http://ir.mu.ac.ke:8080/jspui/handle/123456789/63 2026-04-20T18:31:30Z 2026-04-20T18:31:30Z Toka, Silas Mbeya Weboko, Fredrick Ikhabi Langat, Sharleen Chebet Makhanu, Mercy Naswa Welime, Peter Kuyaya Surtan, Faith Chemutai Aswani, Felix Mbere Induswe, Benjamin Thuku, Grace Wangari Chemase, Faith Jebiwott http://ir.mu.ac.ke:8080/jspui/handle/123456789/9908 2025-09-03T08:32:14Z 2025-01-01T00:00:00Z

Overdenture challenges - a case series report from a developing country Toka, Silas Mbeya; Weboko, Fredrick Ikhabi; Langat, Sharleen Chebet; Makhanu, Mercy Naswa; Welime, Peter Kuyaya; Surtan, Faith Chemutai; Aswani, Felix Mbere; Induswe, Benjamin; Thuku, Grace Wangari; Chemase, Faith Jebiwott Background: Overdentures generally provide superior treatment outcomes compared to conventional dentures. However, the satisfactory outcomes are associated with various challenges encountered by both the clinician during treatment as well as the patient during the use of the prosthesis. Objective: This paper discusses the challenges encountered by dental practitioners in a developing country – Kenya, while managing eleven different patients and how these challenges were successfully mitigated. Materials and Methods: Eleven patients had treatment done to restore function and aesthetics, utilizing acrylic and cast-metal overdenture prostheses, as was deemed appropriate, to mitigate various challenges. Design: This is a case series. Herein, the clinical management of eleven edentulous cases, utilizing overdentures is illustrated. Results: Limited vertical dimension of occlusion encountered in two patients with Amelogenesis Imperfecta, was mitigated by performing mock jaw registrations before the definitive prosthetic work. Limited maxillary ridge resorption encountered in three patients was mitigated by having the maxillary labial flanges in their narrowest dimensions, or placing the periphery of the denture below the height of contour. Denture bases were strengthened in four patients’ prostheses by utilizing cobalt chromium frameworks on the mandibular overdentures. Telescopic crowns on overdenture prostheses fabricated over vital abutment teeth were utilized in three cases. Despite the prohibitive cost of treatment in developing countries, one patient had an implant-retained mandibular overdenture fabricated. Conclusion: When a clinician is well-versed with the challenges to anticipate and how to overcome them, the use of overdentures yields satisfactory results for the patients

2025-01-01T00:00:00Z Kiptoo, Donald Abich, Dancan Odiwuor Saliamo, Sarah Okwara, Peter Magero Weisiko, Evaline Mwikwabe Cheruiyot, Emily Weboko, Fredrick Ikhabi Makhanu, Mercy Naswa http://ir.mu.ac.ke:8080/jspui/handle/123456789/9905 2025-09-03T07:39:26Z 2025-01-01T00:00:00Z

Demographic patterns and clinical features of Burkitt lymphoma among patients visiting Moi Teaching and Referral Hospital, Kenya Kiptoo, Donald; Abich, Dancan Odiwuor; Saliamo, Sarah; Okwara, Peter Magero; Weisiko, Evaline Mwikwabe; Cheruiyot, Emily; Weboko, Fredrick Ikhabi; Makhanu, Mercy Naswa Background: Kenya is among the high-risk geographical zones especially for the African- endemic variant of Burkitt Lymphoma (BL). It accounts for up to half of all children cases of non-Hodgkin’s lymphomas in tropical Africa. There is limited published data on the clinico- demographic features of BL at Moi Teaching and Referral Hospital (MTRH) despite it being a major center for referral of oncology patients from the North Rift, Western and Nyanza regions of Kenya. Objective: The main objective of this study was to describe the demographic patterns and clinical features of BL among patients attending MTRH from 2017 to 2022. Design: A descriptive cross sectional retrospective study design was used. Results: Out of the 85 cases studied, the most affected ages were between 6-10 years (36%). Males (64%) were affected almost twice more than females (36%). Rift Valley had the highest number of cases (42%), while Western and Nyanza regions contributed 25% each. The abdomen was the primary site of tumor in most cases (54%), while the jaw was affected in 30% of the cases. Combined abdomen and jaw involvement was seen in 4% of the cases. Weight loss was the most frequent symptom (33%), night sweats and fever were also noted. The most common clinical signs were lymphadenopathy (55%) and pallor (23%). Conclusion: Commonly affected age range is between 6-10 years, boys seen to be affected almost twice as much as girls. Rift Valley is the most commonly affected region. The most common presenting complaint is an abdominal mass with associated local symptoms and classical B- symptoms of fever, night sweats and weight loss.

2025-01-01T00:00:00Z Lukandu, MO Koskei, LC Dimba, EO http://ir.mu.ac.ke:8080/jspui/handle/123456789/9322 2024-07-25T12:26:03Z 2023-09-19T00:00:00Z

Perceptions and preferences for dental specialties among undergraduate students and dental interns in Kenya Lukandu, MO; Koskei, LC; Dimba, EO Uptake of various dental specialties does vary globally. There is scarce information regarding motivations and preferences for various dental specialties in developing countries. Aims and objectives This study aimed to determine perceptions, preferences and factors that influence dental specialty choice in Kenya. Design and methods This was a cross-sectional study among dental students and dental interns conducted at two dental schools in Kenya. It was a census study that used self-administered questionnaires to collect information. Results Most (76%) participants indicated a desire to specialise, more so by Moi University students (82%). The most preferred specialties were maxillofacial surgery, restorative dentistry, prosthodontics and orthodontics. Female respondents reported highest preference for restorative dentistry whereas male respondents reported highest preference for maxillofacial surgery. Perceived financial returns and personal interest were the most important factors influencing choice of specialty. Maxillofacial surgery was perceived to guarantee higher financial returns, whereas dental public health was perceived to have the highest impact to the community. Most participants preferred working in the private sector. Conclusion There was a high desire to specialise among participants, especially in maxillofacial surgery and restorative dentistry. Key factors influencing choice of specialty were personal interest and better financial returns

2023-09-19T00:00:00Z Adeniyi, Abiola Akama, Gladys Lukandu, Ochiba Ikemeri, Justus E. Jumah, Anjellah Chelagat, Sheilah Kasuya, Anusu Ruhl, Laura Songok, Julia Astrid, Christoffersen-Deb http://ir.mu.ac.ke:8080/jspui/handle/123456789/9320 2024-07-25T09:10:43Z 2024-06-28T00:00:00Z

Reducing maternal and child oral health disparities in Sub-Saharan Africa through a community-based strategy Adeniyi, Abiola; Akama, Gladys; Lukandu, Ochiba; Ikemeri, Justus E.; Jumah, Anjellah; Chelagat, Sheilah; Kasuya, Anusu; Ruhl, Laura; Songok, Julia; Astrid, Christoffersen-Deb Oral conditions disproportionately affect mothers and children in Sub-Saharan Africa, due to biological vulnerabilities, a scarcity of oral health workers, deficient preventive strategies, and gender-based barriers to care. The World Health Organization (WHO) recommends integrating oral health into broader health delivery models, to reduce these disparities. We propose integrating preventive oral healthcare into community-based programs to bridge these gaps. We examine integrating preventive oral healthcare into Western Kenya’s Chamas for Change (Chamas) community-based program which aims to reduce maternal and child health disparities. Chamas incorporates women’s health and microfinance programs best practices to produce a low-cost, community-driven, sustainable, and culturally acceptable health delivery platform. Our strategy is based on the Maternal and Child Oral Health Framework and uses the WHO Basic Package of Oral Care principles. This framework prioritizes community involvement, cultural sensitivity, regular screenings, and seamless integration into general health sessions. We discuss the strengths, weaknesses, opportunities, and threats to enriching Chamas with oral health promotion activities. It is crucial to assess the effectiveness, sustainability, and acceptability of the proposed strategy through implementation and evaluation. Future studies should investigate the long- term impact of integrated oral health models on community health and oral health disparity reduction in Africa

2024-06-28T00:00:00Z