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Tropical Dental Journal - 1st Pan African international dental journal


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Published in French in Tropical Dental Journal Volume 36 - March 2013 pages 43-48

Digestive pathology and oral condition in the rural populations of the Ferlo in SenegalDigestive pathology and oral condition in the rural populations of the Ferlo in Senegal est évalué 3.83333333333333 étoiles par les abonnés Tropical Dental Journal Online

Authors : M. Diouf, G. Boetsch, A. Tal-Dia, J.J. Bonfil - Senegal


Résumé

L'objectif de ce travail était d'étudier l'association entre l'état dentaire et parodontal et la pathologie digestive chez les populations du Ferlo.
Méthode : L'étude était de type descriptif et transversal et portait sur 300 personnes habitant dans la zone du Ferlo au Centre Est du Sénégal. Les individus sélectionnés devaient être âgés de plus de 15 ans et résidaient dans la zone. Un échantillonnage en grappe avait permis de recruter les individus. Les informations recueillies concernaient la pathologie digestive (oui ou non), l'état parodontal (indice de plaque, d'inflammation, de saignement, la perte d'attache, la profondeur de poche et le CPITN. L'état dentaire était évalué par le CAO. Les données analysées avec le logiciel R et le test t de Student utilisé pour comparer les moyennes des indices dans les deux groupes au seuil de 5%. Une analyse multivariée de régression logistique a permis d'isoler le modèle final avec un seuil de 5%.
Résultats : Les moyennes des indices dentaire et parodontal étaient globalement égales dans les deux groupes (malades et non malades). Le CAO et les dents absentes étaient significativement associées avec la pathologie digestive après ajustement sur le sexe, l'âge, l'IMC, la situation matrimoniale, le nombre de cigarettes consommées et la profondeur de poche.
Conclusion : Cette étude a permis de voir une association significative entre état dentaire et pathologie digestive. La prise en charge globale des malades soulève donc l'intérêt d'une collaboration entre chirurgiens dentistes et gastro-entérologues pour un traitement efficace et adéquat.

Abstract
Digestive pathology and oral condition in the rural populations of the Ferlo in Senegal

The aim of this work was to study the association between dental and periodontal status and digestive pathology in the Ferlo populations in Senegal.
Method: This was a cross sectional study involving 300 people living in the area of the Ferlo in the Centre East of Senegal. Selected individuals must be over the age of 15 years and resided in the area. Cluster sampling helped recruit individuals. Collected information related to digestive pathology (yes or no), periodontal status (plate index, inflammation, bleeding, loss of attachment, the depth of pocket and the CPITN.) Dental status was evaluated by the DMFT. The data analyzed with software R and the Student's t test used to compare the averages of the indices in both groups at the threshold of 5%. Multivariate logistic regression analysis was used to isolate the final model with a threshold of 5%.
Results: Averages of dental and periodontal index were broadly equal in both groups (sick and not sick). The DMF and missing teeth were significantly associated with the digestive pathology after adjustment on gender, age, BMI, marital status, the number of cigarettes smoked and the depth of pocket.
Conclusion: This study revealed a significant association between dental status and digestive patho-logy. The comprehensive care of patients therefore raises the interest of collaboration between surgeons, dentists and gastroenterologists for effective and adequate treatment.

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