[Influence of the removable partial denture acrylic resin on oral health and quality of life]. / Influence de la prothèse amovible partielle en résine acrylique sur la santé bucco-dentaire et la qualité de vie.

OBJECTIVE: This study aims to evaluate dental decay incidence and DMF index, plaque index and gingival index, and to assess the satisfaction/dissatisfaction in acrylic removal partial denture wearers (ARPD) and in partial edentate no wearers. It aims to improve the therapeutic management in prosthetic oral rehabilitation in DR Congo. MATERIAL AND METHODS: This prospective cohort interventional randomized study on 376 patients enrolled and divided into two groups (with and without denture prosthesis) was performed in University Clinics of Kinshasa, Kinshasa Medical Center and Clinic Glory during the period August 2008 to August 2010. RESULTS: Three hundred seventy-six patients (376) with 163 men (47 ± 16 years) and 213 women (42 ± 15 years) were followed. Of the 376 patients randomized, 189 were of "prosthesis" group and 187 were in the group "without aid". Both groups were regularly reviewed every 6 months for 2 years. Ten thousand four hundred and fifty-two (10452) teeth were examined (5149 teeth to the group "prosthesis" and 5303 for the teeth "without prosthesis" group. On hundred and twenty-nine (129) teeth that presented caries, 110 (82.96 per cent) are decayed teeth in the "prosthesis" group and 19 (17.04 per cent) are in the group "without prosthesis" (p = 0.00). The index Tooth Decayed, Missing, Filled (CAD) to start of the study for each group was 0.2. Two years after the index rose to 0.3 for the group "prosthesis" and remained steady (0.2) for the group "without prosthesis". The "prosthesis" group showed plaque index (PI) and gingival index (GI) above 0.99 (SD: ± 0.28) and 1.27 (SD: ± 0.43) than normal compared to those of the "no aid" group (0.46 ± 0.15 and 0.32 ± 0.12). The differences were statistically significant for both indices between the two groups (p = 0.00). Overall satisfaction rate for the "prosthesis" group was 26.4% while for the group "without prosthesis" satisfaction rate is 80.9%. CONCLUSION: This study shows that improved oral hygiene and regular check of the RPD acrylic resin carriers become a concern for establishing a true oral health policy.

[Early bucco-naso-sinus communication and shutter prosthetic treatment: About a clinical case]. / Communication buco-naso-sinusienne ancienne et traitement prothétique obturateur: A propos d'un cas Clinique.

The authors describe the early neglected oral communication of maxillary sinus and nasal cavity, causing reflux of liquid and sometimes solids through the nose, followed by immediate intrabuccal flow or posterior pharyngeal with fetidness. The objective of this work was to improve the therapy of immediate or delayed oral communication of maxillary sinus with nasal cavity and eventually and the quality of life.

[Ectodermal Capdepont syndrome and oral prosthetic rehabilitation. About a clinical case]. / Syndrome ectodermique de Capdepont et réhabilitation orale prothétique. A propos d'un cas Clinique.

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.

[Impact of the edentulousness on the quality of life related to the oral health of the Congolese]. / Impact de 'édentement sur la qualité de vie liée à la santé orale des congolais.

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.

Rehabilitation prothetique d'un edentement subtotal ou total bimaxillaire; a propos d'une observation aux Cliniques universitaires de Kinshasa

Les auteurs rapportent le cas d'un patient de 69 ans; en rehabilitation prothetique pour edentement subtotal bilateral et biterminal. L'echec d'une premiere prothese posee en milieu non specialise; a conduit a la reprise du traitement dans le service de protheses aux cliniques universitaires de Kinshasa (CUK); avec bonne recuperation morphofonctionnelle. Cette observation illustre la carence en infrastructures et en personnel qualifie dans les soins prothetiques dans notre pays ; elle met en exergue les exigences techniques a respecter absolument pour un aboutissement satisfaisant du traitement