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Titanium plates and screws (implants) developed indigenously by DRDO were used to manage 20 patients with maxillofacial fractures. Efficacy of these implants was evaluated clinically and radiographically so that these can be put into use on routine basis. In 18 patients recovery was uneventful. Extended maxillomandibullar fIXation was employed for 3 to 7 days only depending on the degree and displacement of fractures and; mobilisation of jaw was allowed fully from 7th post operative day onwards. 2 patients developed discharging sinus at the fractured mandibular angle region which was due to impacted mandibular third molar in the Hne of fracture. This healed completely after extraction of otTending tooth and appropriate medication. There was no occlusal or nerve disturbances, wound dehiscence or rejection of the bone implant. Radiographical evaluation at various intervals showed good alignment, approximation and sound healing of fractured fragments, with complete osteointegration.

An endeavour to find a suitable substitute for autogenous bone graft in corrections of maxillofacial deformities has been going on. Evaluation of commercially processed xenograft (SURGffiONE) has been carried out as a substitute for autogenous grafts in various maxillofacial surgical procedures in the Department of Dental Surgery at Armed Forces Medical College. Clinical and radiographic evaluation in 15 patients revealed highly satisfactory result with complete integration of the graft without any adverse host tissue reaction within the follow-up period lasting from 12-18months. MJAFI 2001; 57 : 281-284