The use of 3D miniplates for symphysis and parasymphysis fracture fixation was efficacious enough to bear the masticatory load during osteosynthesis of the fracture. Although 3D miniplate system is difficult to adapt and difficult to use in cases of fractures involving the mental nerve, they provide the advantage of less operative time and less implant material in treatment of symphysis and parasymphysis fracture, with clinical results almost similar to those seen with conventional miniplate osteosynthesis.

Purpose We evaluated the use of extended nasolabial flaps in the management of oral submucous fibrosis. Methods We evaluated the use of extended nasolabial flaps in the management of 27 randomly selected patients with histologically confirmed oral submucous fibrosis. They all had interincisal opening of less than 20 mm and were treated by bilateral release of fibrous bands and extended grafting with a nasolabial flap. All patients had postoperative physiotherapy, and were followed up for one year.Results Their interincisal opening improved significantly from a mean of 11mm (range 3-19) to a mean of 39 mm (range 23-48). Conclusions The procedure was effective in the management of patients with oral submucous fibrosis, the main disadvantage being the extraoral scars.

a b s t r a c tExtra-articular temporomandibular bony ankylosis between the coronoid process and the zygoma is quite uncommon. In this paper we present a case of fusion of the left coronoid to the zygomatic bone in a 23-year-old male. This bony ankylosis was the result of five-weekold untreated zygomatic complex fracture. Ankylosis developed secondary to heterotopic bone formation following trauma. Zygomatico-coronoid ankylosis of the mandible is a complication which rarely occurs if fractures of the middle third of the facial skeleton have been adequately treated. The patient was treated by intraoral coronoidectomy. The rationale for clinical and radiographic diagnosis and treatment is reviewed.

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Introduction: Traditionally, teeth that are absent are substituted by partial dentures or by complete dentures. Many prefer a dental implant as it tries to imitate the natural tooth. Though the notion of immediate loading reduced the time of prosthetic treatment, debate arose whether the loading should be functional or non-functional. The objective of this study was to compare the Peri-implant Bone Level (PIBL) deviations in immediate implant placement with instantaneous functional versus non-functional loading in the mandibular posterior region. Material and Methods: Fifty patients were incorporated in the study and distributed by random sampling into two groups of equal members each. Group A had patients in whom implant was placed followed by immediate functional loading. Group B were those who had non-functional loading. After bone implant integration, temporary crowns were replaced with metal ceramic prosthesis. PIBL change (in mm) of each implant was assessed by periapical radiograph which were taken at immediate post op, after one month and then on three and six months follow up. Statistical analysis was done using software SPSS v 21.0. Comparison between the groups (Mann Whitney U test), intragroup (Friedman’s) and Wilcoxon Signed rank test for pairwise comparison were done. Results: There was PIBL gain mesially and distally of the implants in both the groups in all time intervals of one, three and six months follow up. Conclusions: To conclude immediate implants restored instantly yielded affirmative result as far as survival of the implants, bone level changes and aesthetics of the soft tissues are concerned irrespective of the type of loading.