TITLE:
Pregnancy and Oral Pathology
AUTHORS:
Nafiou Idi, Mahamane Rhissa Moussa, Souleymane Aichatou Anahi, Kaka Yakoura Abba
KEYWORDS:
Cervico-Facial Cellulitis, Pregnancy, Epidemiology, Treatement, Progno-sis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.11,
November
7,
2019
ABSTRACT: Introduction: Dental pathologies during pregnancy can compromise the prognosis of pregnancy and that of the mother. We
report a first-study of cases of association of pregnancy and oral pathology supported in the Department
of Odonto-stomatology of the National Hospital of Niamey. Objective: To
report epidemiology, treatment and prognosis of dental origin cervicofacial
cellulitis associated with pregnancy. Patients and Methods: This is a
retrospective and prospective study over 5 years from August 1st, 2013 to July
31, 2018 involving 21 pregnant women in the Odonto-stomatology
Department of the National Hospital of Niamey (HNN). Results: During the
study period, 585 patients were consulted in the Odonto-stomatology
Department for cervicofacial tooth cellulitis of dental origin, 21 of
them were pregnant women (3.39%). The average age of the
pregnant patients was 29.57 years old, extrems 25 - 29 years old. The average delay before consultation
was 28.76 days. Majority patients were rural inhabitants The pathology happened in the third trimester of pregnancy (52.39%), second trimester (33.33%), in first (14.29%). This pathology was observed among
disadvantaged socioeconomic class as housewives (85.71%) and uneducated women
(61.90%). The lake of oral hygien was the main cause of cellulitis. We noted
a history of periodontal disease (52.38%),
fever upper 38°C (61.90%), trismus (85.71%,) dysphonia (42.86%), odynophagia (23.81%), dysphagia (42.86%), dyspnea (33.33%), and cervicofacial swelling (100%.)
The treatment was medico-surgical. The
prognosis depended on the precocious treatment with 76.19% cured. But unfortunately
4 cases died (19.05%), still for birth (52.38%) and
9.52% abortion. Conclusion: Association dental origin cervicofacial c