Purpose:To evaluate the usefulness of orthomorphic surgery in correcting mandibular dysmorphology.Materials and Methods:This is a prospective study in which five patients having mandibular dysmorphology were treated using orthomorphic surgery. The patients were evaluated for outcome in terms of duration of surgery, assessment of mandibular split, mental nerve paresthesia/ neurosensory changes after surgery, assessment of mouth opening before and after surgery, postoperative assessment of mandibular symmetry, and postoperative complications.Statistical Analysis Used:Descriptive statistics, frequencies, contingency coefficient test (cross tabs).Results:Our study has revealed results in support of the technique mentioned, showing good success rate in terms of mandibular dysmorphology correction when used in mild to moderate dysmorphology cases.Conclusion:Orthomorphic surgery will play an increasingly important role in the repertoire of the maxillofacial surgeon in correcting mandibular dysmorphology.

Aim To discuss about the possible treatment modalities of supernumerary tooth in place of a impacted permanent tooth Background Numerical anomaly with an excessive number of teeth are termed as supernumerary teeth. Case description This paper describes a case with erupted supernumerary tooth in the place of missing left maxillary central incisor. Radiographically the left maxillary central incisor was impacted below the root of the supernumerary tooth with an additional impacted supernumerary tooth in relation to the right maxillary central incisor. Conclusion A multidisciplinary approach is required in managing the supernumerary teeth. When orthodontic extrusion of the impacted permanent tooth is not possible the possibilities of retaining the supernumerary tooth should be considered. Clinical significance This paper describes about the treatment of supernumerary tooth erupted in the place of missing left maxillary central incisor not amenable for orthodontic extrusion. How to cite this article Thomas J, Harris A, Hedge S, Morgan G, Prabha EA, Rinu. Alternative Management of Impacted Permanent Central Incisor. Int J Clin Pediatr Dent, 2018;11(6):529-531.