In the local communities of Sudan, toombak
is also called “saffa.” This is rolled up into
a medium sized ball and usually placed in the
anterior vestibule for two to three hours after
which it is discarded and replaced (see Figures
3, 4). Toombak is a homemade product that is
not quality regulated by the government of
Sudan. Easy access and cheap sales of the
product make it readily available for sale and
personal use. Usage is widespread amongs all
age groups (beginning as young as 10 years
old) in both males and females. The product
is placed in large containers that may be stored
for an unlimited time and quite susceptible to
other environmental contaminants.
Figure 4: Toombak
rolled up in a ball,
placed in mouth for
2-3 hours. Courtesy
of Dr. Amel Sami,
National Ribat Univ.
continued on pg. 71
Figure 3: Placement of toombak in anterior area.
Courtesy of Dr. Amel Sami, National Ribat Univ.