There is an increased risk for postoperative complications when a tooth is removed, although it is not statistically significant. Evaluation of fate of retained teeth showed better prognosis of teeth in type II cases than type III and type I cases. Results of this study leads to conclusions that teeth associated with mandibular fractures need not be removed on prophylactic basis.

Salivary gland calculi account for the most common disease of the salivary glands. Most of the salivary calculi are small in size. Some calculi that reach several centimeters are reported as megaliths or giant calculi in the literature. They may occur in any of the salivary gland ducts but are most common in Wharton's duct and in the submandibular gland. This report presents clinical and radiographical sign of an unusually large sialolith. A patient came with pain in the floor of mouth. There was a swelling on floor of mouth on the left side. Radiographical examination revealed large irregular radio-opaque mass superimposed on left lateral incisor to molar areas. This case report describes a patient presenting with an unusually large submandibular gland duct sialolith, the subsequent patient management, the etiology, diagnosis, and its treatment.

Context:Three-dimensional (3D) locking plates has been designed with the hypothesis that this will overcome the disadvantages of both the systems and also advantages of both systems will be combined for the management of mandibular fractures.Aims:The purpose of this study was to evaluate the efficacy of 2-mm 3D locking miniplate in the management of anterior mandibular fracture and to compare it with Champy's miniplate.Settings and Design:A prospective, randomized, clinical trial was carried out in thirty patients who were divided equally in two groups.Subjects and Methods:Group I and Group II patients were treated with 2-mm 3D locking plates and 2-mm standard miniplates, respectively. They were evaluated according to the outcomes of the study, that is, working time, wound dehiscence, infection, segmental mobility, postoperative occlusion, need for postoperative intermaxillary fixation (IMF), and radiological evaluation of reduction and fixation.Statistical Analysis Used:Student's t-test and Mann–Whitney test were used to compare the two systems. The data were analyzed using Statistical Package for the Social Science version 14.0. The P value was taken as significant when <0.05 (confidence interval of 95% was taken).Results:The mean duration of procedure for Group I was found to be 49.33 min, whereas for Group II was 59.67 min. There was significantly greater pain on day 1 and at 1 week in Group II patients. 6.7% (n = 1) of both groups showed incidence of infection. Postoperative stability was adequate in most cases except in one patient (n = 1) of 3D locking system, which was revealed as postoperative occlusal disharmony, unsatisfactory radiological reduction of the fracture fragments, and the segmental mobility. There was no incidence of wound dehiscence, tooth damage, and nerve damage in either group.Conclusions:The result of the study can conclude that there is no major difference between both systems in terms of treatment outcome.

This case report aims to present the management of fractured tip of Gracey's curette from the maxillary sinus. The broken tip of Gracey's curette was intruded in the maxillary sinus during periodontal treatment of maxillary left first molar. It was then retrieved successfully with the Caldwell-Luc procedure. The close anatomic relation between maxillary molars, maxillary sinus, and infratemporal fossa calls for a meticulous clinical and radiological examination before any treatment to prevent inadvertent injuries.

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