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Odonto-stomatologie Tropicale = Tropical Dental Journal[JOURNAL]

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Ebola haemorrhagic fever and Nigerian dental healthcare providers - knowledge of the disease.

Okoh M, Egbor PE, Okoh DS

Odontostomatol Trop · 2017 Mar · PMID 30240559

OBJECTIVE: The aim of this study was to assess the knowledge of Ebola Haemorrhagic fever (EHF) among the University of Benin clinical dental students. METHODS: The study was a descriptive, cross-sectional study among con... OBJECTIVE: The aim of this study was to assess the knowledge of Ebola Haemorrhagic fever (EHF) among the University of Benin clinical dental students. METHODS: The study was a descriptive, cross-sectional study among consenting clinical (4th, 5th and 6th year) dental students of the University of Benin. The data collection tool was a 17-item self-administered validated questionnaire with a Chronbach's alpha value of 0.84. Data from the questionnaires were scored and graded, coded and finally entered into Statistical Package for Social Sciences (SPSS) version 21.0 for data analysis. All data collected were subjected to descriptive and inferential statistics to generate frequencies, percentages and Chi-square values at a significance of P < 0.05. RESULTS: Out of the 79 questionnaires distributed, 76 were returned duly filled, giving a response rate of 96.2%. The sample consisted of 67.1% male and 32.9% female clinical dental students, with a male to female ratio of approximately 2:1. About 89.5% of the respondents were in the 3rd decade of life. The average score for the participants was 11.34 ± 2.20 which was above the average category. More than half (55.3%) of the clinical dental students had good knowledge. Over 98% of the students knew that EHF outbreaks occur primarily in Central and West Africa, however, only 16.7% of the students were aware that infected persons spread virus to others up to 7 weeks after recovery from illness. CONCLUSION: The clinical dental students easily identified EHF as a viral infection with the fruit bats as the natural host of the Ebola organisms. However, their knowledge of communicability and diagnostics was on the average. Proper knowledge regarding EHF and infection preventive measures can be the key to safety of the dentists and patients in the event of an EHF epidemic.

[Fortuitous discovery of a Stafne bone cavity in the Cone Beam CT sialography].

Ndiaye ML, Guerre A, Lecor PA … +3 more , Gassama B, Chaine A, Toure B

Odontostomatol Trop · 2017 Mar · PMID 30240558

The Stafne defect is a benign, asymptomatic, non-progressive and rare bone depression, mainly discovered by chance in the posterior mandibular region. It is described radiographically as an oval radiolucency located belo... The Stafne defect is a benign, asymptomatic, non-progressive and rare bone depression, mainly discovered by chance in the posterior mandibular region. It is described radiographically as an oval radiolucency located below the mandibular canal, in the molar region, close to the submandibular gland. Sialography is a traditional technique in the radiographic examination of salivary glands that involves the injection of an iodine-based contrast medium into the main salivary duct. The Cone Beam Computed Tomography (CBCT) is a 3D imaging technique that has modernized the dental and maxillofacial practice with its advantages such as high speed, good spatial resolution and low radiation exposure. The CBCT Sialography that consists in a 3D Sialography with cone beam offers the same benefits as traditional sialography and allows three-dimensional viewing. It is a new imaging test for an accurate anatomical study of the major salivary glands and their relationships with their environments. The aim of this report is to present a case of Stafne bone cavity containing right submandibular gland tissue, occurring in a 58-year-old man and diagnosed by using CBCT sialography.

[Odontogenic myxoma of the maxilla: report of a case].

Moukram KH, Haitami S, Yahya IB

Odontostomatol Trop · 2017 Mar · PMID 30240557

Myxoma is a rare variety of benign tumors of the jaw, whose origin is embryonic mesenchymal dental follicle. Clinical and radiological manifestations are variable and non-specific and can lend confusion with other lesion... Myxoma is a rare variety of benign tumors of the jaw, whose origin is embryonic mesenchymal dental follicle. Clinical and radiological manifestations are variable and non-specific and can lend confusion with other lesions. We describe a case of very invasive odontogenic myxoma , observed in a woman of 51 years. Clinically, the patient had left maxillary swelling, painless, firm to the touch. CT facial bones showed an expansive osteolytic process blowing the jaw. The treatment consisted of a wide excision of the tumor by endobuccal way, the tumor is individualized well from the bone. Pathological examination of the surgical specimen was diagnosed odontogenic myxoma. The short-term trend has shown no clinical and radiological local recurrence. The diagnosis is based on clinical, radiological and histological. This tumor is locally aggressive, which can lead to significant facial deformities and dental disturbances. The recurrent nature of myxoma imposes a broad radical treatment beyond the limits of the lesion. The loss of important substance required surgical repair or prosthetic.

[Interest of prosthodontic periodontal surgery in the success of anterior fixed prostheses].

Hajjaji S, Taktak R, Hajjami H … +1 more , Boughzella A

Odontostomatol Trop · 2017 Mar · PMID 30240556

INTRODUCTION: Periodontal prosthodontic surgery plays a major role in the integration of aesthetic and functional prosthetic restorations, including in the anterior area. Indeed, any dento-gingival disharmony of volume o... INTRODUCTION: Periodontal prosthodontic surgery plays a major role in the integration of aesthetic and functional prosthetic restorations, including in the anterior area. Indeed, any dento-gingival disharmony of volume or shape must be corrected beforehand, thus justify a plastic periodontal surgery. OBSERVATION: This is a 20-year-old patient, who consulted for essentially aesthetic motive: the restoration of the fracture 11. Clinical examination revealed the presence of a defective provisional prosthesis on 11, an unsightly filling composite resin on the 21, asymmetry of the gingival contour, as well as a low located upper labial brake. Juxta-bone decay of the lingual wall of the 11 was prominent on the retro-alveolar. DISCUSSION: To meet the growing aesthetic demand of the patient, a multidisciplinary care was considered: a gingivectomy has been carried out, in order to align the collar of the 11 with that of the 21, associated with a coronal elongation landscaping biological space on the lingual side of the 11. And to optimize the therapeutic outcome, a frenectomy of the upper labial brake was performed.

Immediate full removable dentures. A clinical reality of oral medicine.

Kouadio AA, Toure A, Le Bars P

Odontostomatol Trop · 2017 Mar · PMID 30240555

The decision to extract the last teeth represents for the patient an aesthetic, functional and moral damage. The realization of an immediate complete removable denture is indicated to remedy these difficulties. This will... The decision to extract the last teeth represents for the patient an aesthetic, functional and moral damage. The realization of an immediate complete removable denture is indicated to remedy these difficulties. This will make it possible to ensure a rational and efficient management of this transition to total edentulous. The restorations of aesthetics and functions as well as patient comfort constitute the essential therapeutic objectives to be achieved and this thanks to the immediate denture. This work presents, through clinical cases, the indications and the management of four patients who have never worn a removable denture.

[Treatment management of a case of class I bialveolar protrusion with mouth breathing].

Bationo R, Pelourde C, Jordana F … +2 more , Sèrémè M, Ouoba K

Odontostomatol Trop · 2017 Mar · PMID 30240554

This is the case of a 12-year-old African young girl with bialveolar protrusion and night mouth breathing. Orthodontic treatment without dental extraction consisted after tonsillectomy in retraction of anterior teeth in... This is the case of a 12-year-old African young girl with bialveolar protrusion and night mouth breathing. Orthodontic treatment without dental extraction consisted after tonsillectomy in retraction of anterior teeth in the diastema spaces. The normalization of the angle of the upper incisor has improved bialveolar protrusion without alteration to the prior balance of soft tissue.

[Epidemiology of maxillo-facial traumatism s sequels at stomatology and maxillo-facial surgery service of Yalgado Ouedraogo University Hospital Center].

Konsem T, Millogo M, Ouedraogo YI … +4 more , Ili V, Coulibaly A, Ouedraogo RWL, Ouedraogo D

Odontostomatol Trop · 2016 Dec · PMID 30240553

INTRODUCTION: Our study brings back the epidemiological and anatomo-clinical characteristics of the maxillo-facial traumatisms sequels at Yalgado Ouedraogo University Hospital Center of Ouagadougou. METHODOLOGY: It was a... INTRODUCTION: Our study brings back the epidemiological and anatomo-clinical characteristics of the maxillo-facial traumatisms sequels at Yalgado Ouedraogo University Hospital Center of Ouagadougou. METHODOLOGY: It was a transversal descriptive study going from May 2013 to April 2015. RESULTS AND DISCUSSION: In all, 152 cases of post traumatisms sequels were collected. The masculine sex was more affected with a sex-ratio of 2,53. The mean age was 30,80 years. The public road accidents (73,68%) were the main etiology of initial lesions. The isolated functional and morphological sequels respectively represented 1/3 and 1/6 of cases. Half of patients had mixed sequels. The odontological sequels (41,45%), the disgracious scars (93,68%), the neurological sequels (15,79%), the ocular sequels (11,18%), and the temporo-mandibular ankylosis were the main sequels found in our study. These sequels could be explained by the nature of initial lesions and the lateness of consultations. CONCLUSION: Development of population’s awareness and close interdisciplinary collaboration helped to reduce the frequency of these sequels.

The prevalence, oral manifestations and management of viral hepatitis in Saudi Arabia: an update.

Smith S, Almas K

Odontostomatol Trop · 2016 Dec · PMID 30240552

The aim of this review is to update healthcare professionals about the prevalence of various hepatitis viruses in the Saudi population. A perspective on the global and regional prevalence of hepatitis A, B and C viruses... The aim of this review is to update healthcare professionals about the prevalence of various hepatitis viruses in the Saudi population. A perspective on the global and regional prevalence of hepatitis A, B and C viruses has also been given. The oral manifestations of hepatitis infection, the risks of patients and healthcare workers acquiring these infections, as well as the management of dental patients with hepatitis infection in the dental clinical setting has also been discussed. The universal precautions which should be observed while treating these patients have been reiterated, whereby detailed steps as pertaining to the management of these patients have been described, so as to optimize patient treatment, and at the same time to prevent dental healthcare workers from acquiring infection. The purpose of such management is therefore to ultimately improve the quality of life of patients infected with hepatitis viruses.

[Oral health in asthmatic children using inhaled therapy. Study in the UTH of Casablanca].

Bousfiha B, Ghazzar FZ, Slaoui B … +2 more , Ladner J, Hamza M

Odontostomatol Trop · 2016 Dec · PMID 30240551

OBJECTIVE: The aim of the study was to investigate oral health in asthmatic children using inhaled therapy and to compare the oral health status according to β2 agonist and corticosteroid dose administrated. METHODS: The... OBJECTIVE: The aim of the study was to investigate oral health in asthmatic children using inhaled therapy and to compare the oral health status according to β2 agonist and corticosteroid dose administrated. METHODS: The study group composed of 160 children aged between 2 and 15 years old who had bronchial asthma at different degrees of severity, the children followed at university hospital of Casablanca. A questionnaire was filled referring to oral health habits. For dental examinations, world health organization criteria and for plaque indices the Silness and Löe plaque index were used. Oral mucosal was examined to detect candidiasis or ulcerations. RESULTS: The dental plaque registered was 1,13 ± 0,64. The mean DMFT was 3,75 ± 1,53 and the mean DMFT was 5,50 ± 3,02. A statistically significant higher average DMFT and DMFT values were observed with higher dose of β2 agonist (p < 0,05). Almost a third of studied population had oral candidiasis and 6,9% had ulcerations. These oral mucosal lesions were particularly observed in children receiving inhaled corticosteroid higher than 400 µg/j (P < 10-5) and they were lower in children using a spacer device and rinsing the mouth after treatment (P < 10-5). CONCLUSION: The results suggest higher caries susceptibility and oral mucosal lesions among asthmatic children undergoing inhaled treatment with β2 agonist and corticosteroid. A special attention by doctors and health professionals of these patients is necessary and asthmatic children are recommended to adopt more precautionary oral hygiene practices.

Use of dental floss: opinion of present and future oral health workers.

Akhionbare O, Ehizele AO

Odontostomatol Trop · 2016 Dec · PMID 30240183

OBJECTIVE: To determine the prevalence of the use of dental floss among all cadres of present and future dental health workers, in a Nigerian teaching hospital, and their opinion on the use of dental floss in the managem... OBJECTIVE: To determine the prevalence of the use of dental floss among all cadres of present and future dental health workers, in a Nigerian teaching hospital, and their opinion on the use of dental floss in the management of periodontal diseases. METHODOLOGY: A 30-item questionnaire was used to elicit information on respondents’ demographics, their opinion about the use of dental floss in the management of periodontal diseases and their personal use of dental floss. It also elicited information on respondents’ practice of recommending dental floss to dental patients and how confident they are in their ability to properly demonstrate the use of dental floss to the patients. Bivariate analyses were used to assess whether the position of the oral health workers, their gender and their use of dental floss has a relationship with their knowledge, attitude and practices regarding the use dental floss. RESULTS: Only 17.4% of the study participants flossed daily. A few of the respondents (29.4%) felt that flossing should be done after tooth brushing while majority (51.4%) felt it can be done anytime. Majority of the study participants use dental floss but fewer participants recommend the use of dental floss to their patients (p = 0.001). Among the oral health workers who do not use dental floss, 98.9% knew that dental floss removes plaque from the interdental area, 64.3% thought that flossing polishes the tooth surface as it removes the dental plaque and debris (p = 0.039) and 85.7% reported that flossing massages the interdental areas (p = 0.039). CONCLUSION: It can be concluded that majority of the present and future oral health workers studied believe in the effectiveness of the use of dental floss in the prevention of periodontal diseases and use dental floss occasionally but the oral health workers who recommend the use of dental floss to patients are fewer.

[Evaluation of the action « M'T Dents » for 6-year-old schoolchildren on two deprived neighborhoods in Marseille, France].

Tardivo D, Daguzan A, Peyrot B … +2 more , Gentile S, Sambuc R

Odontostomatol Trop · 2016 Dec · PMID 30240182

BACKGROUND: This study aims to analyze the effects of the national program for individual dental prevention "M'T Dents" to 6-years-old children living in the neighborhoods of deprived areas Saint-Mauront and Belle de Mai... BACKGROUND: This study aims to analyze the effects of the national program for individual dental prevention "M'T Dents" to 6-years-old children living in the neighborhoods of deprived areas Saint-Mauront and Belle de Mai from 2009 to 2012 (Marseille, France). These children having received an additional collective awareness and individual monitoring as part of the experimental program of health promotion "La Santé à Saint Mauront - Belle de Mai: on s’y met tous!" led by the PACA Regional Health Agency. MATERIALS AND METHODS: Awareness sessions in oral hygiene were led in CP grades of 5 schools and each child was then followed and encouraged to resort to dentist. Data on the use of the bucco-dental examination (BDE), the use of consecutive care and the oral health status of children were collected. RESULTS: Of the three years considered by this study, 56 classes and more than 1000 children were involved by this prevention program. The average use of BDE was 27.70%. Among children who received the BDE, 44.33% required treatment, approximately 26% with 1-3 untreated caries, 12%: 4-6 caries and 6%: 7 caries or more. Nearly 60% were completely cured, 15% partially and 25% not treated within 6 months following the BDE. Care utilization varied by initial caries index: the percentage of children fully treated was significantly higher for children with 1-3 caries than those with 4-6 caries (p <0.05) and those with 7 caries or more (p < 0.001) when the BDE. CONCLUSION: Modes of action that are reinforced in this territory seem possible to achieve results comparable to those observed in the same age group at the national level for children. More children were able to use the dentist and receive consecutive care under this program contributes to reducing inequalities in oral health.

Morphology of the root apex of permanent teeth. A scanning electron microscope study in a Moroccan population.

El Ouarti I, Chala S, Abdallaoui F

Odontostomatol Trop · 2016 Dec · PMID 30240181

This study aimed to investigate the root apex morphology in permanent teeth of a Moroccan population using scanning electron microscope. Eighty-seven teeth were collected from Moroccan patients attending the Oral Surgery... This study aimed to investigate the root apex morphology in permanent teeth of a Moroccan population using scanning electron microscope. Eighty-seven teeth were collected from Moroccan patients attending the Oral Surgery Department of the faculty of dentistry, Mohammed V University, Rabat, Morocco. The extracted teeth were then prepared for scanning electron microscope (SEM) observation at a root apex slice thickness of 5 mm. The median distance of the apical foramen from the apex was about 0.37 [0-0.62] mm, 0. 60 [0-0.82] mm, 0.71 [0.36-0.94] mm in incisors/canines, bi-rooted and multi-rooted teeth respectively, the mean apical foramen diameter was 0.30 [0.23-0.34] mm, 0.24 [0.18-0.33] mm, 0.27 [0.19-0.35] mm in incisors/canines, bi-rooted and multi-rooted teeth respectively. The apical foramen coincided with the apex in 33.5%, 33%, and 30.8% in incisors/canines, bi-rooted, and multi-rooted teeth. 16.45% of incisors, and 10.1% of the bi-rooted teeth with pulp and peri-apical diseases showed apical resorptions.

Natural, polarized light and the choice of composite: a key to success in shade matching of direct anterior restorations- Part II.

Manauta J, Salat A, Putignano A … +3 more , Devoto W, Villares CF, Hardan LS

Odontostomatol Trop · 2016 Dec · PMID 30240180

With time, natural and polarized light proved their importance and utility in dental photography. After studying the physical properties of natural and polarized light, in the first part of this article, to understand th... With time, natural and polarized light proved their importance and utility in dental photography. After studying the physical properties of natural and polarized light, in the first part of this article, to understand their correlation with dental materials and natural teeth and how to use them in the best combination, this second part will illustrate the importance of a polarized image in color matching, how to manipulate it and how to apply it in clinical cases.

Sociodemographic determinants of usage of removable partial denture in a tertiary hospital: A retrospective study.

Omo J, Sede M

Odontostomatol Trop · 2016 Sep · PMID 30240179

OBJECTIVE: To determine the influence of sociodemographic characteristics on pattern of removable partial denture use in a tertiary institution over a one-year period. METHODS: This was a retrospective study using record... OBJECTIVE: To determine the influence of sociodemographic characteristics on pattern of removable partial denture use in a tertiary institution over a one-year period. METHODS: This was a retrospective study using records of partially dentate patients seeking replacement for their missing teeth within one-year duration. Information retrieved from the patients’ records included demographic characteristics such as gender, age, marital status, occupation, arch type, number and reasons for missing teeth and type of removable partial denture. Statistical analysis was performed using statistical package for social science (SPSS) version 17 (Chicago, IL.). The analysis was done using frequency distribution, cross tabulations, t test and test of significance with chi square. P<0.05 was considered statistically significant. RESULTS: A total of 98 patients were seen over the study period with a male/female ratio of 1:1.45. The patients’ age ranged from 20 to 89 years with a mean age of 47.19 ± 18.37. The number of teeth replaced ranged from 1 to 17 with a mean of 3.13 ± 3.30 teeth. The mean number of missing teeth was significantly higher among patients aged 50 years and above (p = 0.002). Majority (69.4%) of the patients were married and 59.2% were working class (skilled and unskilled). The Kennedy’s Class III saddle was the most prevalent in the maxilla while Class IV was most prevalent in the mandible; a difference that was statistically significant. Conclusion: Socioeconomic status, age and gender influenced the use of removable partial denture.

[Evaluation of periodontal health of Congolese in consultation in dental services of Kinshasa City].

Bolenge IJ, Lutula PN, Bielei EI … +5 more , Nswele V, Sekele IJP, Matanada R, Mapatano A, Brecx MC

Odontostomatol Trop · 2016 Sep · PMID 30240178

CONTEXT: Periodontal diseases are multifactorial infectious pathologies. They affect tissues of support of the tooth and so end in dental losses. No sector of society is spared. OBJECTIVE: To estimate the state of period... CONTEXT: Periodontal diseases are multifactorial infectious pathologies. They affect tissues of support of the tooth and so end in dental losses. No sector of society is spared. OBJECTIVE: To estimate the state of periodontal health of the patients admitted in consultation in the dental services of the city of Kinshasa. MATERIAL AND METHODS: It is a descriptive and transverse study. It was led on patients admitted in consultations in three dental services of the city of Kinshasa during the period going from January to August, 2015. The study included patients of 12 years old and more who consulted in one of the selected dental service. The selected patients supplied sociodemographic information in particular zone of residence, gender, level of education and social level. Dutch Periodontal Screening Index (DPSI) was used to estimate the periodontal state of every patient. RESULTS: On a total of 642 patients 374 were females and 268 were males. The mean age was of 38.12 years ± 16,303. The patients of upper or more university level and those who had no employment represented successively 58.3% and 35.5%. Dental pain was the main motive for consultation. Majority of the patients had a DPSI around 3, that is 49.1%. 99.9% of the patients presented gingivitis whereas those 64% who suffered from periodontitis were subject to specialized periodontal care. CONCLUSION: Periodontal disease was present in all patients. The majority of the people had consulted dental surgeons only when they had pain.

Public health approaches to the prevention of oral diseases and promotion of oral health in Nigeria.

Braimoh OB, Inyang MP

Odontostomatol Trop · 2016 Sep · PMID 30240177

Oral health is an important component of general health and a determinant factor for quality of life. Though oral diseases are largely preventable, many people across the globe still suffer from pain and discomfort assoc... Oral health is an important component of general health and a determinant factor for quality of life. Though oral diseases are largely preventable, many people across the globe still suffer from pain and discomfort associated with oral diseases. The attainment of optimum oral health is impeded by a number of obstacles which include the cost and affordability of treatment, poor access due to workforce shortages and inequitable distribution of the dental workforce and low oral health literacy amongst others. The provision of oral health services is oriented towards curative care. There appears to be no coordinated national strategy for preventive dental care in Nigeria. Effective public health strategies are required to prevent oral diseases and promote oral health across the population. Generally, strategies to prevent oral diseases will be most effective when priority is given to the multi-sectoral approach rather than a single-sector approach, population-based interventions rather than those aimed at high-risk individuals, and primary rather than secondary prevention. The aim of this paper was to highlight some of the oral diseases in Nigeria and discuss public health approaches to promote oral health and prevent the diseases.

Perceptions, expectations, and reactions of caregivers to cleft lip and palate repair in a tertiary hospital.

Aikins EA, Akinbami BO

Odontostomatol Trop · 2016 Sep · PMID 30239182

BACKGROUND: Cleft lip and/or palate (CL/P) deformities are the most common congenital abnormalities of the orofacial structures. Affected individuals experience major clinical, functional, aesthetic and psychosocial impa... BACKGROUND: Cleft lip and/or palate (CL/P) deformities are the most common congenital abnormalities of the orofacial structures. Affected individuals experience major clinical, functional, aesthetic and psychosocial impacts. OBJECTIVES: The aim of our study was to identify the perceptions, expectations and reactions of parents and caregivers to cleft lip and palate surgery. MATERIALS AND METHODS: Interviewer administered questionnaires were used to collect data from parents/caregivers of patients with cleft lip and/or palate operated on by the cleft team at University of Port Harcourt Teaching Hospital. RESULTS: Only three (2.8%) of the caregivers indicated that they knew the cause of CLP which they attributed to drugs, infections and contraceptives taken while about half of them admitted that they avoided taking these children to certain places. The participants were very concerned about the speech 15 (41.7%) and feeding 9 (25.0%) of the children. Most wanted the surgery performed in order to improve appearance 25 (69.5%), speech 8 (22.2%) and feeding 2 (5.6%). More than half of the parents/caregivers 21 (58.3%) expected excellent results from the surgery whilst 1 (2.8%) expected poor results. Most believed the surgery would indeed make a great difference in speech 14 (38.9%) and appearance 11 (30.6%). Majority, 30 (83%) were happy with the immediate outcome of the surgery and with their hospital experience 13, (36.1%). CONCLUSIONS: This study revealed that most parents/caregivers of children with CLP believed this condition to be due to various factors and did not know the etiology. Expectations of the result of surgical repair of CLP surgery were high and their reactions were majorly positive.

[Keratocystic odontogenic tumor: a case report].

Moukram KH, Haitami S, Yahya IB

Odontostomatol Trop · 2016 Sep · PMID 30239181

First described by Philipsen in 1956, the odontogenic keratocyst is characterized by a large squamous keratinization of its border, an aggressive growth and a high recurrent rate. It is now designated by the World Health... First described by Philipsen in 1956, the odontogenic keratocyst is characterized by a large squamous keratinization of its border, an aggressive growth and a high recurrent rate. It is now designated by the World Health Organization as a Keratocystic Odontogenic Tumor (KOT). Clinically, the KOT is manifested by an asymptomatic growth. Radiographically, it appears as a well-defined unilocular or multilocular osteolytic lesion. The diagnostic approach is based on a combined analysis of the medical history, the clinical appearance and the radiographic appearance. The diagnosis may be confirmed by the anatomical pathology report. Finally, treatment consists of surgical excision and follow up is characterized by a high rate of recurrence. The authors report a case of keratocystic odontogenic tumor of the mandible and review the various diagnoses, therapeutics and follow up aspects of this type of tumors.

[Mandibular osteitis on a periapical granuloma mimicking an osteosarcoma: a case report].

Ayachi R, Oualha L, Moussaoui E … +2 more , Soufi S, Douki N

Odontostomatol Trop · 2016 Sep · PMID 30239180

INTRODUCTION: Osteitis is an inflammatory disease of bone tissue. Its clinical presentation varies according to the site, presence or absence of pus, duration and etiology. It represents one of the endo-periodontal disea... INTRODUCTION: Osteitis is an inflammatory disease of bone tissue. Its clinical presentation varies according to the site, presence or absence of pus, duration and etiology. It represents one of the endo-periodontal diseases complication. We report the case of a mandibular osteitis having led to confusion with an ostesarcoma. OBSERVATION: A 13-year-old boy was referred to our department for a right low swelling with suspicion of mandible osteosarcoma. The lesion’s evolution was 6 weeks. With the local aggressiveness and the speed evolution, the first diagnosis proposed was a mandibular osteosarcoma. Based on the clinical and radiological data established, the diagnosis of mandibular osteitis on a periapical granuloma was made and the treatment consisted on the causal tooth extraction with curettage of the periapical lesion associated to the prescription of macrolide (ERY®). The clinical follow-up was 6 weeks, a recovery with cessation of clinical signs were noticed. DISCUSSION: The differential diagnosis facing the clinical context is an osteitis on a periapical inflammatory cyst and especially mandibular osteosarcoma. For the therapy, it’s a 3 components treatment (etiology, medical and surgical) to obtain a recovery.

Natural, polarized light and the choice of composite: a key to success in shade matching of direct anterior restorations- Part I.

Manauta J, Salat A, Putignano A … +3 more , Devoto W, Villares CF, Hardan LS

Odontostomatol Trop · 2016 Sep · PMID 30239179

The biggest challenge while restoring anterior teeth is shade matching. Hue, chroma, value, opacity, translucency, intensity and anatomy must be seen to be reproduced. To see we need light, knowing that there is a strong... The biggest challenge while restoring anterior teeth is shade matching. Hue, chroma, value, opacity, translucency, intensity and anatomy must be seen to be reproduced. To see we need light, knowing that there is a strong relation between the nature of light and the components of natural teeth. This article enlightens the way to do the shade matching and the stratification of anterior teeth by choosing the relevant materials to mimic the nature. The physical properties of natural and polarized light will be studied to understand their correlation with dental materials and natural teeth to use them in the best combination.
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