Predictive Analysis of Occurrence Factors of Alveolar Osteitis Post- Dental Extraction in Kinshasa Hospital Using Bayesian Model
Auteur(s): Muyembi P , Sekele J.P , Kashiama B , Bobe P , Kalala Em , Nyimi Bushabu , Tshilela M , Duan Feng , Munyanga S , Mantshumba M.A , , ,Résumé
<p>ABSTRACT<br>Context: Alveolar osteitis (AO) is a clinical complication post-<br>dental extraction from inflammatory or infectious origin. Poorly <br>designed studies with different statistical biases and the poorly <br>conducted analysis make the identification of risk factors <br>contradictory. Present study was conducted to identify the risk <br>factors of the occurrence of alveolar osteitis (AO).<br>Settings and Design: Descriptive and Prospective study done <br>in Kinshasa University, Faculty of Medicine.<br>Methods and Materials: The Bayesian model, using a <br>qualitative method, had invited eight experts to reflect on the <br>alveolar osteitis (AO.).A subjective Bayesian model (SBM) was <br>constructed by the selection, interview of the experts and <br>training by Delphi method. Brainstorming technical has helped <br>an elaboration of 48 factors selected by expertsfrom the <br>literature.The nominal group technical, allowed to the experts <br>to regroup a list of seven independent factors from 48 factors <br>selected. <br>Results: The Pre-existent infections factor (F3) was most <br>occurrence with 614 cases of AO ( 98%), followed by the bad <br>oral and dental hygiene factor (F1) with 572 cases of AO <br>(84%), Inexperienced practitioner factor (F6) with 485 cases of <br>AO (78%. Preoperative infection factor (F4=454; 73%) and <br>followed by the post-operative infection factor (F7=370 cases <br>of AO; 59%). The lack of asepsis factor (F5) was the most less <br>implicated in the occurrence of AO with 57 cases (9%).<br>Conclusions: The identification of risk factors by the Bayesian <br>model can help practitioners to take primary preventive <br>measures in order to reduce the morbidity of alveolar osteitis in <br>our context.<br>Keywords: Alveolar Osteitis (AO.) Risk Factors, Occurrence, <br>Bayesian Mode</p>