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Les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de Yaoundé

INTRODUCTION: Rare diseases have, in certain cases, oral manifestations. These are often understudied; this helps to limit oral care services to this category of patients. This study aims to determine the epidemiology and clinical features of oral manifestations in patients with rare diseases in our...

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Autores principales: Awa, Hubert Désiré Mbassi, Mvondo, Rose Mbédé Nga, Nguefack, Séraphin, Messanga, Charles Bengondo, Ndombo, Paul Olivier Koki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620069/
https://www.ncbi.nlm.nih.gov/pubmed/31312307
http://dx.doi.org/10.11604/pamj.2019.32.195.14684
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author Awa, Hubert Désiré Mbassi
Mvondo, Rose Mbédé Nga
Nguefack, Séraphin
Messanga, Charles Bengondo
Ndombo, Paul Olivier Koki
author_facet Awa, Hubert Désiré Mbassi
Mvondo, Rose Mbédé Nga
Nguefack, Séraphin
Messanga, Charles Bengondo
Ndombo, Paul Olivier Koki
author_sort Awa, Hubert Désiré Mbassi
collection PubMed
description INTRODUCTION: Rare diseases have, in certain cases, oral manifestations. These are often understudied; this helps to limit oral care services to this category of patients. This study aims to determine the epidemiology and clinical features of oral manifestations in patients with rare diseases in our environment. METHODS: We conducted a cross-sectional descriptive study in two referral hospitals in Yaoundé over a period of 7 months. Data were collected from patients' medical records, parents' or guardians' interview and oral examination. The threshold significance level was p< 0.05. RESULTS: Oral manifestations associated with rare diseases vary based on the group of conditions, teeth and often have functional consequences. Functional impairment was diagnosed in 97.2% of cases. Patients with deciduous dentition (59.4%) most commonly developed anomalies of tooth shape and position (conicity 7/22 cases, 32%) while patients with permanent teeth most commonly developed carious lesions (7/10 cases, 70%) and anomalies in tooth structure (4/10 cases with dental wear). A significant link between type of tooth, anomalies in tooth structure (p=0.001) and tooth numbers was found (p=0.018). Mastication problems (p=0.023) as well as suction problems (p=0.033) were linked to rare disease patient groups. CONCLUSION: Oral lesions in patients with rare diseases, although present in our environment, are often neglected. Oral care should be integrated within the basic package of oral health care trainings after the establishment of free or affordable health care for patients with disabilities or with specific needs.
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spelling pubmed-66200692019-07-16 Les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de Yaoundé Awa, Hubert Désiré Mbassi Mvondo, Rose Mbédé Nga Nguefack, Séraphin Messanga, Charles Bengondo Ndombo, Paul Olivier Koki Pan Afr Med J Research INTRODUCTION: Rare diseases have, in certain cases, oral manifestations. These are often understudied; this helps to limit oral care services to this category of patients. This study aims to determine the epidemiology and clinical features of oral manifestations in patients with rare diseases in our environment. METHODS: We conducted a cross-sectional descriptive study in two referral hospitals in Yaoundé over a period of 7 months. Data were collected from patients' medical records, parents' or guardians' interview and oral examination. The threshold significance level was p< 0.05. RESULTS: Oral manifestations associated with rare diseases vary based on the group of conditions, teeth and often have functional consequences. Functional impairment was diagnosed in 97.2% of cases. Patients with deciduous dentition (59.4%) most commonly developed anomalies of tooth shape and position (conicity 7/22 cases, 32%) while patients with permanent teeth most commonly developed carious lesions (7/10 cases, 70%) and anomalies in tooth structure (4/10 cases with dental wear). A significant link between type of tooth, anomalies in tooth structure (p=0.001) and tooth numbers was found (p=0.018). Mastication problems (p=0.023) as well as suction problems (p=0.033) were linked to rare disease patient groups. CONCLUSION: Oral lesions in patients with rare diseases, although present in our environment, are often neglected. Oral care should be integrated within the basic package of oral health care trainings after the establishment of free or affordable health care for patients with disabilities or with specific needs. The African Field Epidemiology Network 2019-04-22 /pmc/articles/PMC6620069/ /pubmed/31312307 http://dx.doi.org/10.11604/pamj.2019.32.195.14684 Text en © Hubert Désiré Mbassi Awa et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Awa, Hubert Désiré Mbassi
Mvondo, Rose Mbédé Nga
Nguefack, Séraphin
Messanga, Charles Bengondo
Ndombo, Paul Olivier Koki
Les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de Yaoundé
title Les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de Yaoundé
title_full Les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de Yaoundé
title_fullStr Les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de Yaoundé
title_full_unstemmed Les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de Yaoundé
title_short Les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de Yaoundé
title_sort les maladies rares et leurs manifestations cliniques orales dans deux formations hospitalières de yaoundé
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620069/
https://www.ncbi.nlm.nih.gov/pubmed/31312307
http://dx.doi.org/10.11604/pamj.2019.32.195.14684
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