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Purpose: To assess the efficacy of Herbert cannulated bone screw versus Lag screw in fixation of oblique mandibular fractures., Materials and Method: Study composed of two groups of 20 patients each and descriptive statistics were performed with p value set at 0.05 with confidence interval of 95%. Group A was treated by Titanium Lag screws; while, Group B was treated by Titanium Herbert Cannulated Bone Screws for the management of oblique mandibular fractures. Postoperatively, all the patients were evaluated clinically and radiographically by recording the incidence of complications (if any) which included trismus, neurosensory deficit, swelling, infection. Parameters such as occlusal discrepancy, rigid fixation (interfragmentary gap) and duration of surgery were also recorded for all the patients., Results: All the patients were followed for a period of three months. Difference in mouth opening was found to be statistically significant during 1st month follow-up ( p -Value-0.002). Postoperatively, the mean interfragmentary gap in Group A was significantly more than Group B ( p -Value-0.000). Other parameters like neurosensory deficits, occlusal discrepancies, chewing efficiency, stability of fractured fragments and post-operative complications in terms of swelling, hardware exposure, radiolucency surrounding screw and wound dehiscence did not show any statistically significant difference., Conclusion: The obtained results showed that both lag screws and Herbert cannulated bone screws fulfill the treatment goals of adequate reduction, fixation and stabilization of oblique mandibular fractures. Herbert screws have shown to have better results in terms of interfragmentary gap reduction as compared to lag screws., Competing Interests: Conflict of interestNo conflict of interest., (© The Association of Oral and Maxillofacial Surgeons of India 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)

Background: Routine and popular conventional genioplasty procedure is often curvilinear, requires lower border extension below, and behind the mental foramen, which after advancement has a tendency to produce step deformity, butt contact, hence nonunion, instability, and increased relapse tendencies. The present technique is aimed to study the new sagittal genioplasty technique and its efficacy to overcome the above-mentioned drawbacks of conventional genioplasty. This technique also aids in correcting mild-to-moderate breathing irregularities., Materials and Methods: A total of 10 patients included in this study. The comparative analysis of the displacement of the chin in vertical and horizontal directions following surgery was evaluated by measuring the difference between preoperative, immediate postoperative, 3 and 6 months postoperative on lateral cephalometric radiographs., Results: The study of new sagittal chin advancement results showed an advantage over conventional technique in terms of esthetics outcome (no jowl), easy to perform without damaging the mental nerve, superior healing with less relapse, and better surface area contact., Conclusion: In this study, the new technique of sagittal genioplasty overcomes the disadvantages of conventional genioplasty. However, this technique is best suited for patients who require straight or moderately vertical augmentation advancement genioplasty and is not suitable for asymmetry corrections, i.e., centering genioplasty and double sliding genioplasty., Competing Interests: There are no conflicts of interest., (Copyright: © 2021 National Journal of Maxillofacial Surgery.)

Introduction: The purpose/aim of the study conducted was to compare the efficiency between two principles of plating system, 3D non locking mini plates versus 3D locking mini plates., Materials and Methods: A total of 20 adult patients were selected according to the inclusion criteria and divided into two groups of locking plates/screws and non-locking plates/screws of ten each. All patients were treated with 2.0 mm 3D locking and non locking mini plates and screw system. Comparison of ease of use, functional stability, operator's comfort were tabulated., Results: A total of 27 fractures in 20 patients were treated. Each group contained ten patients. Fracture reduction was good in all the cases. At the follow up of 3 months, all fractures had healed, only one patient had a occlusal discrepancy., Conclusion: There was no difference in the stability in both the groups. Intra operatively locking group consumed more time in fixation as it demands precision in making a hole exactly in the centre of plate necessitating the use of drill guide. Clinical and radiographic healing was good in both the groups.

Introduction: Spontaneous regeneration of bone is commonly seen in the small surgical defects caused by enucleation of cysts. However, in case of large surgical defects caused by the enucleation, spontaneous regeneration of bone is a rare phenomenon and it depends on factors, such as age of the patient, intact periosteum, and proper stabilization., Materials and Methods: The study included 16 patients, who reported to the department of oral and maxillofacial surgery with the complaint of pain and swelling in the jaws diagnosed as cyst. The sample included equal numbers of male and female subjects aged between 15 and 40 years. Panoramic radiographs were taken pre- and postoperatively on day 2 of the enucleation. The dimensions of the cyst were evaluated on the radiograph according to the proforma. Subsequent radiographs were taken at regular intervals of 1.5, 3, and 6 months using standard parameters and were analyzed using MCID™ analysis software of imaging research., Results: Mean reduction was seen in up to 39 and 60% in the cystic cavity size and increase in the mean density up to 59 and 90.2% at 3 and 6 months intervals respectively., Conclusion: Spontaneous bone regeneration was seen even after primary closure of the large cystic defect without the need for placement of foreign substances or grafts and it also eliminated the complications resulting from placement of foreign substance. Further studies are required in a larger sample with longer follow-up durations to confirm the outcome of the present work for the benefit of patients., Clinical Significance: The present study depicted that spontaneous bone regeneration can occur with accepted results after simple enucleation of jaw cyst without the aid of any graft material. Hence, simple enucleation may be considered as a first line of treatment modality for cystic lesion of the jaws. This simplifies the surgical procedure, decreases the economic and biologic costs, and reduces the risk of postoperative complications. Follow-up is necessary along with patient's compliance for the success of treatment.

Introduction: Distant spread of infection due to dental abscess in head and neck region is often reported in the literature. Orbital cellulitis or abscess although rare as a complication from decayed primary teeth in children is not an exception. The periapical infection from the maxillary primary molar spreads easily to the maxillary sinus first and followed by entry into the orbit through the orbital floor or through the ethmoidal sinuses. This if untreated may lead to orbital abscess, proptosis, progressive loss of vision, intracranial extension and even death., Materials and Methods: A 10 year old boy presenting with severe pain, proptosis of right eyeball, ophthalmoplegia and blindness., Conclusion: Managed successfully with timely medical and surgical intervention with complete restoration of vision. This case presented emphasizes the primary teeth care necessary in children which if unchecked can cause fatal complications.

Ectopic salivary gland tumors are rare in children. When salivary gland tumors do develop, they preferentially affect major salivary glands and then minor salivary glands. Pleomorphic adenoma, also referred to as a benign mixed tumor, is the most common tumor of the salivary glands. Approximately 90% of these tumors occur in the parotid gland, while the remaining 10% affect the minor salivary glands. However, it is uncommon to find them elsewhere in the head and neck region. We report a rare case of pleomorphic adenoma in the upper neck, an unusual site in an 8-year-old boy.

Osteopetrosis (Albers-Schonberg disease) is the name given to a group of diseases that affect the growth and remodeling of bones. It is characterized by overgrowth and sclerosis of bone, resulting in thickening and narrowing of the marrow cavities throughout the skeleton. The exact cause is unknown, although failure of bone resorption related to defective osteoclasts is considered to be the basis of the problem. These patients present a significant challenge to the dentist for management of jaw and dental problems, as the disease process demands special strategies which are often at variance with conventional dentistry. The purpose of this paper was to report the management and follow-up of a child with intermediate autosomal recessive osteopetrosis who primarily complained of dental problems.

Unlabelled: PRIMARY AIM: Variability is characteristic of different faces and facial types, and normative data based on one population group does not represent all. Hence, this study was undertaken to establish skeletal cephalometric norms for the South Indian (Karnataka) population utilizing the norms laid by Burstones's analysis for Caucasians., Methods: The sample comprised of lateral cephalograms taken in natural head position of 100 participants (50 men, 50 women). The cephalograms were traced, analyzed and interpreted using the landmarks and values given by Burstone's analysis (Cephalometric analysis for Orthognathic surgery). The student's t test, standard deviation and mean deviation were calculated to compare between two groups., Results: Statistically significant skeletal differences were found between men and women of the South Indian origin in comparison to Caucasian origin. Men had decreased facial divergence, anterior maxillary dental height and proclined upper incisors. Women had marginally increased cranial base, increased midfacial height and proclined upper incisors., Conclusion: Statistically significant differences were found between South Indian men and women when compared with Caucasians in certain key parameters. These differences need to be considered when analyzing the cephalogram for orthognathic surgeries. The values derived from this study may be considered to make the deformity assessment and plan surgery to get optimal results for people of south Indian origin conclusive results can be derived after conducting a study with an eager sample size.