Objective: To compare and evaluate the biomechanical stability of a customized plate over miniplate with monocortical screws, miniplate with bicortical screws, and 3D plates across the simulated fractured fragments. Materials and Methods: This in-vitro study involves the use of 40 swine Hemi mandibles with 10 in each group. The specimens were divided into four groups. Group I: Fixation with four holed 2mm mini plates with gap and 4 monocortical screws 2x10 mm, Group II: Fixation with four holed 2mm mini plates with gap and 4 bicortical screws of dimension 2x16 mm, Group III: Fixation with 3D plate, Group IV: Fixation with the customized plate fixed with monocortical screws (2 x 10mm) at tension zone and bicortical screws (1.5 x 16mm) at the compression zone. All plates and screws used were made of stainless steel. The Instron universal Testing System is used for analyzing the test material. The maximum resistance load of these fixations was recorded. Results: Group II showed more mechanical resistance than all other groups which is statistically significant (P-value <0.05). Group IV (customized plates) showed equivalent mechanical resistance to group III. Conclusion:The customized plate has good biomechanical strength comparable to a 3D, it can be of great advantage especially with comminuted fractures.

Our aim is to evaluate the effectiveness of Low Level Laser Therapy (LLLT) in the control of postoperative pain, swelling, and trismus associated with the surgical removal of impacted mandibular third molars. This study was carried out as a single centre, prospective study with a sample size of 30 patients to evaluate the effectiveness of LLLT following surgical removal of impacted third molars. Patients were randomly divided into two groups of 15 each. Group 1(Study /LLLT group) consisted of patients undergoing LLLT and with the use of postoperative analgesics and antibiotics. Group 2 (Control) included patients who were administered postoperative analgesics and antibiotics without the concurrent use of LLLT. The predictor variable was the LLLT application following mandibular third molar impaction surgery. The outcome variables namely pain, swelling, and trismus were evaluated on the day of surgery and 1st, 3rd, and 7th postoperative days (POD).Results:The pain was highest on POD 1 and gradually reduced by POD 7 in the study group when compared to the control group. Swelling showed a steep increase on POD 1 and thereafter a gradual reduction was observed on POD 7, when compared to the control group, the study group showed a significant decrease in swelling. Mouth opening was the lowest on POD1 and gradually increased by POD 7 in the study group than in the control group. Conclusion: The results of the study suggest that the application of LLLT to impacted mandibular third molar sockets helps eliminate/or reduce postoperative pain, swelling, and trismus.

Background:This article projects provides insights to the various managements and treatment strategies for chylous leak during the head and neck cancer surgeries. Methods:Here the retrospective review of articles was performed, the articles reviewed are involving only head and neck cancer surgeries only and analysis of treatment strategies were noted and author's comments about the treatment strategies is given after collective analysis of the review articles Conclusion:The evolution of treatment strategies through years has brought on to the ideal management of the of chyle leak based on various authors guidelines.

The stability and predictability of Orthognathic surgical procedures varies by the direction of surgical movement, the type of fixation, and the surgical technique employed, largely in that order of importance. This review discusses about the various keystones that are required to select, perform and manage Orthognathic surgery. The outcome of an Orthognathic surgery is influenced by numerous factors both internal and external factors. In spite of recent advances in the field of surgery, Orthoganthic surgeries are still a challenge because, their treatment goals are predominantly dependent upon the precision of the operating surgeon. Function, esthetics and stability are the goals that a surgeon strives to achieve during an Orthognathic procedure. Proper patient selection, treatment planning and postsurgical care are required for a successful results. Surgeon must also take into account, the patient's complaint and provide them with a realistic fact based assurances on results. This review would highlight the various cogs in the Orthognathic surgery working in harmony to achieve desired results. The article emphasis about the principles, preoperative analysis for surgical execution and sequence of the treatment to be done.