Effectiveness of mixture of aspirin and ethanol regimen in the management of geographic tongue: a prospective study.

Geographic tongue is usually an asymptomatic inflammatory disorder of the tongue; however, symptomatic cases do occur and require treatment. Several management strategies have been reported yet they are neither specific nor curative. Objective: The objective was to evaluate the effectiveness of an aspirin-ethanol mixture in the management of geographic tongue. Methods: In this prospective study, an analysis of medical reports of symptomatic cases of geographic tongue managed using an aspirin-ethanol mixture was done. The treatment regimen involved dissolving 3 mg of aspirin (acetylsalicylic acid) into 1 ml of 70% v/v ethanol. Then a sterile gauze is soaked in the prepared mixture and is topically used to clean the tongue with gentle pressure for 2-3 min. Results: The records of 23 patients were analyzed. There were more females (19, 82.6%), and the age range of patients was 15-43 years (mean age of 23.4 years). The symptoms that the patient described included: oral discomfort, burning sensations of the tongue, pain, and loss of taste. Only 21 (91.3%) patients were asymptomatic at 3 months of follow-up. Conclusions: Short-term topical application of the aspirin-ethanol mixture was shown to be effective in treating symptomatic geographic tongue.

Use of 3D printed model as a reconstruction aid in the management of an extensive ameloblastoma of the mandible.

Ameloblastoma is a benign jaw tumor that can grow to a very huge size with high rate of recurrence. The large tumors pose a challenge during resection and reconstructive surgery. We present a massive ameloblastoma of the mandible that was surgically treated with the aid of 3D printed model.

The Pattern of Orbital Fractures Managed at Two Referral Centers in Nairobi, Kenya.

Orbital fractures are one of the commonest injuries in mid-face trauma and can lead to significant functional and cosmetic defects. This study was aimed at analyzing the pattern of orbital fractures at 2 referral centers in Nairobi. It was a descriptive prospective hospital-based study of the demographics, etiology, clinico-radiological features, and management modalities among patients presenting with orbital fractures at the University of Nairobi Dental Hospital and Kenyatta National Referral Hospital in Nairobi, Kenya. A total of 60 patients (52 males, 8 females; P <0.05) with confirmed orbital fractures were recruited during the 6-months study period. Orbital fractures occurred most frequently in the 21 to 40-year-old age group (80%, P<0.05). The principal etiological factors were motor cycle crashes; 30%, interpersonal violence 23.3%, public vehicle crushes 20%, private vehicle crushes; 10%, injury from flying objects 10% and falls 8.3%. The most commonly affected anatomical sites were the floor (75%), the lateral wall (71.7%), infra-orbital rim (66.7%), zygomatico-frontal suture (63.3%). There were 5 (8.3%) cases of total blindnessThe impure orbital fractures that involve the satellite bones especially the zygomatic complex predominate.

Maxillary obturator prosthesis rehabilitation following maxillectomy for ameloblastoma: case series of five patients.

PURPOSE: The purpose of this case report is to demonstrate the benefits and applicability of appropriate maxillofacial prosthetic rehabilitation following surgical resection of ameloblastoma of the maxilla in Kenya. MATERIALS AND METHODS: Five patients presenting with ameloblastoma of the maxilla over 3 years were studied with respect to histologic type, site of tumor, resultant surgical defect, and form of definitive obturator prosthesis. Impressions were taken using irreversible hydrocolloid and poured with dental stone. Immediate surgical obturators were fabricated from casts using clear autopolymerizing acrylic resin. One patient had bilateral partial maxillectomy, whereas the rest had unilateral partial maxillectomy. Immediate surgical obturators were fitted intraoperatively and held in place using Adams clasps on the remaining natural dentition for all patients, except the one who had undergone bilateral partial maxillectomy, whose surgical obturator was held loosely using circumzygomatic wires. After 6 to 8 weeks, surgical obturators and packing were withdrawn, and new impressions were taken to fabricate definitive obturators. Patients were reviewed every 2 weeks for 3 months, then once every 3 months per year for 3 years, and thereafter once per year. RESULTS: The immediate surgical obturators facilitated retention of the surgical packing, promoting healing with minimal postsurgical infection and scar contracture formation. This ensured the restoration of acceptable esthetics and maintenance of oral function at a reasonable level during the initial postoperative period. Definitive obturators restored esthetics, oral function, and ability to handle secretions to a satisfactory level. CONCLUSION: Satisfactory functional and esthetic results are achievable in patients with extensive acquired maxillary defects by means of obturator prostheses fabricated using readily available materials.