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Odonto-stomatologie Tropicale = Tropical Dental Journal[JOURNAL]

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[Three-point bending moment of two types of resin for temporary bridges after reinforcement with glass fibers].

Didia EE, Akon AB, Thiam A … +1 more , Djeredou KB

Odontostomatol Trop · 2010 Mar · PMID 20839474

One of the concerns of the dental surgeon in the realization of any operational act is the durability of this one. The mechanical resistance of the provisional prostheses contributes in a large part to the durability of... One of the concerns of the dental surgeon in the realization of any operational act is the durability of this one. The mechanical resistance of the provisional prostheses contributes in a large part to the durability of those. The resins in general, have weak mechanical properties. The purpose of this study is to evaluate the resistance in inflection of temporary bridges reinforced with glass fibre. To remedy the weak mechanical properties of resins, we thought in this study, to reinforce them with glass fibres. For this purpose, we realized with two different resins, four groups of temporary bridges of 3 elements, including two groups reinforced fibreglass and the others not. Tests of inflection 3 points have been made on these bridges and resistance to fracture was analysed. The statistical tests showed a significant difference in four groups with better resistance for the reinforced bridges.

Tooth size ratios of Nigerian and the applicability of Bolton's analysis.

Adeyemi AT, Bankole OO, Denloye OO

Odontostomatol Trop · 2010 Mar · PMID 20839473

OBJECTIVE: To establish tooth size ratio of Nigerian, to compare with size ratio among gender and to compare tooth size ratios of Nigerian with that of Caucasians as determined by Bolton's. MATERIAL AND METHODS: Dental c... OBJECTIVE: To establish tooth size ratio of Nigerian, to compare with size ratio among gender and to compare tooth size ratios of Nigerian with that of Caucasians as determined by Bolton's. MATERIAL AND METHODS: Dental casts of 250 subjects (125 males and 125 females) were used for the study. The age range was 12-15 years. All subjects had normal class I occlusion with no history of orthodontic treatment. RESULTS: A mean overall ratio of 92.5 +/- 0.5% and anterior ratio of 79.0 +/- 0.5 were reported for Nigerian teeth. Tooth size ratios among gender was compared using the Student's t-test, there was no significant difference (P > 0.05). Nigerian tooth size ratio was compared with those of Caucasians as determined by Bolton, no statistically significant differences were found (P > 0.05). CONCLUSION: Tooth size ratios among Nigerians have been established. Bolton's formula for tooth size analysis also applies to Nigerian teeth. The tooth size ratios of Nigerian females are higher than those of males.

[Dental fluorosis: an epidemiological investigation in the area of Ouardanine in Tunisia].

Douki N, Zokkar N, Bagga S … +1 more , Zouiten S

Odontostomatol Trop · 2009 Dec · PMID 20614698

In this work, we carried out a transverse epidemiological investigation about the oral health state of pupils in the Ouardanine area. The investigation concerned 300 fifteen-year-old pupils. An amount of fluoride was adm... In this work, we carried out a transverse epidemiological investigation about the oral health state of pupils in the Ouardanine area. The investigation concerned 300 fifteen-year-old pupils. An amount of fluoride was administrated within drinking water. Further studies, within few years, will be desirableto follow the fluorosis evolution in this area.

Evaluation of the relationship between type 2 diabetes and periodontal disease.

Awartani F

Odontostomatol Trop · 2009 Dec · PMID 20614697

The association between periodontal disease and diabetes mellitus has been explored by many researchers over the years. Periodontal signs and symptoms are now recognized as the 'sixth complication of diabetes'. The objec... The association between periodontal disease and diabetes mellitus has been explored by many researchers over the years. Periodontal signs and symptoms are now recognized as the 'sixth complication of diabetes'. The objective of the present study was to investigate the association between glycemic control of type 2 diabetes mellitus (type 2 DM) and severity of periodontal disease. A total of 126 Saudi female patients diagnosed with type 2 Diabetes were examined. Group I (better control with Hb A1 c less than 9%) included 74 patients, and Group II (poor control with Hb A1c more than 9%) included 52 subjects. The periodontal parameters recorded were plaque index, bleeding index, presence of calculus, pocket depth measurement and clinical attachment level. These parameters were evaluated in a randomized half mouth examination on four sites of each tooth (mesial, distal, buccal and lingual). The results of this study showed that the age, duration of diabetes, percentage of plaque index and bleeding index showed no significant difference between the two groups. In contrast, there was a significantly higher percentage of calculus, PD > or = 4 mm and loss of attachment level (3-4 mm) in the poorly controlled diabetic patients, as compared to the better-controlled group. The result obtained showed a significant association of the loss of attachment level (3-4 mm) with periodontal disease in poorly controlled diabetic patients, as compared to better-controlled patients. Poor-control diabetics (group II) exhibited an increased percentage of calculus and greater risk for periodontitis.

[Conditions of dental extractions in areas health centers of Senegal].

Faye D, Tine SD, Cisse D … +4 more , Lo CM, Mbodj el B, Diouf M, Diallo PD

Odontostomatol Trop · 2009 Dec · PMID 20614696

Dental extraction is a surgical act frequently carried out in the African dental structures. It requires the rigorous respect of the conditions of asepsis and antisepsis. Equipments and anaesthetic and avulsional product... Dental extraction is a surgical act frequently carried out in the African dental structures. It requires the rigorous respect of the conditions of asepsis and antisepsis. Equipments and anaesthetic and avulsional products must be also sufficient. Our study undertaken among 46 dental services in areas health centers of Senegal aimed to determine the conditions under which dental extractions are carried out. The principle results of our study showed that 93% of dental practitioners wore sterilized gloves. 49% of the dentist's care activity consisted in dental extractions. 50% of the practitioners re-use anaesthetic needles, 2% re-use anaesthetic carpules. We noticed that the dental structures were facing a deficit of materials and products of extraction. Face to the outbreak of serious illnesses as infections of HIV and Hepatitis B, the practitioner and his team must be sensitized and trained to struggle against the transmissible infections and to carry out the dental extraction only if the conditions of asepsis and antisepsis are joined together. A pleading towards the medical authorities must be done to support the services in equipments and periodic renewals of the materials and products of extractions.

Referral mode and pattern of malocclusion among patients attending the Lagos University Teaching Hospital, Lagos, Nigeria.

Oluranti OD, Ifeoma LU

Odontostomatol Trop · 2009 Dec · PMID 20614695

BACKGROUND: In Nigeria, the awareness of the dentition and its role in the overall facial beauty is increasing, especially in the urban areas. The purpose of this study was to assess the demand for orthodontic treatment... BACKGROUND: In Nigeria, the awareness of the dentition and its role in the overall facial beauty is increasing, especially in the urban areas. The purpose of this study was to assess the demand for orthodontic treatment and the pattern of malocclusion in patients attending the Lagos University Teaching Hospital, Lagos, Nigeria. METHOD: A 5-year retrospective study of 633 patients, 288 males (45.5%) and 345 females (54.5%) attending the orthodontic unit of the hospital. RESULTS: The patients seen ranged from 1 to 50 years with the most frequent age group being that of 12-17 years constituting 37.5% of the total patients seen. Adult patients made up 30.7% of attending patients. Self-referred patients constituted 64.1% of this population. Class I molar relationship was predominantly occurring seen in 76.7% of patients. Anterior segment crowding was recorded in 38.7% and 43.2% of the patients for the upper and lower arch respectively. Marked increase in overjet was observed in 32.2%. Overbite discrepancies were recorded with 26.2% of patients with deep bite and 11.2% of patients with anterior open bite. A history or ongoing oral habit was recorded in 61.8% of patients.

Characteristics and prediction of the alveolar bone loss: essay of modeling.

Ruquet M, Bonfil JJ, Tardivo D … +4 more , Tavitian P, Sastre J, Tosello A, Foti B

Odontostomatol Trop · 2009 Dec · PMID 20614694

The alveolar bone loss is a phenomenon which intervenes throughout the life and which can be aggravated by the action of individual and behavioural factors. From this observation we shall try to characterize it and to pr... The alveolar bone loss is a phenomenon which intervenes throughout the life and which can be aggravated by the action of individual and behavioural factors. From this observation we shall try to characterize it and to propose formulas of prediction of the alveolar bone loss according to the age of the patient. We shall expose an analysis of factors bound to the alveolar bone loss and propose a modeling of the alveolar bone loss according to the age in an essentially predictive purpose. The methodology is based on the medical exploitation of CT-dentascanners and medical questionnaire as well as administrative questionnaire used in odontology. Measures of the distance ECJ and the summit of crest are made on the radiology and the individual factors and behavioural factors are scored. The descriptive analysis of the data allowed us to characterize the phenomenon of alveolar bone loss in a therapeutic purpose. The statistical treatment of these data will establish various models according to gender. The described method is simple and its applications seem numerous in the several domains: prevention, improvement of prosthetic and periodontal therapeutics.

[Cephalometric characteristics of black African children 3-6 years of age with nasal obstruction].

Beugre-Kouassi AM, Beugre JB, Tanon-Anoh MJ … +3 more , Kouassi M, Hoballah N, Djaha K

Odontostomatol Trop · 2009 Sep · PMID 20441128

OBJECTIVE: To determine the cephalometric craniofacial characteristic of the child with chronic rhinopharyngeal obstruction. MATERIAL AND METHODS: It is about a comparative cross-sectional study with etiologic aiming inc... OBJECTIVE: To determine the cephalometric craniofacial characteristic of the child with chronic rhinopharyngeal obstruction. MATERIAL AND METHODS: It is about a comparative cross-sectional study with etiologic aiming including children of the 2 sexes, old from 3 to 6 years. The pathological subjects are represented by those presenting a chronic rhinopharyngeal obstruction due to the presence of hypertrophied tonsils (n = 29) and the "normal" subjects, those without any rhinopharyngeal obstruction (n = 30). Lateral cephalometric radiographs were obtained for each subject. The conventional landmarks were determined with the subject's head in neutral position. The two groups underwent cephalometric measurements. The cephalometric analysis was made starting from conventional landmarks resulting from soft tissues and osseous structures. Various statistical tests (test t of student, test of Kruskal Wallis, test of Mann-Whitney) were used for the exploitation of the cephalometric data. RESULTS: On the skeletal level, the length of the posterior cranial base was shorter at the pathological subjects than at the healthy subjects. Concerning the mandible, the height of the ramus and the length of the mandibular corpus are also weaker at the pathological subjects than at the witnesses. The hyoid bone is further away from the 3rd cervical vertebra and the craniocervical angle is more open at the pathological subjects, representing a modification of the slope of the cervical column. On the level of the rhinopharyngeal space, the average distances from the posterior nasal spine at the posterior edge of the rhinopharyngeal space and between the posterior nasal spine and the posterior base of the base of cranium are respectively of 19,43 +/- 4,78 mm and 37,56 +/- 2,95 mm. These measurements are not significantly different from those described in the literature. CONCLUSION: Our study highlighted skeletal modifications in children presenting a rhinopharyngeal obstruction. Even if they do not justify all the symptoms met, these modifications can represent a readjustment of the pharyngeal corridor aiming at facilitating the flow of airflow.

[Survey of general dental practitioners in Abidjan on the use of the operatory field in dentistry].

Avoaka-Boni MC, Gnagne-Koffi ND, Assoumou-Adou NM … +3 more , Kouakou KF, Guinan JC, Abouattier-Mansilla EC

Odontostomatol Trop · 2009 Sep · PMID 20441127

Rubber dam is a standard operatory field in operative dentistry and endodontics. It is undoubtedly the most certain way to insure the success of therapeutics acts. Its use by Abidjan practitioners has been the subject of... Rubber dam is a standard operatory field in operative dentistry and endodontics. It is undoubtedly the most certain way to insure the success of therapeutics acts. Its use by Abidjan practitioners has been the subject of our study which aim is to underline the place of rubber dam in daily practice. Our investigations show that rubber dam is totally absent from practitioners acts. Generally cotton rolls constitute the most frequent mean used by practitioners to isolate the tooth in operative dentistry and endodontics. Only 23.9% of them associate saliva sucking up. Some cases of aspiration and swallowing file by accident by patients have been highlighted. Those results lead us to recommend the systematic use of rubber dam as the mean of efficiency and security which cannot be ignored in our practice.

Periodontal health status of 12-year-old Sudanese schoolchildren and educational level of parents in Khartoum province.

Farah HH, Ghandour IA

Odontostomatol Trop · 2009 Sep · PMID 20441126

OBJECTIVES: To investigate the oral hygiene practice, the prevalence of dental plaque, gingivitis and calculus among 12-year-old Sudanese schoolchildren in Khartoum province, and to correlate the above to gender and educ... OBJECTIVES: To investigate the oral hygiene practice, the prevalence of dental plaque, gingivitis and calculus among 12-year-old Sudanese schoolchildren in Khartoum province, and to correlate the above to gender and educational level of parents. METHODS: A total of 636 children 12 years of age, whose parents granted permission, were examined from public and private schools in different geographical locations representing different socioeconomic classes in Khartoum province. The variables of this study had been collected by a single examiner using a direct interview questionnaire and clinical examination with appropriate indices. The intraexaminer reliability was (Alpha = 0.9321). RESULTS: Regular brushing in 92.3%, irregular in 6.9% and no brushing in 0.8% of all children. The frequency of brushing was 81.4% once, 16.4% twice and 1.4% more than twice a day. For all children, 93.1% used the toothbrush while 3.9% used a Miswak. Concerning the technique of brushing, 14.3% brushed vertically, 82.7% brushed horizontally and only 2% brushed in a circular way. It was found that only 5.2% used other oral hygiene means (dental floss and tooth pick) for cleaning teeth. The results showed a high correlation between oral hygiene practices of the children and both parents' education (P = 0.001) as well as gender (P = 0.001). The mean of plaque index was (0.888), gingival index was (0.686) and calculus index was (0.107). In the entire sample these indices were found to differ significantly with sex (P = 0.000), parents' education (P = 0.000) and brushing practice (P = 0.000).) CONCLUSION: It was recommended that, providing intensive advice and supervision concerning oral hygiene practices through public and school health care is mandatory. Other studies for rural and urban areas of different age groups should be done for comparisons.

[Essential indicators of orodental health in Africa. Applicability in Ivory Coast].

Yavo Tchere ML, N'Diaye C, Bourgeois D

Odontostomatol Trop · 2009 Sep · PMID 20441125

UNLABELLED: INTEREST OF THE PROBLEM: The objective of this study is to highlight the gaps from a consideration of the essential indicators in the national system of sanitary information of Ivory Coast. Modalities of thei... UNLABELLED: INTEREST OF THE PROBLEM: The objective of this study is to highlight the gaps from a consideration of the essential indicators in the national system of sanitary information of Ivory Coast. Modalities of their applicability in the surveillance of the oral health are also discussed. POSITION OF THE PROBLEM: The use of the essential indicators answers the necessity of setting up a system of surveillance of the common factors of risk based on standardized information which will allow comparisons between countries. However, the applicability of these indicators is not enough known and the quantitative measure to test their reliability and their validity was not realized yet to allow their easy consideration in global Infobase. METHOD: This study is based on the documentary analysis of the catalogue on selection of the essential indicators, and the database of the national program of oral health. RESULTS: Twenty-two essential indicators are applicable in the national information system. In particular, ten indicators are easily applicable without technical difficulties and twelve are averagely applicable. CONCLUSION: The essential indicators are pertinent for the surveillance of the oral health in Côte d'Ivoire. However, future researches are necessary to test their validity in the national information system. Also, similar pilot studies could be realized in the other African contexts to establish an operational and standardized frame to collect relevant and valid information.

[Long-term clinical evaluation of 2 dental materials used for the preparation of esthetic inlays].

Khairallah C, Hokayem A

Odontostomatol Trop · 2009 Sep · PMID 20441124

Thirty-six inlays, equally divided between a vitro ceramic and a composite resin, were bonded in pair, on the same type of teeth in fifteen patients. They were followed for a mean period of 75 months. The results showed... Thirty-six inlays, equally divided between a vitro ceramic and a composite resin, were bonded in pair, on the same type of teeth in fifteen patients. They were followed for a mean period of 75 months. The results showed that both materials were clinically acceptable for restoring posterior teeth, even though ceramic yielded significantly better results concerning colour match and surface roughness.

[Periodontal status of Senegalese patients with Sjögren's syndrome. A case control study at the Service of Internal Medicine].

Seck-Diallo A, Diallo S, Benoist HM … +3 more , Diouf A, Sembène M, Diallo PD

Odontostomatol Trop · 2009 Jun · PMID 20069965

The aim of this study is to compare the periodontal status of patients with Gougerot-Sjögren syndrome (GSS) to healthy subjects in order to investigate the relation between periodontal disease and GSS. To achieve this ai... The aim of this study is to compare the periodontal status of patients with Gougerot-Sjögren syndrome (GSS) to healthy subjects in order to investigate the relation between periodontal disease and GSS. To achieve this aim, one hundred and three patients, among whom 36 with primary GSS and 67 with secondary GSS, were selected and compared with one hundred and three (103) control subjects. The hygiene level was evaluated with Silness and Löe plaque index (PI) and inflammation level with Löe and Silness gingival index (GI). Probing depth and clinical attachment loss was measured with Williams periodontal probe. Mean plaque indices were identical for both groups (1.27 +/- 0.1 versus 1.22 +/- 0.1, p = 0.67). Compared with control subjects, the inflammation index scores were significantly higher among SSG patients (IG = 1.1 +/- 0.1 versus 0.44 +/- 0.2, p < 0,001). The logistical regression model applied to the whole sample showed that patients with GSS had a higher risk of developing periodontal disease (IG : OR 5.508, state 95% CI [1.66-9.60] ; PP : OR = 4.51 95% CI [1.692-12.024]). A training program for GSS patients seems essential, in order to manage the deleterious effects of defective oral-dental ground. It would allow convincing patients about the interest of prevention through regular surveillance and care.

Effect of different modes of light curing and resin composites on microleakage of Class II restorations--Part II.

Hardan LS, Amm EW, Ghayad A … +2 more , Ghosn C, Khraisat A

Odontostomatol Trop · 2009 Jun · PMID 20069964

INTRODUCTION: To reduce the polymerization shrinkage of the composite resins and after the introduction of the "slow and gradual polymerization" by GORACCI et al. in 1992, many light curing units (LCU) presented the "sof... INTRODUCTION: To reduce the polymerization shrinkage of the composite resins and after the introduction of the "slow and gradual polymerization" by GORACCI et al. in 1992, many light curing units (LCU) presented the "soft-start polymerization" in addition to the classical high light intensity mode. This study investigated whether this slow and gradual polymerization has the ability of reducing the marginal debonding, by minimizing the internal stress of the composite, knowing that rare are the studies which compared this mode of polymerization. MATERIAL AND METHODS: One hundred twenty Class II cavities were prepared at the mesial and the distal side of human extracted premolars. The teeth were randomly divided into four groups (n = 15). In each tooth the mesial Class II cavities were restored with the micro-hybrid resin composite Filtek Z250 (3M ESPE) and the distal Class II cavities were restored with the nano-filled resin composite Filtek Supreme (3M ESPE). The light curing unit used in this study was a conventional quartz tungsten halogen (QTH) curing light, the QHL 75 (Dentsply) modified by adding a regulating electronic device, controlled by a special software that gives 4 different modes of polymerization as follows: Group A: Standard polymerization: Exposure for 20 seconds at 700 mW/cm2, this group was used as control. Group B: Modified pulse-delay polymerization: Exposure for 2 seconds at 700 mW/cm2, 5 seconds at 0 mW/cm2, then 20 seconds at 700mW/cm2. Group C: Modified ramp polymerization: Exposure for 20 seconds with a slow rise of the intensity to reach the 700 mW/cm2 then 20 seconds at 700 mW/cm2. Group D: Slow and Gradual polymerization: Exposure for 4 minutes with a slow rise of the intensity to reach 700 mW/cm2. The teeth were stored in water at 37 degrees C for 48 hours, then finished and subjected to thermocycling (3000 cycles between 5 degrees C and 55 degrees C). All the teeth were immersed in 2% methylene blue solution for 12 hours at 37 degrees C, sectioned, and evaluated at the gingival margins. Data were statistically analyzed by two-way analysis of variance followed by Tukey HSD multiple comparisons. RESULTS: The main effect for the type of composites (p = 0.682), and the interaction effect (p = 0.678) did not reach statistical significance. There was a statistically significant main effect for the type of polymerization used (p = 0.014). Post-hoc comparisons using the Tukey HSD test indicated that the mean score for the Group A (M = 2.40, SD = 1.102) was significantly different from the group D (M = 1.30, SD = 1.393, p = 0.010). The group D did not differ significantly from group B (M = 1.63, SD = 1.351, p = 0.767), and group C (M = 1.60, SD = 1.404, p = 0.819). There was a difference between the group A (M = 2.40, SD = 1.102), group B (M = 1.63, SD = 1.351) and group C (M = 1.60, SD = 1.404). However, when the Tukey HSD was used, no statistically significant differences between Group A, B and C were found (p = 0.122 and p = 0.098). CONCLUSIONS: There was a statistically significant difference in microleakage between the "slow and gradual polymerization" and the standard polymerization, however no significant differences were found when using the nano-filled or the micro-hybrid composite materials cured with different polymerization regimens.

[Clinical study comparing at 5 years a ceramic and a ceromer used for making esthetic inlays].

Khairallah C, Sabbagh J, Hokayem A

Odontostomatol Trop · 2009 Jun · PMID 20069963

Thirty-six inlays, equally divided between a vitro ceramic and a composite resin, were bonded in pair, on the same type of teeth in fifteen patients. They were followed for a mean period of 60 months. The results showed... Thirty-six inlays, equally divided between a vitro ceramic and a composite resin, were bonded in pair, on the same type of teeth in fifteen patients. They were followed for a mean period of 60 months. The results showed that both materials were clinically acceptable for restoring posterior teeth, even though ceramic yielded better results concerning colour match.

Attitudes and perception of Nigerian dentists about shortened dental arch therapy (SDAT).

Arigbede AO, Ajayi DM, Akeredolu PA … +1 more , Onyeaso CO

Odontostomatol Trop · 2009 Jun · PMID 20069962

OBJECTIVE: The shortened dental arch therapy (SDAT) is a strategy to reduce complex restorative treatment in the molar area. By offering the partially dentate patients, a treatment option that ensures oral functionality,... OBJECTIVE: The shortened dental arch therapy (SDAT) is a strategy to reduce complex restorative treatment in the molar area. By offering the partially dentate patients, a treatment option that ensures oral functionality, improved oral hygiene, comfort and possibly reduced costs, the SDA treatment approach appears to provide an advantage without compromising patient care. Despite these encouraging reports, it has been stated that there are few papers in the literature addressing clinical attitudes to SDAT. The current study is, therefore, designed to determine the attitude and perception of dentist in Nigeria about the concept. MATERIALS AND METHODS: A cross-sectional study was conducted using a self-administered structured questionnaire. The questionnaire employed by Sarita et al. was modified and employed as the instrument for data collection. The respondents were requested to provide information about their socio-demographic variables and their attitudes and perception of SDAT. The questionnaires were randomly distributed among general dental practitioners and residents (postgraduate doctors) in dental training institutions in Nigeria. RESULT: The clinical experience of most of the respondents was < or = 10 years. Most of the respondents were working in government institutions. Few of the respondents (36.1%) indicated that the concept was good for developing country like Nigeria and only few of the respondents (38.0%) agreed with the problem-oriented approach. Most respondents indicated that patients with shortened dental arches are not nutritionally less healthy and that, the oral functions and TMJ health of these patients is acceptable. CONCLUSION: It appears the attitude and perception of dentists in Nigeria as it relates to shortened dental arch concept is not impressive at the moment.

[Clinical and therapeutic aspects of trigeminal neuralgia. Apropos of 27 cases treated at the General Hospital of Grand-Yoffin Dakar].

Dia Tine S, Tamba B, Gassama BB … +5 more , Niang P, Dia L, Kébé Ndèye F, Badiane S, Diallo B

Odontostomatol Trop · 2009 Jun · PMID 20069961

The trigeminal neuralgia or "painful tic" of the face is an invalidating affection, which affects the quality of life of the patient. The odontologist must be able to diagnose it and take part in his good therapeutic ass... The trigeminal neuralgia or "painful tic" of the face is an invalidating affection, which affects the quality of life of the patient. The odontologist must be able to diagnose it and take part in his good therapeutic assumption of responsibility. The diagnosis is sometimes difficult, being able to involve unsuited therapeutic methods prejudicial for the patient. The objective of our study was to analyse the clinical and therapeutic aspects of the trigeminal neuralgia. It was a transverse and descriptive study which 27 files of patients suffering of trigeminal neuralgia and treated in the odontology service of the General hospital of Grand-Yoff in Dakar between July 2002 and July 2008. We exploited the following parameters: the age, the sex, the oral state, duration of the symptoms, characteristics of the pain, the type of treatment. 22 patients of the 27 cases were female. The time of consultation was often late, the patients generally preferring begin with the traditional treatments. The neuralgia of V2 dominated the clinical picture, followed that neuralgia of V3. The pain was strictly unilateral, it was started by movement, speaking, eating or touching the trigger zone. The prescription of carbamazepine (Tegretol) was systematic, and constituted a true test diagnosis, it made possible to obtain an immediate sedation of the pains. In front of the medicamentous treatment failure, the alcoholization of the trigeminal branch has given good performances, indeed it made possible to obtain, a clear lull of more than 12 months for 9 patients out of the 10 who profited from it. The alcoholization of the trigeminal nerve remains an effective cure and constitutes an accessible alternative under our work conditions in Africa.

Oral pathologies and special therapeutics.

Benoist HM

Odontostomatol Trop · 2009 Jun · PMID 20069960

Abstract loading — click title to view on PubMed.

[Preferred sites of accumulation of microbial plaque as shown by the color of the exterior surface of complete dentures].

Merdes L, Soueidan A, Le Bars P … +1 more , Tabbi-Aneni N

Odontostomatol Trop · 2009 Mar · PMID 19711839

PURPOSE: The observation of the denture plaque for complete dentures caused many clinical works and researches, since 30 years. Most of the studies were interested, by the prosthetic under-surface. New data show that the... PURPOSE: The observation of the denture plaque for complete dentures caused many clinical works and researches, since 30 years. Most of the studies were interested, by the prosthetic under-surface. New data show that the polished (exterior) surface on the denture palate is colonized more than hard palate. The aim of our study is to locate the favorite zones of the accumulation of the denture plaque on the level of the suction polished faces of the acrylic resin. MATERIAL AND METHODS: We proceeded by immersion during 24 hours of 62 used full dentures belongs to 33 patients, with mucous membranes of various clinical aspects in a plaque disclosing solution of erythrosine type. The suction faces were divided into several zones of marking. RESULTS: We record 100% of coloring of the interdental zones on the maxillary and mandibular prosthesis. On maxillary prosthesis: 100% of the former and posterior vestibular zones are colored. The bottom of the palate is colored to 67.74%, a rate equivalent to the zones of fractures. On mandibular prosthesis: retromolar and sublingual zones, are colored to 96.77%. The former hall is colored with a rate of 90.32%. The posterior vestibular zone seems the least colored with a rate of 80.64%. CONCLUSIONS: The former area of the hall carved in an aesthetic objective is generally colored as well on the maxillary and mandibular prosthesis. We point out that this zone should not be much carved on the level of the area simulating the attached gum. Patients should be always incited to practice a mechanical hygiene, which takes part largely in the evacuation of the denture plaque on prosthetic surfaces. This revealing plaque use should integrate a clinical attitude of good practice, to motivate a patient with prosthetic hygiene or to detect zones of cracks objectifying a mechanical weakness of a prosthesis to be taken again, as well as the checking of the quality of repair joint during a routine control.

[Status of dental caries in the toddlers' residences of the Dakar area, Senegal].

Cisse D, Diouf M, Faye D … +2 more , Lo CM, Sembene NM

Odontostomatol Trop · 2009 Mar · PMID 19711838

Ranked 4th global scourge behind cancer, cardiovascular diseases and AIDS, tooth decay is an infectious post eruptive disease, which remains worrying. In children, it involves eating, sleeping and behaviour disorders. Th... Ranked 4th global scourge behind cancer, cardiovascular diseases and AIDS, tooth decay is an infectious post eruptive disease, which remains worrying. In children, it involves eating, sleeping and behaviour disorders. Thus, we conducted a descriptive cross-sectional study, on children in toddler's small dwelling of Dakar area. The objective was to determine the prevalence of tooth decay among children of three toddler's small dwelling functional in Dakar. The majority of children was female (57%) and they were more children aged 61 to 73 months in the toddler's small dwelling of Sahm notary located in the suburbs. The prevalence of tooth decay was important for girls in the age group 49 to 60 months and in Toddler's small dwelling located in popular or suburban areas: 78% to Colobane, 68% Sahm notary, with a significant difference. The DFT (decayed, filled teeth) was lowest in Mermoz (residential area). Efforts to improve the oral health must be strengthened by good prevention policy involving people playing a role in educating and guiding children: parents, teachers, organizations, practitioners.
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