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The decision to extract the last teeth represents for the patient an aesthetic, functional and moral damage. The realization of an immediate complete removable denture is indicated to remedy these difficulties. This will make it possible to ensure a rational and efficient management of this transition to total edentulous. The restorations of aesthetics and functions as well as patient comfort constitute the essential therapeutic objectives to be achieved and this thanks to the immediate denture. This work presents, through clinical cases, the indications and the management of four patients who have never worn a removable denture.

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Removable dentures are always transient current. The epidemiology and causes of tooth gaps demonstrate the need to master the different prosthetic treatment. This made whether to propose treatment plans that take into account psychological, physiological and technical support for this patient. Different situations may arise. A gradual transition may be considered or immediate passage to the total edentulous according to general criteria, local and desiderata of patients. After tooth extraction, the transitional prosthesis can control bone lysis thereby it is part of a complete treatment before prosthesis. It also facilitates a good psychological and physiological integration before the prosthesis use.

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Support a prosthetic edentulous patient aims to optimize the rudimentary functions of mastication and phonation. Knowing the routine procedures in dentistry is needed. These prostheses can be a source of criticism in terms of the quality of life they provide. Chronologically, several steps must be followed when delivered: Reception at the dental office of the prosthesis, with its technical specifications, Meticulous checks prosthetic surfaces, Introduction in the oral cavity of dentures smoothly, The stability of the prosthesis is tested initially, Second occlusion is checked, The esthetic of the prosthesis previously endorsed in the fittings, is popular again, Phonetic tests are performed to help verify the positioning of the teeth in relation to the lips, Tests for judging the ability to swallow, to incise and biting at the posterior teeth are made by the patient, Check alignment of mounting the entire face, Follow the recommendations for proper use of the prosthesis. The complementarily of these steps determines the integration of the prosthesis, but the patient must be informed early in the treatment of functional and aesthetic limits of its future prosthesis.

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Foreign bodies are a frequent reason for ENT consultation especially in children. Although the nature of the foreign body can be variable, the discovery of a tooth in a nasal cavity is a rare occurrence. The authors report a case of foreign body inside the nasal cavity caused by tooth migration and discuss its pathologic, diagnostic and therapeutic aspects.

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Hormonal contraception is based on the use of synthetic hormones containing variable doses of oestrogen and progesterone making it possible to avoid pregnancy in a temporary and reversible way. The objective of this study is to evaluate the periodontal status of a sample of Senegalese women under hormonal contraceptive. One hundred women using contraception since at least 6 month were paired on the age, the socio-economic profile and oral hygiene with a control group. Oral hygiene (plaque index (PI) of Silness and Löe), the inflammation (gingival index (GI) of Löe and Silness), probing depth and clinical attachment loss were recorded. With equal hygiene, the scores of the gingival index were significantly higher among women under contraceptive (p < 0.001). Inflammation was significantly more marked for the women who used contraception in injectable form compared to the control group (p < 0.001). Probing depth (3.01 +/- 0.04) and clinical attachment loss (3.19 +/- 0.08) were significantly more important among women under contraceptive (p < 0.001). The women under contraceptive seem to set up a group at risk for developing a periodontal disease, it is thus necessary to systematise periodontal appraisal before and during contraceptive use period.

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The effect of the frequency of the mixing of coffee cherries put out for sun drying on the kinetics of the drying, fungal growth and kinetics of ochratoxin A production was evaluated. The results showed that the more coffee cherries were mixed, the quicker they dried. This rapidity of drying led to a reduction of fungal development. Indeed, coffee cherries mixed eight and ten times a day, dried quickly and were free inside of fungi. However, infection by fungi gives little indication of ochratoxin A production in coffee cherries. Indeed, although coffee cherries mixed twice a day were more contaminated by fungi, the analysis of ochratoxin A content showed they were free of this mycotoxin. The coffee cherries that were more contaminated by ochratoxin A were those mixed four times a day (containing 0.35-5.46 microg kg(-1) ochratoxin A). Ochratoxin A contamination was essentially due to the presence of Aspergillus species capable of producing ochratoxin A inside the coffee cherries.

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Skin color is important to people in many societies. In this descriptive cross-sectional study, the causes of skin disorders in patients presenting for consultation over a period of 5 years were assessed and identified. A total of 4,510 dyschromia cases were recorded, representing 9% of the total number of patients attending for consultations at the Dermatology Center of Abidjan over this period. Pigmentation disorders were more often found in female patients (53.56%; sex ratio female:male=1.44) and were predominant in patients 20--30 years old (50%). All socio-professional categories were represented. However, students and service professionals (hairdressers, dressmakers, traders and switchboard operators) represented 50% of the patients with pigmentation disorders. Hyperchromia was common (48.49%) and was found in exposed areas of the skin. Most of the pigmentation disorders (60.94%) were of post-inflammation origin. Vitiligo was the most frequent etiology of systemic or endocrine dyschromia (92.63%). Among the hereditary pigmentation disorders, pigmented naevus was the most commonly found (41.5%). Dyschromic chemical eruptions appeared most frequently in the form of fixed pigmented erythema (84.55%). This study demonstrates that pigmentation disorders are still a frequent reason for consultation due to their distressing consequences.

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The case reports about the neurological sides effects of amodiaquine are scare, and just a few of them concerned the children. But more and more, amodiaquine is prescribed because of the resistance of Plasmodium in front of chloroquine. And, in the endemic area of malaria, there are more and more neurological side effects with amodiaquine among the children. From a retrospective study, from January 1998 to June 2000, the authors described 35 case reports of children aged from 5 months to 15 years who presented neurological side effects after taking amodiaquine in endemic malarial area. The aim of this study is, first to inform the pediatricians in our area about these side effects, as they are not mentioned in therapeutic guides. Second, it shows that it is not exceptional in the endemic area of malaria.

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