Library

Introduction :
The late consultation is a medical visit which is held after the appearance of the signs of odontological and maxillofacial affections.

Material and method :
The objective of this study was to contribute to the improvement of the management of dental and maxillofacial conditions at the Ignace Deen National Hospital. This was a dynamic, prospective studythats panned a 6-month period from January to June 2020 in the Department of Odontostomatology and Maxillofacial Surgery at the National Ignace Deen Hospital.

Results :
During our study period 17% of patients were seen for late consultations. The average age of our patients was 31 years and the age group most represented in our study is that between 25 years et plus followed by that between 20-24 years with respectively 39.33% and 28 , 67%. The male sex was the most dominant, 63% against 37% of the female sex and a sex ratio of 1.68. The most cited reasons for delayed consultations were ignorance of the existence of modern treatments 35.33% lack of financial means 25.33%; self-medication 13.33% and fear of the dentist 12.67%.

Conclusion :
The use of self-medication and traditional therapy constitutes the real reason for late consultation in our context. The information, education and awareness of the population could avoid the delay of consultation of dental infections in the service.

Keywords :
Impacts - late consultation - management - dental and maxilla-facial conditions

Abstract : Epulis is one of the benign tumors of the gingival mucosa whose management is based on excision. However, for various reasons, a recurrence of the lesion may be observed. The aim of this work was to illustrate, through a clinical case, the use of the thermal effect of a rotating instrument combined with the coronarially displaced flap in the Management of a recurrent epulis. It was a gingival lesion that had been evolving for more than 5 years and required four unsuccessful surgeries. The oral examination revealed a hyperplastic pseudotumor of a slightly rounded or raspberry shape located in the vestibular from 34 to 41. After the initial therapy, the lesion was removed by the thermal effect of a rotating instrument combined with the coronally displaced flap (LDC). Six months after the procedure, the gingival mucosa was clinically healthy with no recurrence and no gum recession.

Keywords : Epulis, thermoablation, coronally displaced flap.

Introduction : In the midst of the COVID-19 pandemic, there has been a global increase in mental health issues. The focus of this survey was, conducted in both private and public sectors, was to evaluate how common anxiety symptoms are among dentists and to understand the psychological impact they are facing as a result of this crisis.

Methods : The study used a descriptive and analytical cross-sectional statistical approach, with a sample of 120 dentists, who completed an anonymous electronic or printed questionnaire focusing on the stress and impact of the COVID-19 pandemic.

Results : The findings from the statistical study revealed that 34.2% of dentists were moderately stressed about the pandemic's impact on their practice, and 5.8% reported being highly stressed. Concerns about patients' health caused stress for 70.7% of dentists, while 45.7% expressed stress regarding their professional situation. Additionally, 93.3% of dentists aged over 55 reported feeling stressed for their personal health.

Conclusion : In conclusion, the COVID-19 pandemic has led to both professional and economic repercussions for dentists. The study highlighted that the appearance of psychological symptoms like fear, anxiety, and stress significantly affected the work of dentists.

Keywords : COVID-19 ; burn out ; dentist ; pandemic stress ; mental health.

A descriptive prospective study with N = 100 was conducted at an OC / E department in Algiers. The objectives were to evaluate the TE efficacy rate of endovac irrigation during ClONa root canal disinfection in the treatment of chronic apical periodontitis. A clinical and radiographic evaluation as well as a bacteriological sample before and after disinfection were carried out on a sample of single and double-rooted teeth from an adult population. The follow-up period was 18 months. The results at 9 months: out of the 66 controls, the efficiency rate was 83.33%. At 18 months, 92 teeth were checked, none of which were painful or mobile, 85% of the teeth, most of which had an Orstavik LIPOE score of 4, had evolved to a score of 1, 2 or 3, compared to only 5 whose lesion had not regressed and 2 teeth had been extracted due to lack of motivation. 10 teeth out of the 92, whose radiographic score at 18 months was between 1 and 2, had a positive culture after endodontic disinfection. Streptococcus Sp was the predominant microorganism on the 15 persistent ones. The efficiency rate at the level of the 62 teeth that had satisfied the protocol of which six controls were established was 95.16%. Based on the result, the technique seems promising on all levels, since the efficiency rate is ? to that of the other techniques (88.4%), with a better control of the side effects. However, the problem of persistent microorganisms at the end of preparation, mainly Streptococcus Sp, Enterococcus Sp. and Actinomyces, remains. In addition, the system is bulky and requires dexterity of the practitioner with sophisticated equipment whose cost remains high.

Keywords : Initial therapy of PAC, ClONa, negative pressure aspiration.

Summary : According to a retrospective analysis of nearly 4100 gunshot wounds, approximately 6% affected the face. Few studies have been conducted on maxillofacial ballistic trauma in Mali. The objective of our work was to study the epidemio -clinical aspects of maxillofacial ballistic trauma at Mopti Hospital (Mali). This was a descriptive cross-sectional study carried out from 2022 to 2024 on maxillofacial ballistic trauma admitted to the general surgery department of Mopti Hospital. The hospital frequency was 11.76%. Male gender represented 90%, the average age was 26.85 years. The main circumstances ---predominated with 43.33% followed by comminuted fractures (37%) and open fractures with loss of substance in 20%.

Conclusion : The epidemiological characteristics of maxillofacial trauma affecting mostly young men in our study were closely related to age, sex and etiology.

Keywords: Trauma, ballistic, maxillofacial, insecurity, Mali.