Mutilation Dentaires Et Consequences Sur La Sante Bucco – Dentaire Chez Les Peuples Autochtones Dans L’arrondissement De Salapoumbe

Introduction: Dental mutilation is a relatively little studied ritualistic practice of the human
body. It manifests itself in various ways in rela-tion to the mentality, psychology and
civilizations of each people. Teeth mutilation which is the result of considerable trauma, is
not without its harmful effects. This is why research on immediate or long-term
consequences on oral health has caught our attention. Goal: The aim of the study was to
examine the oral consequences induced by dental mu-tilation among indigenous people in
Salapoumbé. Methodology: We conducted a descriptive cross-sectional study on mutilated
people from March 2020 to May 2020. It took place in the Salapoumbé sub-division. With a
total of 367 participants using a questionnaire we obtained the socio-demographic
characteristics; the perception of dental mutilation by the population; the motivations;
antecedents and the practice of oral hygiene. An oral examination made it possible to
determine the type of dental mutilation using the Baudouin classification; periodontium
condition using plaque index (PI), gum index (GI), probing pocket depth (PP) and
clinical loss of attachment (CAP); dental condition using the CAO index and the
consequences of dental mutilation. The data recorded in the questionnaires were analyzed
by version 23.0 of Spss software and Microsoft excel 2013. The analysis consisted of the
comparison of proportions for the qualitative variables and means. For quantitative variables
significance level was 0,05 %. The statistical test used was chi 2. Results: In the total of
367 participants Baka, 213 men, or 58 % and 114 women, or 42 % participated in the
study. The mean age of the participants was 35.42.51 years. The mean age of dental
mutilation in men was 14.411.48 years. The mean age of dental mutilation in woman was 13.1
2.2 years. 47 men and 25 women had been mutilated about less than 3 year ago. 70 men and
27 women had been mutilated more than 28 years ago. The types of mutilation encountered
were pointing, or 65 % and filling, or 16 %. The prevalence of dental caries was 58.85 %.
Oral hygiene practices was bad for 64 %, inadequate for 34 % adequate for 2 % of
participants. The mean plaque index was 2.1±0.5. All the people examined had gingival
inflammation, so 87.5 % had moderate gingival inflammation pockets larger than 6 mm were
present in 78.7 % of people. Oral complications were multiple, in order of frequency we
found 27.79 % pain, 22.62 % gingivorrhagia, 15.8 % dental mobility, 16.89 % occlusions
disorders, 5,18 % dental fractures. The reasons given to justify this practice were diverse:
30.79 % of people claim to be mutilated because they are Baka, 22.61 % of participants to
have more consideration compared to other, 10.63 % of people to have the chance to get
married. Conclusion: Ritual dental mutilation is a painful mutilating practice that is culturally
important to the Baka pygmies. However, it lias a negative influence on the oral health of
mutilated people. We noted a significant association between dental mutilation and
gingivorrhagia for participants over 65 years of age and 15 to 25 years old.