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Background: We aimed to inspect the post -operative analgesic requirement in patient undergoing minor oral surgery using buprenorphine versus lignocaine and lignocaine alone. Minor oral surgeries are followed by inflammatory reaction characterized by pain, mild swelling and discomfort. Opioid analgesics have an advantage over non-steroidal anti-inflammatory drugs (NSAIDs) as they do not cause organ damage. Buprenorphine has an antinociceptive potency greater than that of morphine. Hence, in this study, buprenorphine was added to lignocaine in relieving postoperative pain after minor oral surgery.Methods: A total of 100 patients requiring minor oral surgery were included in the study. The patients were randomized by a third party and allocated to one of the two study groups. Hence a total of 50 patients in each group were selected for study, during a period of 24 months. 1 ml of buprenorphine hydrochloride injection I.P which contains an equivalent of 0.3 mg buprenorphine was withdrawn into a syringe and injected into a 30 ml vial of 2% lignocaine with adrenaline 1:200000.Results: The pain was found to be statistically significant at 2-hour, 24 hour and 36 hours postoperatively, thereafter the difference in NRS values between the solutions was not significant. Hence, the analgesic effect of solution A (buprenorphine) was effective at 2-hour, 24 hour and 36 hours postoperatively.Conclusions: Our study indicate that addition of 0.3 mg of buprenorphine to local anesthetic solution provides efficient post-operative analgesia and reduces patient's discomfort.

Aim of the Study:The aim of the study was to evaluate and compare the efficacy of the 3-dimensional titanium miniplates against conventional titanium miniplates in the management of mandibular fractures. Materials and Method:This study included 20 cases of either trauma, reconstructive or orthognathic surgery in which internal fixation is indicated. Patients were assigned to any one of the two equal groups randomly. Group A consisted of 10 patients treated by 3-dimensional titanium miniplates and group B consisted of 10 patients treated by conventional titanium miniplates. Intra-operative parameter included operating time of both the groups. Postoperative clinical examination was carried out on the 1st, 2nd, 3rd, 4th, 6th weeks and the 3rd postoperative month. Postoperative clinical evaluation included assessment of pain, stability, infection, bite force, wound dehiscence. The results of two groups were compared statistically. Results:A statistically significant difference was found in the operating time which was less in group A as compared to group B (p = 0.001). The bite forces recorded on 1st postoperative week were more in group A as compared to group B and were found to be statistically significant at incisor region (p=0.012), right canine region (p=0.014), left canine region (p=0.001), right premolar region (p=0.013) and left premolar region (p=0.046). No significant difference was found in other clinical parameters. Conclusion:Due to simultaneous stabilization at superior and inferior borders, operating time was relatively less. It provides three-dimensional stability at the fracture site. 3-dimensional miniplate seems to be an easy alternative to conventional miniplates.