Meless Guanga David, Guinan Jean-Claude, Sangaré Abou Dramane, N'Guessan Koffi Syvain, Kouakou Koffi Lazare, Da-Danho Viviane, Datté Atta Sebastien, Nouaman N'Zébo Marcellin, Amangoua Asse Marie Anita, Samba Mamadou, Bakayoko-Ly Ramata
Department of Public Health, UFROS, FHB University, Abidjan.
Laboratory of Public Health, Cariology and Medicinal Plants, Abidjan.
J Public Health Afr. 2020 Mar 20;10(2):1064. doi: 10.4081/jphia.2019.1064. eCollection 2019 Dec 31.
The objective of this cross-sectional study was to determine the type of care that can be achieved and the epidemiological profile of patients attending the 3 public dental practices in the Haut-Sassandra region, in Côte d'Ivoire. The data collection concerned socio-demographic characteristics, reason for consultation, oral hygiene, dental condition, malocclusions and the availability of equipment for the performance of procedures. The 400 patients observed (51.5% male) were aged 16.0 to 86.0 years (mean=35.5 years; SD=13.1 years). The main reasons for consultation were pain (91.5%) and aesthetics (23.5%). Oral hygiene was insufficient for 36.8% of subjects. Oral conditions were malocclusions (12.8%), caries (98.7%) and edentulous (65.7%) with only 11.8% with prosthesis. The average DMFT index was 9.3. Only extractions and resin attached prostheses were possible in all 3 health facilities. Preventive dentistry (sealent, fluoridation), dentofacial orthopedics and implantology were not available in any dental practice. The most frequently performed acts were extractions (74.5%). The results of this study highlight the need for oral health planning with service equipment and awareness among populations who shouldn't wait until they are in pain to consult.
这项横断面研究的目的是确定在科特迪瓦的上萨桑德拉地区的3家公立牙科诊所能够提供的护理类型以及就诊患者的流行病学特征。数据收集涉及社会人口学特征、就诊原因、口腔卫生、牙齿状况、错颌畸形以及进行诊疗程序的设备可用性。观察的400名患者(51.5%为男性)年龄在16.0至86.0岁之间(平均=35.5岁;标准差=13.1岁)。就诊的主要原因是疼痛(91.5%)和美观问题(23.5%)。36.8%的受试者口腔卫生状况不佳。口腔状况包括错颌畸形(12.8%)、龋齿(98.7%)和无牙(65.7%),只有11.8%的人佩戴假牙。平均DMFT指数为9.3。所有3家医疗机构都只能进行拔牙和树脂附着义齿修复。所有牙科诊所均无法提供预防牙科(窝沟封闭、氟化)、牙颌面正畸和种植牙技术。最常进行的操作是拔牙(74.5%)。这项研究的结果凸显了口腔健康规划的必要性,包括配备服务设备以及提高民众的意识,民众不应等到疼痛才去就诊。