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Forms for Nomination of Examiners - Academic Year 2015/16

KNOWLEDGE AND ATTITUDE TOWARDS DENTAL AMALGAM RESTORATIONS AMONG PATIENTS ATTENDING CONSERVATION CLINIC AT THE UNIVERSITY OF NAIROBI DENTAL HOSPITAL.

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INTRODUCTION: Dental caries is one of the most common dental diseases; which causes
carious lesions in teeth and eventual tooth loss. This affects the quality of life. Its progression
can be arrested by removal of the caries then placing a restorative material like dental amalgam
among other materials like gold alloys and tooth colored materials like Glass lonomer Cements
and resin Composite. Dental amalgam is not tooth-colored and has also faced controversial
opinions on its safety due to its mercury composition which is potentially toxic. This challenges
patients during decision making on the type of a filling they prefer. It is, however, cheap,
strong, long lasting and suitable for posterior teeth. Studies on patient's knowledge and
attitude have revealed different opinions especially as concerns amalgam safety. There is a
group satisfied with amalgam fillings whereas in another, studies have revealed dissatisfaction
leading to psychological disorders which may not be ruled to be caused by the filling. In some,
dentists have even had to remove the fillings whereas others have amalgam free clinics. Use of
amalgam has declined over the years and hence the need to find out the level of knowledge
and attitude towards amalgam fillings.
OBJECTIVE: To determine the knowledge and attitude towards amalgam restorations among
patients attending the conservation clinic in the university of Nairobi Dental Hospital.
STUDY DESIGN: This will be Crossectional descriptive study.
SETTING: The study will be carried out at the Dental School in the University of Nairobi which is
located about 2 kilometers from the Central BusinessDistrict.
STUDY POPULATION: The study population will be all patients attending the conservation clinic
in Dental School during the study period.
METHODS INCLUDING DATA ANALYSIS: The study will comprise of 150 patients drawn from
those attending the conservation clinic at the University of Nairobi Dental School. At least
Patientsawaiting various procedures in the conservation clinic congregate in the waiting room.
About 20 patients are usually present in this room both in the morning clinical session at ten
o'clock and at 2 pm in the afternoon clinical session. Simple random method will be used to
selectthe sample for the day from the total number of patients present in the room. Within a
day two samples will be taken, in the morning and in the afternoon for the two groups of
patients. Each time sampling is done; a self administered questionnaire will be issued to the
chosen patients then collected after answering. Data will be computer analyzed using SPSS
VERSION12.0.
PERCEIVED BENEFITS: The results obtained could be used to inform a program to educate
patients much about amalgam. This would clear any misconceptions and enable patients to
makemature informed decisions various aspects of amalgam. This research proposal is part of
partial fulfillment for Bachelors Degree in Dental Surgery.

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