[Conditions of dental extractions in areas health centers of Senegal].
Dental extraction is a surgical act frequently carried out in the African dental structures. It requires the rigorous respect of the conditions of asepsis and antisepsis. Equipments and anaesthetic and avulsional products must be also sufficient. Our study undertaken among 46 dental services in areas health centers of Senegal aimed to determine the conditions under which dental extractions are carried out. The principle results of our study showed that 93% of dental practitioners wore sterilized gloves. 49% of the dentist's care activity consisted in dental extractions. 50% of the practitioners re-use anaesthetic needles, 2% re-use anaesthetic carpules. We noticed that the dental structures were facing a deficit of materials and products of extraction. Face to the outbreak of serious illnesses as infections of HIV and Hepatitis B, the practitioner and his team must be sensitized and trained to struggle against the transmissible infections and to carry out the dental extraction only if the conditions of asepsis and antisepsis are joined together. A pleading towards the medical authorities must be done to support the services in equipments and periodic renewals of the materials and products of extractions.
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Santé Publique Dentaire, Dpt d'Odontologie, Fac. de Médecine, de Pharma. et d'Odontol., Univ. Cheikh Anta Diop, Dakar, Sénégal.
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D000766:Anesthesia, Dental / Q000295:instrumentation / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D003151:Community Health Centers; D004866:Equipment Contamination / Q000517:prevention & control; D017743:Equipment Reuse; D005260:Female; D005932:Gloves, Surgical; D006801:Humans; D019552:Infection Control, Dental / Q000295:instrumentation / Q000379:methods*; D008297:Male; D009339:Needles / Q000600:supply & distribution; D010149:Postoperative Pain / Q000209:etiology; D019239:Practice Patterns, Dentists'; D012675:Senegal; D013242:Sterilization / Q000379:methods; D013530:Surgical Wound Infection / Q000209:etiology; D013594:Syringes / Q000600:supply & distribution; D014081:Tooth Extraction / Q000295:instrumentation / Q000379:methods*
D000779:Anesthetics, Local; D000891:Anti-Infective Agents, Local