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Objective: The main aim of this study was to assess dentists' compliance with current guidelines of antibiotic prophylaxis of Infective Endocarditis (IE) in France. Methods: A national survey was carried out, using a questionnaire developed in collaboration with the Association for the Study and Prevention of Infective Endocarditis (AEPEI). An electronic survey of 136 questions was sent out from September to October 2012 to the 12,000 practitioners who were members of the French Union for Oral Health (UFSBD). Results: 906 practitioners answered the questionnaire and 530 fully completed it. 94% of dentists declared managing patients at risk of IE; however, only 57% properly identified the publication date of the current guidelines promoted by the National Agency for Medicinal and Health Product Safety (ANSM) in 2011. This study highlighted a lack of knowledge of the respondents about the currently recommended management of patients at risk of EI, whether for the assessment of the risk of IE, its prevention or the follow-up of patients with predisposing cardiac conditions. Practitioners were not aware of their lack of knowledge: 59% declared that they had a good or a very good knowledge of these guidelines, but only 13% correctly assessed the risk of developing IE, 3% really knew the allowed or contraindicated procedures in patients at risk of IE, and only 22% had an appropriate drug prescription plan. In addition, there was a lack of the practitioners' compliance with the current guidelines. Only 41% declared having modified their practice according to these guidelines and only 16% had adapted their frequencies. Two major reasons for this lack of compliance were identified by this survey: the low level of scientific evidence to support these guidelines, and a huge evolution in the pathogenesis of IE. Finally, three-quarters of the respondents still wrongly prescribed an antibiotic prophylaxis to patients with moderate risk of EI. Nevertheless, comparing these results with those of two similar previous surveys in 1991 and 2001, the implementation of guidelines has globally improved in 20 years. Conclusions: The compliance with the guidelines on management of patients at risk of IE could be improved. The apparent stability of the incidence of oral streptococci IE in France since the reduction of the antibiotic prophylaxis indications in 2002 could reflect more the lack of the practitioners' compliance than a real efficacy of the current prevention strategies. [ABSTRACT FROM AUTHOR]

The ameloblastoma is a benign odontogenic tumor. It represents 30% of benign tumors of the mandible. This tumor is "local malignant" because of its potential for expansion, and its tendency to relapse after treatment. The dentist is an essential link in the management of these patients. He acts on different levels: first for the diagnosis of the lesion wich can be done early, but also for the treatment of tumors of small size, and his role in the prosthetic rehabilitation of these patients. We report through this article the roles of the dentist and a series of clinical cases treated at the Center of consultation and dental treatment of the Faculty of Dentistry at Casablanca, or treated in collaboration with the Service of Maxillofacial Surgery of University Hospital of Ibn Rochd at Casablanca. [ABSTRACT FROM AUTHOR]

The type I diabetes mellitus results from the destruction of the cell ß of islets Langerhans of the pancreas. The purpose of the present study is to present a strategy for management the oral complications caused by the low rate of the salivary flow, observed in the child or adolescent with diabetes of type I. It was a cross-sectional study comparative study in a sample of 150 children (75 children with diabetes type I, and 75 children not diabetics) 6 to 15-year-old selected within a clinical liberal and of a university hospital center pediatric in Lomé (Togo). The salivary flow, the prevalence of dental caries, decayed, missing and filled teeth (DMFT score), the frequency of brushing teeth then the conditions of oral hygiene of the children were evaluated. The majority of children lived in a middle socioeconomic means and is painted the teeth once to three times a day. So, 50 children with diabetes showed poor oral hygiene with an OHIS of 33.3%. The difference is statistically significant (p = 41 × 10-4). The index mixed DMFT corresponding to an age range of 6 to 9 years of age was 5.41 and the average DMFT means, indicates for the age bracket of 10 to 15 years of age is 6.30. A treatment of these children needs a supported and an interdisciplinary action by the doctor diabetologist, associating the dentists. [ABSTRACT FROM AUTHOR]