dr. Aladelusi was awarded the IAOMS Foundation Fellowship in Oral and Maxillofacial

Oncology and reconstruction of the Ninth People’s Hospital Shangahai, PR China, between May, 2017 and May, 2018.

BACKGROUND

At inception in 1977 when the Ibadan dental school was established at the pre-clinical level, the Oral Pathology department was one of the four (4) departments on the list of departments to be established within the School despite the unavailability of staff with the requisite training in this area of specialty within the Hospital at the time.

However in 1978, the first set of dental students arrived from the University College Hospital dental school to begin training in clinical dentistry. The University relied on teachers from abroad to engage students in block teaching sessions and these teachers were also flown in for examinations. Prominent among these was Professor Newell Johnson. Despite these, the department of Oral Pathology still lacked indigenous staff. This informed the priority given to the training of indigenous staff by the Department which led to the appointment of Dr. J.O. Lawoyin (now Professor) in 1982. Subsequently, a staff development grant was awarded to Dr. Lawoyin and another member of staff for a postgraduate training in Oral Pathology abroad. Following his training in the Glasgow Dental Hospital, Dr. Lawoyin returned to the Hospital in 1985 as the first indigenous foreign trained oral pathologist in the department after qualifying with the a Master’s degree in Oral Pathology. Consequently, the then acting Head of the Department, Dr. H.A. Ajagbe (who was a surgeon, and now a retired Professor of Oral & Maxillofacial Surgery), handed over the headship of the Department to Dr. Lawoyin.

By 1987, the need for the establishment of a separate laboratory in dentistry was brought to the fore. Under the unique leadership of (late) Professor Kayode Osuntokun, a written proposal was endorsed and a seed grant was approved for the establishment of a Laboratory. This was developed and in 1989, the Laboratory was declared open. (Today Dental/Oral Maxillofacial tissue specimen are processed and reported at the dental centre. Also, disease index are coded according to World Head Organization standard).

The Expansion and re-organization of the department was completed in 1990 with the establishment of the following which constituted a full diagnostic unit in dentistry.

1. Oral & Dental Radiology
2. Oral Medicine.
3. Oral Diagnosis

Due to acute shortage of Oral Pathologist and the inability to attract additional staff/ consultants, the department in 1990 started training the resident doctors locally. By 1997, the first Oral Pathologist to be trained at the University College Hospital, Ibadan, Dr. Bamidele Kolude, completed his training as an oral pathologist and was appointed lecturer/consultant. The department has since trained eight additional resident doctors five of whom are presently lecturers/consultants in the faculty.  Presently, eight resident doctors are undergoing specialist training in the department. This development will enable the department to produce staff for other Dental Schools in the Country. The list below reveals the heads of the Department from inception till date.

Headship of the Oral Pathology/Oral Medicine Department from Inception

ACTIVITIES/ACHIEVEMENTS

Currently, the Department has a research focus in the area of interceptive oral cancer. Also, research is currently being conducted on the etiology of oral cancer with emphasis on the role of diet and genetic aberration.

The department spearheaded the formation of the Nigerian Association of Oral Pathologists and Oral Medicine whereby specialists in this field are able to gather and interact to improve teaching as well as the practice of Oral Pathology/Oral Medicine in Nigeria.

The department has successfully organized two national workshops on Forensic Dentistry and Mass disaster which witnessed the attendance of military officers and prosecuting attorneys across the federation.

In the past 10 years, over 100 publications have been generated by the staff of the Department, from research activities carried out in the department.

At present, the department is progressing under the leadership of Dr. A.O. Lawal, with a focus on improving on its enviable standard of teaching and learning while generating research relevant to the diagnosis of tropical oral diseases.

INTRODUCTION

The Dental Centre of University College Hospital (UCH) Ibadan was established in 1977 to provide clinical training for the Bachelor of Dental Surgery (BDS) degree programme with the aim of producing highly skilled dental surgeons comparable to those trained in developed countries. The first set of dental students started their clinical in 1977 and the BDS programme received full accreditation by the Nigerian Medical and Dental Council in 1978.

The Dental Centre started as a single Department which was later split into four autonomous Departs in August 1981.

• Department of Oral and Maxillofacial Surgery
• Department of oral Pathology and oral Medicine
• Department of Restorative Dentistry
• Department of Preventive Dentistry

with all Departments fully established and well equipped as well as staffed with various specialist dental surgeons and technical manpower it became eligible to train Resident Dental Surgeons for various specialties.  Full accreditation from the Faculty of Dental Surgery of both National Postgraduate Medical College of Nigeria and of West African College of Surgeons was later granted to the Dental Centre University College Hospital to train specialist Dental Surgeons.

The Department of Preventive Dentistry consisted of four different disciplines which in many other dental schools are individual Departments:

• Periodontology
• Community Dentistry
• Paediatric Dentistry
• Orthodontics

The staff strength of the Department increased to 8 consisting of consultants in all he above disciplines thus necessitating its splitting into two to ensure compliance with the normal academic structure and National Universities Commission (NUC) minimum standard as well as provision of efficient health care service delivery.

• Department of Periodontology and Community Dentistry – Periodontology and Community Dentistry Specialties.
• Department of Child Oral Health – Paediatric Dentistry and Orthodontics.

UNITS IN THE DEPARTMENT

1. Periodontology –  Professor Modupe O. Arowojolu
2. Dental Public Health/Community Dentistry –  Professor Gbemi A. Oke

 STAFF STRENGTH

The department has 8 Consultants, 7 Senior Registrars, 5 Registrars, 3 Dental Surgery Technicians, 4 Dental Therapists, 3 Senior Administrative Staffs, and 4 Health Assistants.

ACTIVITIES IN THE DEPARTMENT

PERIODONTOLOGY

Short Description

This specialty deals with the management of patients with periodontal diseases, including mechanical non-surgical, periodontal therapy (scaling and root planning SRP) of teeth, for patients, administering adjunctive antimicrobial agents, splinting of mobile teeth, desensitization of sensitive teeth, and surgical management of patients with advance periodontal disease including the use of bone grafts among others.

Core Responsibilities

• Training of residents doctors, undergraduate and postgraduate students in diagnosis, prevention and management of periodontal diseases.
• Mentoring of House Officers and Residents Doctors in diagnosis, prevention and management of periodontal diseases.
• non-surgical and surgical management of patients with gingival and periodontal diseases.

Activities

• Seminars and Lecturers are delivered to resident and students from 8.00am to 10.00am and 2.00pm to 4.00pm.
• Clinical teaching for resident doctors as well as undergraduate and postgraduate students starts at 10.05am to 2.00pm daily except on Saturdays and Sundays.
• The Periodontic clinic opens daily between the hours of 8.30am and 4.00pm. Emergency coverage also exists by the Doctors and Therapists.

Other Activities in view

1. Establishment of a world class periodontal surgical suite
2. Affiliation of the periodontal unit of the Department with some institutions abroad.

DENTAL PUBLIC HEALTH/COMMUNITY DENTISTRY

Short Description

This discipline teaches undergraduate and postgraduate students prevention of oral diseases and treatment of oral diseases at community level and provides service to people resident within the communities.  in the process of delivering services to the community, approaches used include prevention, targeted population approach and oral health education and campaign.

Core Responsibilities

• Oral health service delivery to the community through our community oral health clinics
• Health education
• Advocacy
• Sensitization on oral health
• research and documentation
• Prevention

Activities

• Seminars and lecturers are delivered to resident doctors and students from 8.00am to 10.00am and from 2.00pm to 4.00pm
• Community residents doctors are attached to one of the community oral health clinics permanently after they have completed their postings in other specialties.
• There is a 4 weeks block posting in Igboora for the undergraduate students. Residents doctors and house officers have 1 month posting in Ignore and Idikan (ie. 2 weeks in Ignore and 2 weeks in Idikan)
• Provision of dental services in the two community dental clinics in Idikan and Igboora
• health education/campaigns
• Community outreach programmes
• Developing strategies for successful target population interventions
• School oral health programmes
• training of health care workers and teachers to recognize oral disease and screen their patients/students/pupils and refer them to the dental clinic when necessary.

Achievements

1. Research Grant Awards
2. External support from individuals and groups (donation of instruments and equipment)
3. Commencement of soft tissue coverage and aesthetic dentistry to improve quality of life.
4. Plan to establish a community outreach stations at Eni-osa Ibadan.

CHALLENGES

1. Few resident doctor to provide routine oral health care services at our outreach stations.
2. Inability to provide routine oral health care services to inhabitants of underserved communities
3. Maintenance and replacements old equipment
4. Inadequate supplies of consumables.
5. Lack of clinic space

The Bachelor of Dental Surgery (BDS) degree program was established in 1975 as a Department with the aim of producing highly skilled Dental Surgeons comparable to those trained in the developed countries.  The first set of Dental students started their clinical training in 1977 and the program attained full accreditation by the Nigerian Medical and Dental Council in 1978.The single Dentistry Department was split into four autonomous departments in August 1981.
The Development Committee of the Senate of the University of Ibadan approved the creation of these departments in 1985 and four departments in Dentistry were accorded full Faculty status in April 2002.  The Department would have been split into two at the creation of the four departments but for the low staff strength. Department of Preventive Dentistry in 1981 was one of the four departments at that time consisting of four different discipline/units namely: Periodontology, Dental Public Health, Paedodontics and Orthodontics.
The first Acting Head of Department was Dr. M.O. Noah and the current is Dr. Modupe O. Arowojolu.The staff strength in the department then increased to eight (8) and this has also brought up the€€ need for a split of the department to ensure compliance with the normal academic structure, the world over and as recommended by National University Commission (NUC) minimum standards. The department was then officially split into two departments (Preventive Dentistry and Child Oral Health) in the year 2004.
DUTIES

1. Didactic and clinical teachings to Dental students.
2. Laboratory instructions to Dental students.
3. Community Health Program.
4. Primary Health Program was established in  Idikan area of Ibadan and Igboora for the purpose of teaching dental students in community.
5. Dentistry, for carrying out research and for rendering services to patients in a Primary Health Care Setting.
6. The Department also conducts planned visits to Schools and Community.
7. Research projects are assigned to students in their final year.

PROFILE OF THE DEPARTMENT

The Department of Restorative Dentistry was formed from the Department of Dentistry which evolved from the Department of Surgery in 1981. The clinical practice in the department commenced in 1992 under the leadership of late Dr. S. P. Luthra (the first Ag. Head). The department has grown gradually till date from few staffs at the beginning to about forty staffs presently. Thirteen specialists have been trained in the two disciplines, Conservation and Prosthetic Dentistry in a ratio of 8:5 respectively.

The two main units that make up the departments are: Conservation Dentistry and Prosthetic Dentistry and it operates in the following sub units.Conservative dentistry, Aesthetic dentistry, Removable Prosthetic Dentistry, Fixed Prosthodontics, Endodontics, Maxillofacial Prosthodontics and Dental Implantology

The department is saddled with training, services and research.  She is involved in training of dental students, dental house officers, dental Technologist interns, Junior and senior resident doctors. We provide a range of services for our patients which include:

1. Provision of mouth guards for temporo mandibular joint disorders,
2. Provision of acrylic screwsProvision of bite splints for parafunctional habit correction
3. Provision of partial acrylic dentures
4. Provision of full acrylic dentures
5. Metallic partial dentures
6. Provision of maxillary obturators and feeding plates
7. Provision of post mandibulectomy prosthesis
8. Minimal occlussal adjustments
9. Composite restoration
10. Composite veneering
11. Amalgam restoration
12. Root canal therapy
13. Non-vital tooth bleaching
14. Tooth whitening procedure for vital bleaching
15. Per radicular surgery
16. Crown and Bridge (Porcelain fused to metal)
17. Post retained crown
18. Composite splinting of teeth
19. Metallic crown (all metals)
20. Implant Retained prosthesis
21. Implants restorations

The department has two(prosthetic and conservative) clinics and two (general prosthetic and advanced conservative/prosthetic (VAMED)) laboratories for clinical and laboratory services.

Research is ongoing in the department in various aspects of restorative dentistry.

Headship of the Department

The first Acting Head of Department was the Late Dr. S.P. Luthra 1981 – 1990.  The headship of the department was subsequently taken over after as follows:

Heads of Department & Coordinators

The past and present heads of the department are as follows:

1981-1990                               –           Dr. S. P Luthra (Ag. Head)

1990-1992                              –           Dr. AdeolaOgunyinka (Ag Head)

1996-1999                              –           Dr. O. O. Falomo (Ag Head)

1999-2001                              –           Dr. Adeola Ogunyinka (Ag Head)

2000-2012                               –           Dr. O. O. Dosumu (Ag Head)

2012-2016                               –           Dr. D. M. Ajayi (Ag Head)

2016-2018                               –           Professor O. O. Dosumu (HOD)

2018-2019                               –           Dr. IMF AbiodunSolanke(Ag Head)

2019 till date                           –           Dr T. J. Ogunrinde (Ag head)

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STAFF STRENGTH

Admin Staff UCH —————————————————————–                        3

Dental Surgery Technician (DST) ———————————————-                         6

Dental Laboratory Technologist (DLT) —————————————-                        5

Dental Laboratory Interns (DLI) ————————————————                         12

Clinical Health Assistant (CHA) ————————————————                         2

Registrar  —————————————————————————                           7

Senior Registrars   —————————————————————–                         5

Registrar (Prosthetics Unit) ——————————————————                        3

Senior Registrar (Prosthetics Unit) ———————————————-                        1

Honorary Consultants (Conservative Unit) ————————————                        3

Honorary Consultants (Prosthetic Unit) —————————————-                        2

Academic Activities

• Mondays 8a.m – Resident presentation on topics for Fellowship Examination
• Tuesday 8a.m. departmental Presentation –Conservative & Prosthetic
• Wednesday 8a.m. – Journal club presentation
• Every last Wednesday from 10 am- Departmental Research Meeting.
• Thursday 8a.m. –Prosthetic Resident’s Discussion
• Friday 11a.m. –Conservative Resident’s Presentation