[Clinical study of alveolites and their treatment in multiple practice]

The alvéolite is an post-extractionnel accident, very frequent, unforeseeable, characterized by a deterioration of the physiological process of formation of the clot and occurring as well at the healthy subject at the degenerate. The objective of this work is to make an exploratory study on the cases of alvéolites which have occurred in three structures of odontological care in Dakar between October 2000 and June 2001. We studied the clinical and therapeutic aspects alveolites among 55 patients having undergone 168 extractions. On the whole 68 cases of alveolites were indexed including 18 suppurées forms and 50 dry forms. The alveolite was occured among 44 women and 11 men and the section of age which most touched ranges between 20 and 29 ans (51 %). The evoked factors etiologic are multiples(taken oral contraceptives, use of vasoconstricteurs. technical of extraction etc?). The treatment is local by type of antiseptic paste and general with base of antibiotic, antiseptic and anti-inflammatory. We don't have real coding of the treatment. The prevention remains the best attitude and consists with: - To carry out the acte operational with a rigorous asepsis - To avoid the inopportune instrumental traumatisms - To Irrigate the bone in permnance during the utilisation of rotary instruments.