Average Odontometric Value of the Width of the Upper Central Incisor in the Congolese Bantu of Kinshasa, Democratic Republic of Congo

Objective: The aim of this study was to determine the average values of width of the upper central incisor (WUCI) in Congolese Bantu and compare them to those of Caucasians and Asiatic. Material and Methods: It was a prospective cross-sectional study carried out at the Université de Kinshasa on the Congolese Bantu, Department of Dental Medicine, from March 2020 to March 2021. A maxillary imprint was taken by Jeltrate-type alginate. The measurement of two healthy upper central incisors (UCI) was carried out by the hard plaster casting type 4, with a brand caliper, carbon fiver composite mark. The study was approved by the Ethics Committee of the School of Public Health in the Université de Kinshasa and verbal consent was obtained from each participant. Results: The Average Width of the UCI was 8.74 mm ± 0.56. The average width of the right Upper Central incisor (RUCI) and the left UCI (LUCI) was 8.71 mm ± 0.57 and 8.77 mm ± 0.56, respectively. The average width of the RUCI and LUCI was not the same for men and women (p 0.001). A significant difference was observed between the average of the RUCI and the 18 - 28 and 40 - 50 age group (p = 0.056) as well as for the average LUCI (p = 0.085). The width average of UCI between the Congolese Bantu with those of Caucasians and Asians was significantly different (p = 0.000 and p = 0.009). Conclusion: The average width of the RUCI and LUCI was different among sex and age group. The average width of UCI of the Congolese Bantu is different from that of Caucasians and Asians.

Prevalence and Pattern Occurrence of Supernumerary Teeth in the North-East Heilongjiang Population of China

Aims: The objective of the current research was to determine the prevalence of supernumerary teeth and investigate its characteristic and complications in the Chinese population from the North-East Heilongjiang region. Materials and Methods: It was a descriptive and retrospective study which used registered notes and panoramic radiographs of 12,984 patients who visited the Department of Oral and Maxillofacial Surgery in the 2nd Affiliated Hospital of Jiamusi University, China between June 2011 to November 2015. Patients diagnosed with any syndrome or hereditary diseases were excluded from the study. The features of supernumerary teeth were noted and the data were analyzed using SPSS program, (version 20, Inc., Chicago, USA). The Chi-square test was used to determine the differences in the distribution of supernumerary teeth. It was tested at the 5% level of significance. Results: The prevalence was 5.2% and the most prevalent supernumerary teeth was incisor with 3.39% (n = 441). The supernumerary teeth were seen more in maxilla than mandible. The male to female ratio was 2.9:1. Specifically, higher prevalence of supernumerary teeth in male gender was statistically significant (p = 0.03). The supernumerary teeth mostly occurred in children of 5 - 10 years (62.3%), followed by young adolescent between 11 - 16 years (26.5%). Conclusion: The prevalence of supernumerary teeth was widely seen in children and young adolescent of Chinese population. The occurrence was mostly seen in maxilla than mandible and significantly higher in male than female.

The Effect of Partial Removable Denture Use on Oral Health Related Quality of Life and Masticatory Function, after 5 Years Use

The aim of this study was to evaluate whether partial removable denture use indeed leads to improved oral health related quality of life and masticatory function. Materials and Methods: Partially edentulous patients presenting for removable denture treatment at the Prosthodontics Service in the Hospital Affiliated to Kinshasa University (Democratic Republic of Congo) were assessed for enrolment in this study. After applying exclusion criteria, 378 patients were included in the study, and randomly assigned into 2 groups. Oral health related quality of life (OHIP-23) and mastication time (MaT), number of chewing cycles (MaC), mastication frequency (MaF), and the sizes of the peanut fragments (FraS) were compared in both groups. Statistical significance was set at p < 0.05. Results: The average MaC, MaT, MaF, and FraS were 119 (± SD 53.70), 86.75 (±SD 35.35), 1.38 (±SD 0.25), and 3.3 (±SD 3.25) for the denture group and 77.9 (±SD 23.9), 60.2 (±SD 17.91), 1.29 (±SD 0.15), and 1.5 (±SD 0.7) for the non-denture group, respectively. Conclusion: The overall oral health related quality of life was best in the non-denture than denture.

Risks Factors of Caries and Periodontal Diseases in the Patients, after 5 Years Use a Partial Removable Denture

Objective: The goal of the removable partial denture is to restore impaired esthetics and masticatory function by replacing missing teeth. The aim of this study was to establish a possible correla-tion between removable partial denture in acrylic resin use after 5 years and dental diseases. Materials and Methods: Partially edentulous patients presenting for removable denture treatment at the Prosthodontics service of the Affiliated Hospital of Kinshasa University, Democratic Republic of Congo were assessed in this study. Patients were randomly assigned into 2 groups: Denture and non-denture group. Caries and periodontal diseases were compared between both groups. Statistical significance was set at p < 0.05. Results: The average age in the denture and non-denture-group was 53.15 (±SD 22.05) and 31.59 (±SD 11.98) years. Out of 160 teeth were decayed, both 110 teeth (68.75%) in the denture-group and 50 teeth (31.25%) in the non-denture group. The DMFT index calculated at start time of the study was 0.2 for both groups, after five years was 7.1 for the denture-group and 2.6 for the non-denture-group. The plaque index in the denture-group had an index of 1 and that of non-denture-group was 0.5. Conclusion: The relationship has been found between patients’ wearers a RPD and dental diseases.

Periodontal Diseases in Pregnant Women in Prenatal Consultation

Background: The relationship between pregnancy and periodontal health had well documented in the literature. Of many studies of periodontal diseases in the Democratic Republic of Congo, no study had evaluated these diseases in pregnant women during Prenatal Consultation (PC). This study aimed to describe the occurrence and clinical profile of periodontal diseases in pregnant women admitted to the PC at the General Military Hospital of BOBILA. Materials and Methods: It is a cross-sectional and analytical study of pregnant women admitted to the PC from August to December 31, 2018, at the General Reference Military Hospital of BOBILA/Kinshasa City. The data were collected through a survey combined with the stomatological interview. Sociodemographic data, clinical and periodontal indices included Oral Hygiene Index Simplified (OHI-S), Bleeding on Probing (BOP), and Periodontal Disease Index (PDI) were assessed. The statistical analyses were carried out using the SPSS version 20.0 software. The Chi-square tests, Student t-test were used to determine differences in the distribution of variables, and the odd Ratio with a confidence interval (IC) at 95% was used to estimate the degree of association. The results were significant at p < 0.05. Results: Of the 105 pregnant women received at the PC, 83 were included in this study. The age group between 20 - 29 was the most represented, with a predominance of stay-at-home mothers (75.9%) and married cases (73.4%), they had an average economic status (56.6%) and a secondary education level (63.8%). Gingival bleeding (44.6%) was the main complaint of the pregnant. Gestational age was a significant factor associated with gum bleeding (p < 0.005). Most of the pregnant had poor oral hygiene, localized gravidities (69.6%) during the third semester. Conclusion: A significant proportion of women had experienced periodontal diseases during the pregnancy period, mostly in the third trimester, and was associated with a gestational age of pregnant women.

Profile of Aggressive and Chronic Periodontitis in Kinshasa Dental Hospitals, DR Congo

Periodontitis is a prevalent destructive gum disease, characterized by loss of tissues supporting the teeth. The two main forms, chronic and aggressive have not been assessed in Kinshasa, DR Congo. Aim: The aim of this study was to investigate the Prevalence and the pattern of chronic periodontitis (CP) and aggressive periodontitis (AP) in order to improve its management. Materials and Methods: A cross sectional study of 404 subjects attending the dental services of the four hospitals of Kinshasa city, from October 2013 to April 2014 was carried out. The plaque index (PlI), bleeding on probing (BOP), probing pocket depth (PPD) and frequency of tooth brushing (FTB) were the parameters assessed. The SPSS software version 20.0 was used. Results: Out of 404 patients examined, 322 (79.7%) had chronic periodontitis versus to 44 (10.9%) of aggressive periodontitis. The female was higher than males with a sex ratio of 1.49:1 and the age group between 20 and 29 was the most represented. PPP of ≥6 mm was found in 24.6%, 5 or 5.5 mm in 27.3% and PPP of 3.5 to 4.5 mm in 48.1% of patients with periodontitis. Significant difference was found between CP and AP according to age variable, p-value < 0.001. PlI for CP was 0.97 (SD ± 0.38) while that for AP was 0.90 (SD ± 0.43). No significant differences were found between PlI, p-value = 0.47;FTB (p = 0.055) and BOP of subjects with AP and those with CP (p = 0.105). Conclusion: The two main forms of periodontitis diseases are more prevalent in patients attending dental services in Kinshasa and affect male as well as female. Age remains an essential variable to distinguish between CP and AP.

Correlation between the Bizygomatic Distance and the Width of the Upper Central Incisor in the Cameroonian Melanoderma Adult

Bizygomatic distance is a relevant reference used to assist and to guide the choice of antero superior prosthetic teeth, especially when no information about the natural teeth was available. The aim of the present paper was to determine the distance between the canine tips from a bizygomatic distance and to estimate the width of the upper central incisor in normal-dental-facial indices of Cameroonians. Materials and methods: A cross-sectional study of 900 normal Cameroonians of both sexes was conducted. Measurements of bizygomatic distance, distance between the two upper pointers and the mesio-distal width of the upper central incisor were made with a manual and a digital caliper respectively. The equation for calculating the distance of higher canine pointers from the bizygomatic distance was DCT = 0.081 (BZD) + 26.201. The width prediction of the central incisor was obtained by the following formula: WUCI = 6.252 + 0.019 (BZD) + 0.035(DCT) + 0.062 (Reg cul) + (?0.479) sex. Reg.cul represents the cultural region of origin. Results: Female sex was represented by 56.6% against 43.30% males. The average age was 37± (32 SD) years. The average value of the bizygomatic distance was 130.23 mm, the width of the upper central incisor was 9.39 mm while the distance between the two upper canine pointers was 36.70 mm. Significant correlations between bizygomatic distance, the distance between the two canine pointers, and the width of the upper central incisor were found (P = 0.000). Conclusion: The width of the central incisor and the distance between the two upper canine pointers may be determined by the non-invasively method of the bizygomatic distance in the perspective of choosing the teeth for dental prosthesis.

Keratocyst Odontogenic Tumor (KCOT): Treatment Methods at the Second Affiliated Hospital of Jiamusi University

Many studies have been done about the treatment of KCOT, but the recurrence rate still remains high despite the combination of surgical techniques used, associated with or without the use chemical solutions such as Carnoy’s solution or Cryosurgery. Currently, there is no consensus concerning the therapeutic choice for the KCOT. The purpose of this study was to evaluate the different treatment methods used for the management of KCOT in the Second Affiliated Hospital of Jiamusi University and the results obtained from those treatment methods. Settings and Design: Clinical study was done at the Second Affiliated Hospital of Jiamusi University. Materials and Methods: Analytical retrospective review of 63 cases treated surgically from 2009 to 2015 at the Maxillofacial and Oral Surgery Department of the Second Affiliated Hospital of Jiamusi University. All cases diagnosed as KCOT and registered in the archives were used. The level of statistical significance was set at P < 0.05. Results: Of the 63 cases, 55.56% were male and 44.44% female. The sex ratio was 1.25 in favor of male and the average age was 42 years. 81% of the lesions were located in the mandible. Of 40 cases treated by enucleation with peripheral ostectomy, curettage and electric cauterization with application of 2% iodine tincture, no recurrence was found. Of 20 cases treated by the same surgical method but without the application of 2% iodine tincture, recurrence was found in 3 cases (4.76%). 3 cases treated by resection had no recurrence. Significant relation between recurrence and type of treatment was found (P < 0.05). Conclusion: In our series, those cases that were treated by combination of surgical methods used with 2% iodine tincture showed an “improvement” in the reduction of recurrence, suggesting a future question to be examined in experimental study is to test the effectiveness of 2% iodine tincture.

Determinants Factors for the Choice of the Width Prosthetic Upper Central Incisor: Review of the Literature

Materials and Methods: The authors conducted a review of the literature around the theme, determinants of the choice of the width of the upper central incisor (WUCI), through search web including Pub Med, Inari and Google. Fifteen of the most recent publications since 2005 have been selected from twenty publications. Sample size (n), age range (AR), average bi zygomatic distance (BZD), choice determinants, type of study, and mathematical formula between WUCI and BZD were the study’s interest variables. Sociodemographic characteristics, facial anatomical marks and the size of the patient’s teeth for anterosuperior were the main factors to be assessed. Results: Out of 22 included articles, the Asian continent represents 59% in which India is the leading country with 27.3% followed by American 22.8%. The most Determinants choice for the width upper central incisor in craniofacial and anterior teeth method from the published papers were BZD (100%;n = 22) and WUCI (81.8%;n = 18). Conclusion: Application of mathematical formulation maybe help to predict the exact width of the upper central incisor.