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.

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Fifteen patients underwent surgical insertion of titanium plasma sprayed screws in the mandible ridge over the symphysis region. In 3 patients. along with the screws in the symphysis region. hollow basket implant type 'H', one each in the mandible first/second molar region were inserted. Implants were fixed only in those patients who had retention and stability problems of mandibular artifteial denture. Indication, technique and bioeompatibility oflitanium implants and tissue supported over denture have been discussed.

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