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SummaryAlthough many oral ulcers have similar clinical appearances, their etiologies can range from reactive to neoplastic to oral manifestations of dermatological diseases. In patients with an HIV infection, fungal diseases may cause ulceration in the oral cavity; however, there have been few studies of oral ulcerative lesions associated with Candida in patients without an HIV infection. Nevertheless, we encountered chronic oral ulcer associated with Candida among our frequent outpatients without an HIV infection. The present article reviews the causes of oral ulcers, focusing on Candida as a protractive factor for chronic oral ulcers, and it is recommended that Candida involvement be considered in diagnosis of a certain chronic oral ulcer, that remains of unknown origin even if some examinations have been performed.

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When performing mandibular reconstruction following mandibular segmentectomy, the surgical method that we have been using involves creating a surgical guide plate using a three dimensions model for bending the mandible reconstruction plate. It has been reported that the current method results in an excellent suitability of the graft into the mandible, which allows for a highly esthetic recovery. The purpose of the present study was to evaluate how well the current surgical method enables the grafted bone to suitability within the mandibular defect in terms of esthetics and functionality by measuring masticatory performance using a gummy score method. We enrolled 11 patients who had undergone mandibular reconstruction using the current method following mandibular tumorectomy at Osaka Medical College Hospital. Among them, 6 evaluable patients were examined using the gummy score method and occlusal force measurement two months after the operation. Gummy score evaluations were performed while masticating on a whole and then a half-portion gummy jelly, taking into account the decline in occlusal force. The results revealed a declining tendency in masticatory performance and occlusal force; however, adequate masticatory performance was obtained with the half-portion gummy jelly. We believe that the gummy score method using a test gummy jelly is a useful tool in evaluating whether a functionally good suitability between the grafted bone and the mandible has been achieved after mandibular reconstruction using the current method.