Dislocation of mandibular condyles can occur following excessive mouth opening or traumatic injury to the temporomandibular joint. It can also occur during general anesthesia that at times may go un-noticed in the modern-day theater setup. Here, we describe a case of bilateral dislocation of mandibular condyle following orotracheal intubation for general anesthesia. Right condyle was dislocated into temporal fossa.

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NTRODUCTION Mandibular third molar is most commonly impacted tooth. Surgical removal of mandibular third molars is one of the most frequently performed procedures in oral and maxillofacial surgery. The most frequent complication which follows the removal of impacted mandibular third molars is 'dry socket'. Some degree of swelling, trismus and pain, unless they are related to infection or excessive trauma, must be regarded as a normal response to surgery. 1 Risk factors for postoperative complications have been assessed and patient age as well as gender, oral contraceptives, smoking, oral hygiene, difficulty of surgery, tooth anatomy and position, therapeutic or prophylactic indication for extraction, wound I ABSTRACT: Background: Surgical removal of mandibular third molars is one of the most frequently performed procedures in oral and maxillofacial surgery. This study was done to evaluate the benefits of antibiotic therapy in reducing post-operative complications after removal of asymptomatic mandibular impacted third molar teeth. Methods: This clinical study was conducted at Oral and Maxillofacial Surgery Department From Jan 2014 to Dec. 2015. It involved 100 patients with impacted mandibular 3rd molars which were divided randomly in to two groups of 50 each. Group I was prescribed Cap Amoxycillin 500 mg thrice daily for 5 days and Tab Metronidazole 400 mg thrice daily for 5 days after the surgical removal of mandibular third molars.Group II was not prescribed any antibiotic postoperatively. Post-operative complications like Pain, swelling, mouth opening was evaluated in all patients on 1 st day, 3 rd day, 7 th day and 10 th day. Results: Post-operative complications in both groups did not show statistically significant difference. Conclusions: The study showed that antibiotic didn't have a significant role in reducing postoperative complications after removal of asymptomatic impacted 3rd molar.