Odonto-stomatologie Tropicale = Tropical Dental Journal[JOURNAL]
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200 papers
[An 18 month evaluation of MM-MTA pulpotomy on primary decayed molars].
Abou Chedid JC, Mchayleh N, Khalil I … +2 more , Melki B, Hardan LS
Odontostomatol Trop · 2015 Dec · PMID 26939217
Pulpotomy is the most performed and controversial therapeutic in pediatric dentistry. Formocresol is known to have a toxic effect on living tissues, a mutagenic and carcinogenic potential with a systemic uptake of formoc...
Pulpotomy is the most performed and controversial therapeutic in pediatric dentistry. Formocresol is known to have a toxic effect on living tissues, a mutagenic and carcinogenic potential with a systemic uptake of formocresol via pulpotomized teeth, other alternative products have been investigated. 40 molars were pulpotomized using Micro Mega Mineral Trioxide Aggregate (MM-MTA), which eliminates the need for the use of formocresol. The effects of this material were evaluated both clinically and radiographically. Post-operative control examinations were performed at 1, 6, 12, and 18 months trying to detect spontaneous or stimulated pain, pathological tooth mobility, abscesses or fistulas, internal or external pathological tooth resorption, periapical bone destruction, or canal obliteration. Pain was absent at 18 months post operatively. Thirty six molar treated with the MM-MTA didn't show any mobility or pain, one molar presented a pathological resorption and one molar presented an abscess without a fistula at 12 month. The observations were compared to others related to formocresol, ferric sulfate, MTA, and laser pulpotomies, using the Chi-square test x2. The abundance of positive result strongly demonstrate that the MM-MTA pulpotomy on carious temporary molars is a promising technique.
Association between periodontal disease and pregnancy outcomes.
Soroye M, Ayanbadejo P, Savage K … +1 more , Oluwole A
Odontostomatol Trop · 2015 Dec · PMID 26939216
OBJECTIVE: To evaluate the association between periodontal disease and pregnancy outcomes like preterm birth and low birth weight. PATIENTS AND METHOD: Interviewer-administered questionnaires were completed by the subjec...
OBJECTIVE: To evaluate the association between periodontal disease and pregnancy outcomes like preterm birth and low birth weight. PATIENTS AND METHOD: Interviewer-administered questionnaires were completed by the subjects who attended the antenatal clinic of the Lagos University Teaching Hospital, Lagos. Information obtained included; maternal age, gestational age, marital status, educational status, occupation and expected date of delivery. After delivery, the questionnaire was completed with baby's weight at birth and the actual date of delivery. Clinical assessment of the periodontium was done using Oral Hygiene Index (OHI) and Community Periodontal Index of Treatment Needs (CPITN). Participants were divided into three groups: Test, Control I and Control II groups. Scaling and polishing were done for all patients with periodontal disease before (Test group) and after delivery (Control I). All Control II participants (those without periodontal disease) were given Oral hygiene instructions. Descriptive and comparative analyses were done using Epi info version 2008. RESULTS: Four hundred and fifty women received the questionnaire but the response rate was 94%, giving an actual sample size of 423 participants. Maternal age range was between 18 and 34 years with mean age of 29.67 (± 3.37). Gestational age at the point of recruitment was between 10 weeks and 26 weeks with mean of 23.34 (± 4.05). The prevalence of periodontal disease among the study group was 33.38%. About 71% of the participants attained tertiary level of education; only 0.7% had no formal education. There was 9.9% use of alcohol among the participants. The mean oral hygiene score for the participants was 1.94 (± 1.31). The prevalences for preterm deliveries, low birth weight and spontaneous abortion were 12.5%, 12.1% and 1.42% respectively. CONCLUSION: This study confirms periodontal disease as a probable risk for adverse pregnancy outcomes such as preterm delivery and low birth weight. Therefore, health workers should be encouraged to promote good oral health among women.
[To finish with fear of dental care].
Bohl JB, Bracconi M, Herve C … +1 more , Pirnay P
Odontostomatol Trop · 2015 Jun · PMID 26934774
The patient facing the dentist knows fear, anxiety. The symbolism of the mouth and teeth from childhood is an entirely specific nature of the human body. The terrifying image of dental treatment and dentist that has long...
The patient facing the dentist knows fear, anxiety. The symbolism of the mouth and teeth from childhood is an entirely specific nature of the human body. The terrifying image of dental treatment and dentist that has long been stigmatized through painting, literature, theater and cinema can change today. Many therapeutic options to the management of anxiety in dental phobia; anesthesia, conscious sedation, combined with a soothing cabinet, a caring dentist, targeted use of medications or milder alternative methods; homeopathy, herbal medicine, acupuncture, psychotherapy, places the patient's interests at the center of the caregiving relationship. But this treatment panel is also offered him the difficulty of the choice. This exercise without systematization, according to the patient with competence and kindness. Some patients may be sent or processed in collaboration with other health professionals.
Oral health status of diabetes mellitus patients in Southwest Cameroon.
Bissong M, Azodo CC, Agbor MA … +2 more , Nkuo-Akenji T, Fon PN
Odontostomatol Trop · 2015 Jun · PMID 26934773
INTRODUCTION: Diabetes mellitus affects virtually all tissues and organs the body including the hard and soft issues of the oral cavity, manifesting with several complications. OBJECTIVE: To assess the prevalence of oral...
INTRODUCTION: Diabetes mellitus affects virtually all tissues and organs the body including the hard and soft issues of the oral cavity, manifesting with several complications. OBJECTIVE: To assess the prevalence of oral diseases in diabetics and non-diabetics and to correlate oral diseases with glycaemic control. MATERIALS AND METHODS: This was an observational study involving 149 diabetic patients recruited from hospitals in Southwest Region of Cameroon and 102 non-diabetic controls drawn from the general population. The study participants were aged 18 years and above. Data were collected using questionnaires, oral examination and laboratory tests. Oral examination was conducted to assess dental plaque, calculus, dental caries, periodontitis, gingivitis and candidiasis. Glycemic status was assessed by measuring glycated hemoglobin (HbA1c) levels using standardized methods. RESULTS: Thirty five out of 149 (23.5%) diabetic patients had gingivitis; 37 (24.8%) had periodontitis; 29 (19.5%) had dental caries and 32 (21.5%) had oral candidiasis. Gingivitis, periodontitis and oral candidiasis was significantly higher in diabetics than non-diabetics (P < 0.001). Also, more diabetic patients presented with poor oral hygiene than non-diabetics. Poorly controlled diabetics presented more with gingivitis and candidiasis than well-controlled diabetics and this relationship was statistically significant. CONCLUSION: The prevalence of oral disease was significantly higher in diabetics than in non-diabetic controls and hyperglycaemia seemed to be a major contributor to oral health in diabetic patients in the study area. Proper management of blood sugar levels might improve on the oral health of diabetes mellitus patients.
[Oral metal foreign bodies].
Odzili FA, Guimbi KC, Diembi S … +4 more , Ngouoni, Bissiko F, Fouemina T, Ondzotto G
Odontostomatol Trop · 2015 Jun · PMID 26934772
Oral foreign bodies are most encountered in children. They rarely pose diagnostic problems. But the therapeutic management can use the therapeutic escalation from simple extraction chair to extraction per endoscopic unde...
Oral foreign bodies are most encountered in children. They rarely pose diagnostic problems. But the therapeutic management can use the therapeutic escalation from simple extraction chair to extraction per endoscopic under general anesthesia. We report an unusual case of metal foreign body (umbrella's support) penetrating the oral cavity and measuring 18 cm long in a 5 years-old boy. A radiograph of skull centered on the mouth as great interest in the diagnostic and particulary in the management of the metallic foreign body. The extraction of foreign body was done by oral approaches under general anesthesia.
Analysis of Nigerian dentists' opinion and consequences on expanded function dental auxiliaries.
Umanah AU, Azodo C
Odontostomatol Trop · 2015 Jun · PMID 26934771
OBJECTIVE: To examine Nigerian dentists' opinion on expanded function dental auxiliaries. METHODS: This cross-sectional study of Nigerian dentists attending a dental conference was conducting in 2012 using self-administe...
OBJECTIVE: To examine Nigerian dentists' opinion on expanded function dental auxiliaries. METHODS: This cross-sectional study of Nigerian dentists attending a dental conference was conducting in 2012 using self-administered questionnaire. The data were analyzed using Statistical Package for the Social Sciences version 16.0. P < 0.05 was considered statistically significant. RESULTS: The majority of the 82 dentists that participated in this study were male, aged 31-40 years, either specialist or specializing (residents), practiced for < 10 years, teaching hospital and urban practitioners. Of the participants, 22 (26.8%) reported favorable opinion towards expanded duty dental auxiliaries. The mean scores on consequences, of expanded function dental auxiliaries ranked redundancy of dentist as highest. Males and non-specialist significantly reported expanded function dental auxiliaries would lead to redundancy of dentists. Practitioners working in other hospitals other than teaching hospital significantly reported that appropriate legislation are necessary before expansion of duties of the dental auxiliaries can be done. The dentists with favorable opinion significantly reported that expanded duty dental auxiliaries would not cause redundancy of dentist and the task are not too difficult for dental auxiliaries with necessary training but will increase service delivery and efficiency, increase job satisfaction, lead to dental auxiliary specialization with legislation. CONCLUSION: Data from this study revealed overall unfavorable opinion of Nigerian dentists on the expanded duty dental auxiliaries. However, those with favorable opinion were significantly supportive of expanded function dental auxiliaries. This information would serve as a useful tool for Nigerian oral healthcare policy formulators.
[Impact of the edentulousness on the quality of life related to the oral health of the Congolese].
Mayunga GM, Lutula PS, Sekele IB … +3 more , Bolenge I, Kumpanya N, Nyengele K
Odontostomatol Trop · 2015 Jun · PMID 26934770
BACKGROUND: No studies on the perception of tooth loss effects in their daily lives of edentulous were performed in Congolese Bantu. OBJECTIVES: To assess the severity of the impact of edentulism on the quality of life o...
BACKGROUND: No studies on the perception of tooth loss effects in their daily lives of edentulous were performed in Congolese Bantu. OBJECTIVES: To assess the severity of the impact of edentulism on the quality of life of partially edentulous Congolese and analyze the influence of age, sex, missing teeth, the location of gaps and pairs of posterior dental occlusion in this impact. METHOD: This descriptive cross-sectional study was conducted in the University Clinics of Kinshasa (CUK) and the Centre Boyambi Army Hi Kinshasa/Gombe. One hundred and eighty one edentulous adults and non-denture wearers clinically examined were asked to complete the questionnaire OHIP 14. RESULTS: Average severity was 11.67 ± 8.74 on a scale of 0-56. Statistically missing teeth, location of gaps and pairs of posterior dental occlusion residual alter this severity. The poor quality of life was noted in patients who had lost more than 5 teeth (17.04 ± 7.26), anterior losses (17.32 ± 9.42) and less than 4 pairs of posterior occlusion (17.84 ± 6.13). Difficult chewing and concern were the most reported items. CONCLUSION: Severity of the influence of tooth loss on the daily life of Congolese people is low. All edentulous does not necessarily cause a very poor quality of life. Increasing the number of lost teeth, presence of anterior gaps and reduction of posterior occlusion pairs below 4 disrupt the quality of life of partially edentulous.
Malocclusion and orthodontic treatment need of patients attending the Lagos University Teaching Hospital, Lagos, Nigeria.
Utomi Il, Onyeaso Co
Odontostomatol Trop · 2015 Jun · PMID 26934769
OBJECTIVE: To determine the orthodontic treatment needs of patients attending a Nigerian Teaching Hospital using the Dental Aesthetic Index. METHOD: One hundred and fifty study models of patients who attended the Orthodo...
OBJECTIVE: To determine the orthodontic treatment needs of patients attending a Nigerian Teaching Hospital using the Dental Aesthetic Index. METHOD: One hundred and fifty study models of patients who attended the Orthodontic clinic of the Lagos University Teaching Hospital were assessed using the DAI. The data was collected using an evaluation form. Descriptive statistics, Chi-square values and t-tests were used to analyze the data. RESULTS: The mean DAI score was 31.5 ± 9.7. Overall, 32% of the subjects had no need or slight need for orthodontic treatment. In 23.3% the need for treatment was elective. Severe malocclusion with treatment highly desirable was found in 16.7% and 28% had handicapping malocclusion with treatment considered mandatory. There were no significant gender differences with regard to the DAI treatment categories (p > 0.05). There were no statistically significant differences in mean DAI scores between age groups, gender and social class (p > 0.05). CONCLUSIONS: This study showed that close to one-third of the subjects had dental appearance that did not require treatment. A significant proportion (28%) of the subjects had very severe (handicapping) malocclusion and could qualify for publicly subsidized orthodontic treatment.
[Prevalence of dental caries in school in the city of Ouidah in 2013].
Djossou D, Nancy J, Houinato D … +1 more , Lanchoessi D
Odontostomatol Trop · 2015 Jun · PMID 26934768
INTRODUCTION: The tooth decay is considered according to the WHO as the fourth world plague, after cancers, cardiovascular diseases and HIV infection. It is about a multifactorial affection few studied in Benin. The purp...
INTRODUCTION: The tooth decay is considered according to the WHO as the fourth world plague, after cancers, cardiovascular diseases and HIV infection. It is about a multifactorial affection few studied in Benin. The purpose of this work was to study prevalence of the tooth decay in schools in the city of Ouidah. METHODS: We conducted a descriptive cross-sectional and analytical study from 27th to 31st May 2013. It focused on 497 students aged from 5 to 15 years of primary and secondary schools in Ouidah. Each child received a dental examination and oral interview which allowed us to have the demographic data and those concerning behavior. RESULTS: The study disclosed that 73% of subjects have toothbrush, but only 4% of them brush frequently their teeth (3 three times a day). 96% of subjects stated that they have never consulted a dentist. The decay prevalence was 49.7% and was correlated to factors such as frequency of brushing, frequency of consultation, history family and parents' assistance. The DMFT index was 0.7. On 369 absent and filled decayed teeth, we counted only a single filled tooth that is 0,2% of teeth. CONCLUSION: In Ouidah's schools, tooth decay is a worrying pathology. The fillings are virtually nonexistent. To provide students a better oral hygiene and healthier teeth, an oral health education module in schools and the integration of oral systematic visits of student's examination at school is required.
[Sagittal photogrammetric evaluation of the soft tissue profile between two different racial groups: a comparative study].
Diouf JS, Ngom PI, Fadiga MS … +4 more , Badiane A, Diop-Ba K, Ndiaye M, Diagne F
Odontostomatol Trop · 2015 Jun · PMID 26934767
INTRODUCTION: Facial soft-tissue analyses made from photographic records (photogrammetric analysis of the soft tissues) showed interracial dimorphism. Standard of these facial analyses, originally obtained from Caucasian...
INTRODUCTION: Facial soft-tissue analyses made from photographic records (photogrammetric analysis of the soft tissues) showed interracial dimorphism. Standard of these facial analyses, originally obtained from Caucasian might not be appropriate for the diagnosis and treatment planning of other groups of orthodontic patients. The purpose of this study was to compare the sagittal photogrammetric soft tissue profile characteristics between Senegalese and Moroccan adults. MATERIALS AND METHODS: A cross-sectional study was performed in a group of Senegalese and Moroccan students in the Faculty of Medicine, Pharmacy and Dentistry of Dakar. Standardized facial-profile photographs were taken with each student in natural head position, centric relation, and relaxed lip posture. Twenty four linear parameters were measured on paper sheet using a graduated ruler. For each variable mean and SD were calculated. In addition independent samples t-test was performed to detect sexual and racial dimorphism. Results were regarded as significant at p = 0.05. RESULTS: Senegalese subjects had significantly more lips protrusion than Moroccan who had significantly a more elongated and more anterior positioned nose, a more chin prominence and a tendency to cutaneous class II than Senegalese. CONCLUSION: Further studies including different age groups subjects would allow having longitudinal data according to age.
[Accidental injection sodium hypochlorite during endodontic therapy. Better understand to better manage].
Ben Rejeb H, Douki N
Odontostomatol Trop · 2015 Sep · PMID 26930773
The high frequency of iatrogenic incidents during endodontic treatment is a source of stress for the practitioner. These incidents may occur during the different steps of a root canal treatment. During irrigation, extrus...
The high frequency of iatrogenic incidents during endodontic treatment is a source of stress for the practitioner. These incidents may occur during the different steps of a root canal treatment. During irrigation, extrusion of sodium hypochlorite beyond the apex is a rare but impressive accident. Sodium hypochlorite, is the most common irrigant used in modern endodontics, but when it comes in contact with the periapical tissue, it can cause complications ranging from mild discomfort to serious tissue damage such as the hematoma and hemato-emphysema. The aims of this article are to discuss through the presentation of two clinical cases: Etiological and predisposing factors; Signs guiding to suspicion of accidental injection of sodium hypochlorite. In this work, we focused on clinical keys that help the practitioner in better understanding this accident in order to prevent it or to manage it well when it occurs.
[Transient removable dentures].
Kouadio AA, Jordana F, N'Goran JK … +1 more , Le Bars P
Odontostomatol Trop · 2015 Sep · PMID 26930772
Removable dentures are always transient current. The epidemiology and causes of tooth gaps demonstrate the need to master the different prosthetic treatment. This made whether to propose treatment plans that take into ac...
Removable dentures are always transient current. The epidemiology and causes of tooth gaps demonstrate the need to master the different prosthetic treatment. This made whether to propose treatment plans that take into account psychological, physiological and technical support for this patient. Different situations may arise. A gradual transition may be considered or immediate passage to the total edentulous according to general criteria, local and desiderata of patients. After tooth extraction, the transitional prosthesis can control bone lysis thereby it is part of a complete treatment before prosthesis. It also facilitates a good psychological and physiological integration before the prosthesis use.
Ritual tooth modification among the Baka pygmies in Cameroon.
Agbor AM, Azodo CC, Naidoo S
Odontostomatol Trop · 2015 Sep · PMID 26930771
INTRODUCTION: Ritual tooth mutilation is a relatively understudied human body mutilatory practices. The purpose of the study was to examine the effects of ritual tooth modification, teeth cleaning measures and herbal med...
INTRODUCTION: Ritual tooth mutilation is a relatively understudied human body mutilatory practices. The purpose of the study was to examine the effects of ritual tooth modification, teeth cleaning measures and herbal medications for their oral health problems among the Baka pygmies in Cameroon. MATERIALS AND METHODS: This cross-sectional study was conducted between January and March, 2012 using semi-structured questionnaire as the tool of data collection. Intra-oral examinations were carried out to determine the dental hard tissue loss using Smith and Knight Tooth Wear Index (TWI). RESULTS: Fifty-six pygmies with ritual tooth modification made of 34 males (60.7%) and 22 females (39.3%) with a mean age of 31 years were interviewed and had oral health examination. The reported age at which the tooth modification was done was between 10 and 15 years with mean age as 12 ± 1.66 years. More than half (58.9%) of the participants reported the tooth filing as painful and nearly two-thirds (64.3%) of the participants reported having persistent pain afterwards. The upper right central and lateral incisors were the most commonly modified teeth. A total of 42.9%, 12.5% and 7.1% of the participants had Smith and Knight TWI scores of 2, 3 and 4 respectively. All the participants reported cleaning their teeth at least once-daily with about two-thirds (66.1%) of them doing so with chewing stick. The majority (67.9%) of the participants reported cleaning their teeth for cosmetic reasons [to remove dirt' (60.7%) and 'to remove stains' (7.1%)]. The oral health problems among the participants in form of tooth sensitivity, toothache and dental abscess were treated with plant-based traditional medicines from Irvingia gabonensis, Ricinodendron heudoletti, Pterocarpus soyauxii, Alchornea cordifolia and Piptadeniastrum africanum. CONCLUSION: Ritual tooth modification is a painful mutilatory practice which is culturally significant for the Baka pygmies without health benefit. There is need for intervention to stop this harmful traditional practices among the pygmies. Further studies is recommended to elucidate the medicinal and pharmaceutical benefits of plants used for tooth sensitivity and other oral health problems by the pygmies.
[Orthodontic correction of a Brodie syndrome case related to oral habits].
Oualalou Y, Benyahia H, Zaoui F
Odontostomatol Trop · 2015 Sep · PMID 26930770
Unilateral Brodie bite, called also Scissor bite, is a form of transversal malocclusion that often leads to minor facial asymmetry. The prevalence of this form of malocclusion is rare, especially met in mixed denture. We...
Unilateral Brodie bite, called also Scissor bite, is a form of transversal malocclusion that often leads to minor facial asymmetry. The prevalence of this form of malocclusion is rare, especially met in mixed denture. We report a case of 11-year-old girl who presents unilateral scissor bite related to oral habits, with a skeletal class II. Modified activation by contraction of a bi-helix appliance was used to treat the unilateral scissor bite occlusion, before approaching the correction of the sagittal relationship.
[Evaluation of the quality of proximal restorations with plastic materials: radiographic study].
Karimi Z, Kessa S, Chala S … +1 more , Abdallaoui F
Odontostomatol Trop · 2015 Sep · PMID 26930769
AIM: To assess the quality of proximal coronary restorations and bring out the factors influencing this quality. MATERIAL AND METHOD: A transversal study on 160 radiographs of proximal coronary restorations was conducted...
AIM: To assess the quality of proximal coronary restorations and bring out the factors influencing this quality. MATERIAL AND METHOD: A transversal study on 160 radiographs of proximal coronary restorations was conducted at the University Center of Dental Consultation and Treatment of Rabat. Restorations were evaluated according to the modified USPHS criteria. Four variables were studied: restoration material, treated tooth, cavity type and location of treatment in order to identify the influencing factors. RESULTS: Forty five per cent of the evaluated proximal coronary restorations required replacement. The main cause of failure was recurrent caries in 36% of cases, followed by the absence of the contact point (24.4%), unacceptable proximal coronary outline (13.8%), and finally dentin exposure (6.9%). Thus, it turned out that there is a difficulty to restore correctly posterior proximal cavities especially using amalgam and a high rate of recurrent caries at both the anterior and posterior teeth. CONCLUSION: Both a clinical and a radiographic evaluation after each proximal restoration would be recommended to reduce failure.
Dental caries prevalence and bilateral occurrence in premolars and molars of adolescent school children in Ibadan, Nigeria.
Denloye OO, Ajayi DM, Popoola BO
Odontostomatol Trop · 2015 Mar · PMID 26058310
The aim of the study was to determine the prevalence of dental caries in premolars and molars of adolescent school children in Ibadan, Nigeria with a view of comparing findings from this study with previous African studi...
The aim of the study was to determine the prevalence of dental caries in premolars and molars of adolescent school children in Ibadan, Nigeria with a view of comparing findings from this study with previous African studies. A cross section of 12-19 year-old school children from the five local government areas in Ibadan were examined over a period of three months by two examiners (OD and DA), using the WHO criteria for diagnosing dental caries. Only premolars and molars were examined but the third molars were excluded because they were not fully erupted in most children. The mean age of the children under study was 16.2 ± 0.83 years. Dental caries was detected in 10.8% of the children. Overall, 225 teeth had dental caries, out of which 13.3% were premolars while 86.67% were molars. Among the molars, first molars were mostly affected by caries (68.72%) while 31.28% second molars were affected. Second premolars were more affected by caries among the premolars. Also bilateral caries occurrence was highest in the mandibular first molars. In conclusion since the first molars were the most vulnerable teeth to decay, caries preventive programs on them need to be drawn up.
[Ectodermal Capdepont syndrome and oral prosthetic rehabilitation. About a clinical case].
Kumpanya P, Matshumba M, Sekele IB … +3 more , Mayunga M, Lutula PS, Ntumba MK
Odontostomatol Trop · 2015 Mar · PMID 26058309
The authors describe the ectodermal Capdepont syndrome as an anomaly characterized by anhidrosis, hypotrichosis and anodontia diagnosed in a 22 year-old adult. In front of this anodontia, oral prosthetic rehabilitation r...
The authors describe the ectodermal Capdepont syndrome as an anomaly characterized by anhidrosis, hypotrichosis and anodontia diagnosed in a 22 year-old adult. In front of this anodontia, oral prosthetic rehabilitation remains the only solution.
Parental perceptions of dental visits and access to dental care among disabled schoolchildren in Kuwait.
Shyama M, Al-Mutawa SA, Honkala E … +1 more , Honkala S
Odontostomatol Trop · 2015 Mar · PMID 26058308
The objective of this study was to describe dental visiting habits and access to dental care among the disabled schoolchildren in Kuwait. A total of 308 parents of children with a physical disability (n = 211), Down synd...
The objective of this study was to describe dental visiting habits and access to dental care among the disabled schoolchildren in Kuwait. A total of 308 parents of children with a physical disability (n = 211), Down syndrome (n = 97) and teachers, who had normal children (n = 112) participated in the study. Less than one-fourth (21%) of the disabled children and 37% of the normal children had never visited a dentist (p = 0.003). Majority of Down syndrome (72%) and physically disabled children (59%) received curative dental care compared to 47% of normal children (p = 0.016). A bigger proportion of disabled children (42%) visited the dentist due to tooth ache than the normal ones (25%) (p < 0.01). Only 9.6% of Down syndrome children perceived no barriers to seek the dental care compared to 26.2% of physically disabled and 32.2% of normal children (p = 0.008). Difficulty to get an appointment was the most common perceived barrier to dental care by parents of Down syndrome children and the normal children (37.3%). Parents of disabled children considered difficulty in cooperation as a more important barrier to treatment (34.7%) than the parents of normal children (20.3%). Larger proportion of parents of normal children (82%) rated the present dental services as excellent/good compared to 52% of the parents of disabled children (p < 0.001). Toothache and curative treatment need were the main reasons for dental visits among disabled children. Regular dental check-ups and preventive oral health care should be encouraged for comprehensive coverage of the national school oral health program for the disabled in Kuwait.
[Relationship between the obstructive character of the tonsils and the sagittal cephalometric measurements].
Diouf S, Ngom PI, Fadiga MS … +4 more , Diop-Ba K, Badiane A, Sonko O, Diagne F
Odontostomatol Trop · 2015 Mar · PMID 26058307
INTRODUCTION: The role of obstructive tonsils in the sagittal dimension of the skeleton-dental abnormalities is widely discussed in the literature but remains controversial. Data on the probable relationship between obst...
INTRODUCTION: The role of obstructive tonsils in the sagittal dimension of the skeleton-dental abnormalities is widely discussed in the literature but remains controversial. Data on the probable relationship between obstructive tonsils and the presence of these abnormalities were subjective. The objective of this study was to quantify the relationship between the obstructive character of the tonsils and the sagittal cephalometric measurements. MATERIALS AND METHODS: A cross-sectional study was performed in children aged between 6 to 12 years divided into 2 groups (A and B) according to the obstructive character of the tonsils. Cephalometric measurements were recorded on each child. Data were analyzed using SPSS 20.0 for Windows. At Student test was used to compare quantitative variables according to the obstructive character of the tonsils. Significance was set at p = 0.05. RESULTS: Subjects with obstructive tonsils (group B) are significantly more trend to have a convex facial profile and a skeletal class II with more mandibular retrusion and retroclined incisor compared with subjects without obstructive tonsils (group A). CONCLUSION: Early evaluation of children with obstructive tonsils can prevent sagittal dimension of the squeleto-dental abnormalities caused by upper airway obstruction. Thus late and more aggressive treatments which are not always as efficient as when they were performed during childhood will be avoided.
A preliminary study of a new endodontic irrigation system: Clean Jet Endo.
Nouioua F, Slimani A, Levallois B … +4 more , Camps J, Tassery H, Cuisinier F, Bukiet F
Odontostomatol Trop · 2015 Mar · PMID 26058306
The purpose of the present study was to assess the irrigant penetration and cleaning ability of a new irrigation system, the Clean Jet Endo (Produits Dentaires SA, Switzerland) in comparison to conventional irrigation fo...
The purpose of the present study was to assess the irrigant penetration and cleaning ability of a new irrigation system, the Clean Jet Endo (Produits Dentaires SA, Switzerland) in comparison to conventional irrigation followed or not by sonic activation. Irrigant penetration was evaluated on resin blocks simulators by measuring the methylene blue absorbance thanks to a UV/visible spectrophotometer and cleaning ability was assessed in an ex vivo experiment according to the debris score in an artificial canal extension before and after the final irrigation protocol. A statistical analysis was carried out in order to highlight the significant differences between the irrigation techniques. Clean Jet Endo permitted to better eliminate the methylene blue into the simulated canals. A significant difference between the 2 techniques was observed in the middle third (p = 0.005) as well as in the apical third (p < 0.2). An additional microscope observation (16X) confirmed that Clean Jet Endo@ usage led to a better penetration of irrigant within the lateral canals of the simulators. Likewise, this irrigating system permitted to better eliminate the debris in the lateral groove than the other techniques. In conclusion, our findings implied the potential of this new irrigation system to enhance root canal debridement and disinfection.
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