Anzouan-Kacou E, Assouani C, Aba T
… +5 more, Nguessan D, Adouko-Aka J, Salami A, Konan E, Assa A
Odontostomatol Trop
· 2015 Mar · PMID 26058305
UNLABELLED: The authors report a case of tetanus diagnosed in the aftermath of tooth extraction, in the absence of any other front door. OBSERVATION: A patient showed a persistent trismus several days after the extractio...UNLABELLED: The authors report a case of tetanus diagnosed in the aftermath of tooth extraction, in the absence of any other front door. OBSERVATION: A patient showed a persistent trismus several days after the extraction of tooth 38 performed at the dental office. The diffusion of tension and the appearance of paroxysms allowed the diagnosis of tetanus. DISCUSSION: The possibility of occurrence of tetanus after a tooth extraction should be kept in mind before a persistent trismus with rapid expansion in the neck and limbs. The dentist should be aware of the symptoms of tetanus to refer the patient to a specialized department.
Cabasse C, Marie-Cousin A, Huet A
… +1 more, Sixou JL
Odontostomatol Trop
· 2015 Mar · PMID 26058304
Anesthetizing MIH (Molar and Incisor Hypomineralisation) teeth is one of the major challenges in paediatric dentistry. Computer-assisted IO injection (CAIO) of 4% articaine with 1:200,000 epinephrine (Alphacaine, Septodo...Anesthetizing MIH (Molar and Incisor Hypomineralisation) teeth is one of the major challenges in paediatric dentistry. Computer-assisted IO injection (CAIO) of 4% articaine with 1:200,000 epinephrine (Alphacaine, Septodont) has been shown to be an efficient way to anesthetize teeth in children. The aim of this study was to assess the efficacy of this method with MIH teeth. This preliminary study was performed using the Quick Sleeper system (Dental Hi Tec, Cholet, France) that allows computer-controlled rotation of the needle to penetrate the bone and computer-controlled injection of the anaesthetic solution. Patients (39) of the department of Paediatric Dentistry were included allowing 46 sessions (including 32 mandibular first permanent molars) to be assessed. CAIO showed efficacy in 93.5% (43/46) of cases. Failures (3) were due to impossibility to reach the spongy bone (1) and to achieve anaesthesia (2). This prospective study confirms that CAIO anaesthesia is a promising method to anesthetize teeth with MIH that could therefore be routinely used by trained practitioners.
Bennani A, Amine M, Ezzahi A
… +2 more, Chafii A, Eladioui S
Odontostomatol Trop
· 2014 Dec · PMID 25980097
Ni-Cr alloys used in denture set, which have excellent mechanical properties, have a chemical and electrochemical inertia that depends on their composition and their microstructure. The objective of our work was to study...Ni-Cr alloys used in denture set, which have excellent mechanical properties, have a chemical and electrochemical inertia that depends on their composition and their microstructure. The objective of our work was to study the ultrastructure of the Ni-Cr alloy exposed to a free corrosion and a chemical analysis of surface depending on its composition. For this, five electrodes Ni-Cr alloy were prepared at the prosthesis laboratory by varying their composition. An analysis of the ultrastructure of the samples made by Scanning Electron Microscopy (SEM) samples was performed as well as a chemical analysis of their spectra. Prior to any manipulation, analysis by SEM of electrode number 5 (100% new metal) shows an altered surface. The electrode 3 (75% new metal) also presents an uneven surface. After a week in a free corrosion in Meyer solution at pH = 6.5, the electrode 5 shows a widespread intergranular and pitting corrosion. The same electrode 3 (75% new metal) after one week immersion in Ringer's solution at pH 7.9, shows a widespread intergranular and pitting corrosion. After electrochemical testing in Ringer's solution at pH 5, the SEM for electrode 1 (100% recovered metal) shows a very rugged structure with an important crevice corrosion. The composition and terms of shaping the Ni-Cr alloy influence its microstructure and at the same time its electrochemical behavior.
OBJECTIVE: Dentoalveolar abscess is a serious complication that may arise from untreated dental caries, periodontal disease, pericoronitis and facial fractures. The objective of study was to ascertain the dental visit pa...OBJECTIVE: Dentoalveolar abscess is a serious complication that may arise from untreated dental caries, periodontal disease, pericoronitis and facial fractures. The objective of study was to ascertain the dental visit pattern and awareness of dental treatment among patients attending a secondary oral health facility in Benin-City with dentoalveolar abscess. MATERIALS AND METHODS: A total of 50 patients that presented with dentoalveolar abscess in the Dental Clinic of Central Hospital between September, 2012 and July, 2013 constituted the study population. Data was collected using unstructured in-depth interview, following a topic guide. RESULTS: Of the 50 patients, 29 (58%) were females, while 21 (42%) were males. Age range was between 3-67 years and the educational status of the patients ranged from illiterate to graduates of tertiary institution. Time interval between onset of pain and presentation of swelling was 1 day to 10 years. Forty-five patients (90%) have heard of dentists. A total of 27 (60%) reported teeth extraction as the only treatment carried out by dentists, 12 (27%) extraction/restoration replacement/treatment and 5 (13%) treatment only. Thirty-seven patients (74%) were first time clinic attendees, 7 (14%) were second time clinic attendees and 6 (12%) were three times and more clinic attendees. CONCLUSION: This study revealed that patients attending secondary oral health facility with dentoalveolar abscess were dominantly first time dental clinic attendees and exhibited low awareness of treatments offered by dentists. There is need to further investigate the barriers to preventive visits and to improve of awareness of dental treatment among previous dental clinic attendees.
Guiguimde WP, Bakiono F, Ouedraogo Y
… +5 more, Millogo M, Gare JV, Konsem T, Ouedraogo A, Ouedraogo D
Odontostomatol Trop
· 2014 Dec · PMID 25980095
INTRODUCTION: The consequences of tooth loss are often severe for the patient: aesthetic deficit, decreased masticatory coefficient, malnutrition... The objective of this study was to describe the epidemiological and cli...INTRODUCTION: The consequences of tooth loss are often severe for the patient: aesthetic deficit, decreased masticatory coefficient, malnutrition... The objective of this study was to describe the epidemiological and clinical aspects of dental extractions of patients attending the University Teaching Hospital Yalgado Ouedraogo (UTHYO). PATIENTS AND METHODS: It was a descriptive cross-sectional retrospective study on a sample of 65 patients who received a dental extraction at least in dental surgery of the UTHYO. RESULTS: The sample consisted of 33 (50.8%) patients female to 32 (49.2%) cases of male, or a sex ratio of 0.96. The average age was 36,55 year-old with extremes of 5 and 84 years. Employees and pupils were the most affected by extractions (33 cases; 47,8% and 22 cases; 33,8%). Dental extractions were more frequent in patients aged between 25 and 60 years. A total of 84 tooth extraction was performed in 65 patients, an average of 1.3 tooth extracted per patient. The most often extracted tooth was the third lower molar (17 cases, 22,95%). The canine was the less often extracted tooth (1 case, 1,35%). Dental decay and its complications (57 cases, 67,87%) and periodontal diseases (10 cases, 11,90%) were the commonest reasons for dental extractions. CONCLUSION: Dental decay and periodontal diseases are the most important causes of dental extractions. Particular emphasis should be placed on prevention and early care of teeth.
OBJECTIVE: To evaluate the self-reported oral health attitudes and behaviour among the clinical dental students and to compare the influence of clinical experience on oral health attitudes and behaviour among dental stud...OBJECTIVE: To evaluate the self-reported oral health attitudes and behaviour among the clinical dental students and to compare the influence of clinical experience on oral health attitudes and behaviour among dental students at the different clinical years in the University of Benin using the modified Hiroshima University Dental Behavior Inventory (HU-DBI). METHODS: The study involved 156 clinical dental students from the University of Benin, Benin City, Nigeria. Demographic data were obtained for age and gender from 4th, 5th and 6th year clinical students. A modified English version of HU-DBI survey consisted of 22 items with dichotomous responses (yes-no) was used in this study. Descriptive statistics was performed for age and clinical level of education. Chi-square text was applied to the percentages of responses. Tamhane's T2 post-hoc multiple comparison for pairwise comparison of the three clinical levels of students was done to determine the differences. Test significance was set at P < 0.05. RESULTS: The response rate was 87.2%. The mean age of the respondents was 26.2 + 2.4 years. A total of 62 (39.7%) respondents were females and 94 (60.3%) males. Statistically significant differences were found among the various clinical levels of dental students for previous visit to the dentist office, visiting the dentist unless there is toothache, brushing the teeth twice daily and the prevention of gum disease with tooth brushing alone. CONCLUSION: There was improvement in the dental students' oral health behaviour and attitudes with increasing level of dental education.
Lan R, Tzortzis S, Desfosses Y
… +2 more, Signoli M, Tardivo D
Odontostomatol Trop
· 2014 Dec · PMID 25980093
INTRODUCTION: This article presents the analysis of dental remains and waste from the dental office of a German rest camp of the First World War in order to study the living conditions of the soldiers, the care policy an...INTRODUCTION: This article presents the analysis of dental remains and waste from the dental office of a German rest camp of the First World War in order to study the living conditions of the soldiers, the care policy and the prosthetic rehabilitation techniques used in this context. MATERIALS AND METHODS: The study included both dental and prosthetic remains, revealed during the excavation. The criteria to determine dental and periodontal health were the presence or absence of caries, wear, tartar and periodontal lesion. Location, severity and frequency of each of these parameters were examined. Regarding the prosthetic remains, the type of prosthesis and the materials used were determined. RESULTS: Three hundred and twenty seven (327) dental remains were analyzed. A high prevalence of large caries, especially in the molar areas, was highlighted. The incisal areas had however more wear and tartar. 183 casts of plaster dental arcade allowed to highlight a significant proportion of posterior edentulous. Prosthetic remains and laboratory waste revealed the use of vulcanite and porcelain for making dentures.
Gueye M, Dieng L, Mbodj EB
… +5 more, Seck AK, Toure A, Thioune N, Seck MT, Ngom PI
Odontostomatol Trop
· 2014 Dec · PMID 25980092
INTRODUCTION: Prosthetic teeth size and placement must be in perfect harmony with the bucco-facial structures for a successful and esthetic removable prosthesis. This study aimed to determine among young Senegalese black...INTRODUCTION: Prosthetic teeth size and placement must be in perfect harmony with the bucco-facial structures for a successful and esthetic removable prosthesis. This study aimed to determine among young Senegalese black people facial index estimating maxillary central incisor width and distance between canine points starting from bizygomatic width. PATIENTS AND METHODS: 621 black Senegalese participated to this transversal study. Measurements were made using anthropometric slide caliper and electronic slide caliper. The comparative analysis was carried out by the test t of Student. The correlative analysis used the chi-square test. The risk of error was fixed at 5%. RESULTS: Positive correlations were found between variables. Distance between canine points was significantly (p = 0.000) correlated to bizygomatic width and central incisor width. Using bizygomatic width, the average dividing factors to estimate central incisor width and distance between canine points were respectively 15.13 and 3.75. CONCLUSION: Distance between canine points and central incisor width can be given starting from bizygomatic width, as guide of selecting maxillary anterior prosthetic teeth width.
OBJECTIVES: Primary health care workers have the educational and clinical capacity required to learn basic package of oral care and become the primary resource for oral health promotion and simple curative care in their...OBJECTIVES: Primary health care workers have the educational and clinical capacity required to learn basic package of oral care and become the primary resource for oral health promotion and simple curative care in their communities. The study was undertaken to determine the willingness of community health officers to treat patient with oral complaints, receive training on basic oral treatment and comment on basic package of oral care in the promotion of oral health. METHODS: Data were collected using self-administered questionnaires. The questionnaires were peer-reviewed for content validity and revised before data collection. Analysis was done using SPSS-16 statistical software. Proportions were compared using Chi-square test at 95% confidence interval. RESULTS: All the participants reported seeing patients with oral complaints. About 60% of the participants saw less than 5 patients with oral complaints per week, while 27.3% saw between 5-10 patients per week. Two-third (66.7%) and 18.2% of the patients visited the health centres for pain and multiple complaints respectively. About 90% of the health workers were willing to receive training on basic oral treatment and provide treatment for patients with dental complaints. CONCLUSION: The expressed desire by the community health officers to learn basic oral treatment and provide treatment for the dental population in their local community; is an indication that this group of staff may be used to bridge the existing inequalities in oral health and contribute to the promotion of oral health.
BACKGROUND: Adequate knowledge of timing and pattern of the third molars is essential. The molars are often used to supplement human maturity indicators for school attendance, social benefits, employment, and marriage, d...BACKGROUND: Adequate knowledge of timing and pattern of the third molars is essential. The molars are often used to supplement human maturity indicators for school attendance, social benefits, employment, and marriage, differentiating the juvenile from the adult's status in criminal law cases, unidentified cadavers and human remains when birth records are not adequate or not available. BROAD OBJECTIVE: The study was carried out to investigate the emergence status of the third molar tooth among 15 to 16 year-old Tanzanian adolescents. METHODOLOGY: A cross-sectional community based study was carried out among secondary school children in Ilala District, Dar es Salaam, Tanzania. This study included 203 adolescents aged 15-16 years old of whom 54% were boys and 46% girls. It was a subsample of randomly selected Tanzanian youths who were part of a larger sample of 869 children from randomly selected 16 schools from different parts of the district covering the whole range of socio-economic background. RESULTS: More third molars were already in occlusion in girls (11-13%) than in boys (3-4%) while girls had more third molars emerged into the oral cavity than boys did. The girls had about 15% to 20% of the four third molar teeth emerged in the oral cavity compared to about 3% to 18% in boys. Except for the mandibular right third molar, all the differences in emergence of the third molars between girls and boys were statistically significant. More mandibular third molars had emerged than the corresponding maxillary ones. DISCUSSION AND CONCLUSIONS: Third molars were in occlusion in 3-13% of the Tanzanian youths aged 15-16 years indicating earlier emergence than in Caucasian populations. Hence, the need for specific third molars emergence standard tables molars is evident. More studies both cross sectional and longitudinal type involving a larger sample to provide the median and mean ages, rate and pattern of emergence of the third molars in the Tanzanian youth populations are recommended.
INTRODUCTION: Inappropriate antibiotics prescription in dental healthcare delivery that may result in the emergence of antibiotic-resistant bacteria, is a worldwide concern. The objective of the study was to determine th...INTRODUCTION: Inappropriate antibiotics prescription in dental healthcare delivery that may result in the emergence of antibiotic-resistant bacteria, is a worldwide concern. The objective of the study was to determine the antibiotics knowledge and prescription patterns among dentists in Nigeria. MATERIALS AND METHODS: A total of 160 questionnaires were distributed to dentists attending continuing education courses organized by two organizations in Southern and Northern parts of Nigeria. Data analysis was done using SPSS version 17.0. RESULTS: A total of 146 questionnaires were returned, properly filled, out of 160 questionnaires, giving an overall response rate 91.3%. The clinical factors predominantly influenced the choice of therapeutic antibiotics among the respondents. In this study, the most commonly prescribed antibiotics among the respondents was a combination of amoxicillin and metronidazole. Of the respondents, 136 (93.2%) of them considered antibiotic resistance as a major problem in Nigeria and 102 (69.9%) have experienced antibiotics resistance in dental practice. The major reported conditions for prophylactic antibiotics among the respondents were diabetic mellitus, HIV/AIDS, history of rheumatic fever, other heart anomalies presenting with heart murmur and presence of prosthetic hip. The knowledge of adverse effects of antibiotics was greatest for tooth discoloration which is related to tetracycline. CONCLUSION: Data from this study revealed the most commonly prescribed antibiotics as a combination of amoxicillin and metronidazole. There existed gaps in prophylactic antibiotic prescription, consideration in the choice of therapeutic antibiotics and knowledge of adverse effects of antibiotics among the studied dentists.
BACKGROUND: During its clinical practice, the dentist is often faced with issues concerning the determination of teeth shade. This step is considered sensitive by numerous clinicians and dental laboratories. The objectiv...BACKGROUND: During its clinical practice, the dentist is often faced with issues concerning the determination of teeth shade. This step is considered sensitive by numerous clinicians and dental laboratories. The objective of this study was to test the ability of professional dentists to visually determine the teeth color. MATERIAL AND METHODS: Eleven dentists classified 35 unmarked samples according to their hue, chroma and value from 2 standardized tooth shade guides Ivoclar-Vivadent (Chromascop) et Vita (3D Master). The ratio between the number of matching samples and the total amount of samples from each group was calculated and converted to a score between 0 and 10. RESULTS: Better scores were obtained for value and chroma with the 3D Master shade guide than with the Chromascop shade guide (p < 0.001). The opposite result was obtained for the hue (p < 0.05). Globally, better results were obtained for the value and chroma, the hue being the most difficult item to evaluate. A satisfying "color perception" was observed in 69% of the cases. CONCLUSION: The results of this study argue in favor of a specific training for tooth shade determination in Odontology.
Zeroual R, Andoh A, El Mouahid N
… +1 more, Chemlali S
Odontostomatol Trop
· 2014 Sep · PMID 25975064
Despite the importance of taking the primary dental impression, this act remains unfortunately neglected by most practitioners. Think to succeed a total removable prosthesis from a failed primary dental impression is a c...Despite the importance of taking the primary dental impression, this act remains unfortunately neglected by most practitioners. Think to succeed a total removable prosthesis from a failed primary dental impression is a challenge for the practitioner and seems utopia. For this, you wish through our work give the importance to the choice of the mass-produced impression tray that is paramount for the success of the primary dental impression. This study examines a sample of 160 plaster primary models (80 maxillary and 80 mandibular) from primary dental impression carried out with mass-produced impression trays whether or not modified for new total edentulous patients having consulted at the University Dental centre in Casablanca for a prosthetic rehabilitation by total prosthesis. Thirty-six women and 44 men have been selected. The study showed that men have maxillary and mandibular arches longer and wider than those of women, and that the average value for several parameters measured is close to the measurements of the maxilla trays U3 and mandibular L3; Where the need for acquisition of large size dental impression tray, in accordance with the dimensions of our population in order to meet our expectations, namely: to respect the integrity of the support surfaces, to meet the mechanical qualities of the prosthesis, to restore the aesthetics and function by minimizing the grievances of the toothless total subject.
Manauta J, Salat A, Putignano A
… +3 more, Devoto W, Paolone G, Hardan LS
Odontostomatol Trop
· 2014 Sep · PMID 25975063
While restoring an anterior tooth, shade matching is one of the crucial points that we can face to have an esthetic final outcome. After studying the physical and optical characteristics of enamel and dentine in the firs...While restoring an anterior tooth, shade matching is one of the crucial points that we can face to have an esthetic final outcome. After studying the physical and optical characteristics of enamel and dentine in the first part of this article, the second part will propose a new method for color matching and a clinical stratification using a simple and reproducible procedure for anterior restorations with only one dentine and one enamel shade.
Benoist FL, Bane K, Aidara AW
… +3 more, Ndiaye D, Chouker Y, Kane AW
Odontostomatol Trop
· 2014 Jun · PMID 25223148
Oral diseases are considered as major public health problem. Dental caries restricts the school activities and are the dominant cause of dental morbidity. The aims of this survey were to determine prevalence of dental ca...Oral diseases are considered as major public health problem. Dental caries restricts the school activities and are the dominant cause of dental morbidity. The aims of this survey were to determine prevalence of dental caries among pupils of Dakar and to study their food habits and oral hygiene. A descriptive transversal study was conducted from February 15th to May 07th, 2011 with respect of WHO directives (protocol of 1997) readjusted to Senegalese context. Our results showed a prevalence of 41.8%; a mean DMF index of 0.644; a proportion of teeth decayed of 65%, 32.2% for missing teeth and 2.7% of filled teeth. The multivariate logistic regression analysis showed that snacking, consumption of sweetened drinks far from meals and brushing teeth before the meals were significantly linked to the presence of dental caries. These results showed that the state of oral health and the prevention level of dental caries among these children were not so good. A new orientation of oral health policy based on messages regarding the main etiologic factors is imperative.
BACKGROUND: For effective development of policy for faculty advances, it is necessary to know students' views. This study describes the perceptions of clinical students about teaching skills of faculty in the dental scho...BACKGROUND: For effective development of policy for faculty advances, it is necessary to know students' views. This study describes the perceptions of clinical students about teaching skills of faculty in the dental schools in Nigeria. METHODS: A validated, self-administered questionnaire adapted from Clinical Education Instructional Quality was used to survey 109 dental students from the three dental schools in Nigeria. Score of > or = 45 and > or = 39 was considered good perceptions for "interaction with clinical instructors" and "involvement in specific learning" respectively. Computed perception scores were compared by year of training. RESULTS: Participants comprised 64 males and 45 females; aged 21.0 to 35.0 years (mean age = 24.2 +/- 2.5 years). Majority (89.0%) of the students had good perception of their interaction with clinical instructors while 89.9% had good perception about their involvement in learning activities. More students in year three than two had positive perception about their interaction with clinical instructors and involvement in activities. CONCLUSION: Overall, dental students in Nigeria had good perception of their interaction with their clinical instructors and involvement in various learning activities but they desired more opportunity to get involve especially in the aspects of dental procedures, patients' vital signs and interpretation of laboratory tests.
El Jaoudi R, El Cadi MA, Bouslimane Y
… +3 more, Fekhaoui M, Bouklouze A, Cherrah Y
Odontostomatol Trop
· 2014 Jun · PMID 25223146
The aim of our study was to determine fluorides (F-) content in the well water consumed as drinking water by some Moroccan populations in rural areas. All samples were collected between April and October 2011. Measuremen...The aim of our study was to determine fluorides (F-) content in the well water consumed as drinking water by some Moroccan populations in rural areas. All samples were collected between April and October 2011. Measurements were performed by an ion selective electrode. Thirty wells spread to cover most of the country and locally chosen based on the number of inhabitants who consume its water. All wells were in rural areas. The mean (+/- SD) of F- was 1.84 +/- 1.6 mg/L with a range from 0.42 to 8.95 mg/L Concentrations of F- in phosphate regions were higher than those found in other regions. More than half of the samples exceeded the current standard. Our study showed that water of some Moroccan regions is naturally rich in F-exposing people who consume it at high risk of fluorosis.
BACKGROUND: Tooth mortality is mainly a reflection of untreated dental caries and periodontal disease and is considered a crude but useful measure for the dental status of a community. Oral health status of the people of...BACKGROUND: Tooth mortality is mainly a reflection of untreated dental caries and periodontal disease and is considered a crude but useful measure for the dental status of a community. Oral health status of the people of Niger Delta particularly that of children, is currently vague. AIM: To investigate the reasons and pattern of tooth extractions among children who presented at the Paediatric dental clinic of University of Port Harcourt Teaching Hospital (UPTH). METHODS: A retrospective study of children aged 16 years and below who attended the paediatric dental clinic of UPTH for treatment from March 2008 to August 2010 was done. The following information was retrieved from hospital records of the patients: age, sex, indications for extraction and the extracted teeth. RESULTS: A total of 462 children aged between 2-16 years were seen out of which 115 (24.9%) patients had extraction. On the whole, 145 teeth were extracted. Dental caries and its sequelae (irreversible pulpitis, dentoalveolar abscess etc) accounted for the highest indication for extraction 71 (61.7%) while periodontal disease accounted for the least (2.6%). The other indications for extractions were trauma, orthodontic reasons and eruption anomalies. Primary teeth 103 (71.0%) were mostly affected with the anterior teeth (33.8%) being the most frequently involved. The molars (73.8%) were the most frequently involved teeth in the permanent dentition. CONCLUSION: Dental caries and its sequelae is the commonest reason for tooth extraction. Efforts must be made to improve the dental health awareness and status of Nigerian children in this region.
Janati G, Cheikh Y, Touwaye S
… +1 more, Bellemkhannate S
Odontostomatol Trop
· 2014 Jun · PMID 25223144
The treatments with composite prosthesis require the completion of milling. These precision preparations in the fixed prosthesis promote the integration of removable partial denture with metallic framework in mechanical...The treatments with composite prosthesis require the completion of milling. These precision preparations in the fixed prosthesis promote the integration of removable partial denture with metallic framework in mechanical (prosthetic balance), physiological, aesthetical and psychological point of view. Their conception and realization are always subordinated to the balance principles of the removable partial denture. The precision they require need the use of a dental milling machine working along the predetermined insertion axis of the partial denture casting and require an excellent communication and a close collaboration between dentist and experienced technician of laboratory. In this paper, after a recalling about the milling (definition, description, interests), we will detail the steps to achieve clinical and laboratory needs for a rehabilitation by composite prosthesis combining milling, and it will be illustrated through a clinical case with a bilateral tooth-supported edentulous in the maxilla.