This is Chepkorono. Chepkorono surprisingly, had already had her tooth removed. She visited us one week after seeing an exodontist not to far from Tenwek. As you can see she has not healed appropriately. It is likely that she has developed a massive submandibular cellulitis due to the use of dirty/contaminated instruments. Sadly all in attempt to save a couple Shillings.
By the time we saw her Chepkorono was quite sick with fever, fatigue, and naturally lots of pain. Eventually this type of swelling can be life threatening if it begins to impinge on the trachea.
Chepkorono was taken to Theatre and a small incision was made below her mandible to drain out (burst out) cc's of foul smelling straw colored fluid. This was repeated again the next day. She has made a full recovery..and has promised to visit Tenwek for any further dental care.