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We report a case of 28-year-old HIV-positive male with giant condyloma acuminata in anogenital region. This homosexual patient presented with a large foul smelling growth along with maggots in a perianal region refractory to treatment at presentation. The patient was successfully managed with excision and there was no recurrence of lesion at last follow-up at 2-months. The case highlights the rare presentation and management of difficult-to-treat case of giant condyloma acuminata with maggots of anogenital region in HIV-positive patients.

Background: Mandibular retrusion is the main cause of Skeletal Class II malocclusion characterized by skeletal retrusion of mandible with skeletal or dentoalveolar protrusion of maxillary. Objectives: This study was conducted to evaluate effect of treatment with twin-block appliances on pharyngeal dimensions. Methodology: This study was conducted in in the Department of Orthodontics & Dentofacial Orthopedics in Kathmandu Medical College. Twenty patients of age group 7 to 14 years with skeletal class II malocclusion with mandibular retrusion were selected. Variables evaluated were depth of nasopharynx; height of nasopharynx; depth of oropharynx; depth of hypopharynx; soft palate length; soft palate thickness and soft palate inclination. The lateral cephalograms were obtained for all subjects before the start of treatment and after a follow-up period of approximately three months in treatment. Results: Results showed that depth of nasopharynx increased by 1 mm, height of nasopharynx increased by 0.78 mm, depth of nasopharynx increased by 1.97 mm, depth of hypopharynx increased by 0.79 mm, soft palate length decreased by 4 mm, soft palate thickness increased by 2 mm and soft palate inclination decreased by 7.01 mm. The results for depth of pharynx and soft palate thickness were statistically significant. Conclusion: This study concluded that the use of twin block appliance for class II patients corrects sagittal dimension of oropharynx and hypopharynx. Early intervention for mandibular retrognathism in class II malocclusion helps enlarge the airway dimensions and decrease potential risk of obstructive sleep apnea syndrome for growing patients in the future.

Background: Injury to a young child’s teeth and face is a traumatic experience for the child and parents. Prompt and effective action on traumatized teeth significantly increases the likelihood of a positive treatment outcome. Adequate knowledge of school teachers in emergency situation arising during school hours can prove to be a boon for the child’soral health.Objectives: To assess the knowledge of school teachers of Bhaktapur about emergency management of dental trauma and also to measure the relationship between socio demographic characteristic of teachers and knowledge about dental emergencies.Methods: The cross sectional study was conducted among 424 schools teachers of Bhaktapur district from September 2014 to March 2015. Simple random sampling was done to select the schools. Questionnaire was distributed among the teachers after taking their informed written consent. Data was collected and sent for statistical evaluation. Frequenciesand percentage were calculated. Chi-square and Fisher’s Exact test were applied.Results: Nearly one third (32.2%) teachers who had information on dental trauma knew the proper management of displaced teeth (p=0.01). Statistically significant difference was found among those who had fi rst aid training and proper management of displaced teeth (p=0.04). Teachers who had experienced dental trauma in their students were only confident of managing displacement of traumatized teeth (p=0.02).Conclusion: Knowledge of the school teachers in Bhaktapur was seen to be inadequate for emergency management of fracture and avulsed tooth.