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Objective To compare the efficacy of cyanoacrylate (tissue glue) placement after surgical removal of impacted mandibular third molars. Materials and Methods Thirty patients with bilaterally impacted mandibular third molars were studied in this controlled clinical trial. One side closure after surgical removal of third molar was done with conventional sutures and other side with cyanoacrylate. Results The data analysis showed that postoperative bleeding with cyanoacrylate method was less significant than with suturing on the first and second day after surgery. There was no significant difference in the severity of pain between the two methods. Conclusion This study suggested that the efficacy of both, cyanoacrylate and suturing in wound closure were similar in the severity of pain, but use of cyanoacrylate showed better hemostasis.

The technique of approximating tissues resulting in minimal amount of scar usually requires skillful suturing techniques by the surgeons, especially in cleft lip repair. Increased awareness and demand for aesthetic surgical correction with quality in tissue closure has led to the invention of new materials and techniques. Amcrylate (iso amyl 2-cyanoacrylate) is retrospectively evaluated as tissue glue in cleft lip repair, and the results are compared with skin closure by 6-0 Prolene. A retrospective analysis of 60 patients with unilateral or bilateral cleft lip repair was carried out to compare the results of skin closure with Amcrylate and 6-0 Prolene. Patients were randomly divided into 2 groups, each group containing 30, and the study was designed to evaluate the quality of scars after the use of Amcrylate tissue adhesive to close the skin during cleft lip repair and its advantages over sutures (6-0 Prolene). Both groups were analyzed for the time taken for skin closure, resultant scar, parental satisfaction, and complications, and the results were found to be statistically significant for the Amcrylate group. Amcrylate, when used as tissue glue for skin closure in cleft lip repair, definitely has an edge over conventional suturing techniques.

The PMF is simple, versatile and could be valued as a reconstructive alternative, with interesting visual qualities. It is a good therapeutic alternative tool for reconstruction of the buccal mucosa, especially for small- and medium-sized defects between 2 and 4 cm of the oral cavity.

Aims: This retrospective study was done to evaluate the efficacy of single miniplate osteosynthesis at superior border of angle of mandible. Material and methods:In this study 50 patients were treated by single miniplate osteosynthesis according to Champy's principle. Bite force generated was used as a parameter for judging the efficacy of internal fixation. In this article we present our experience over the years in the management of the fractures of angle of mandible based on this model.Results: Most patients were of 21e30 yrs of age with unilateral angle fracture of mandible except one patient who had isolated bilateral angle fracture. The patients were treated successfully according to Champy's principle of osteosynthesis. There was a progressive improvement in the bite force generated after osteosynthesis. Conclusions:The angle of the mandible is an anatomically weak and an area susceptible to fracture. The presence of an impacted or partially erupted third molar tooth further weakens it. Angle of mandible is the most common site for fracture however, bilateral angle fracture is very rare and uncommon. Osteosynthesis according to Champy's model led to an early functional improvement as demonstrated by the bite force generated.

Aim: To demonstrate the preventative therapeutic effect of preoperative and post-operative intravenous 8 mg of dexamethasone on post-operative pain, swelling and trismus after the surgical extraction of mandibular third molars. Materials and methods: A randomised clinical trial was conducted on of 100 healthy participants (group I pre-operative and group II postoperative) with unilateral impacted lower third molars, average age 27.7 AE 9.7 years with no local or systemic problems were operated under local anaesthesia. Group I received 8 mg intravenous 1 hour preoperatively and group II received 8 mg intravenous dose of dexamethasone at the end of procedure. Post-operative pain was evaluated using a visual analogue scale (VAS) and the degree of swelling was evaluated through facial reference point variation. The presence of trismus was analysed through measurement of the inter-incisal distance (IID). These assessments were obtained before the operation and 48 hour and 7 th post-operative day. Results: No significant differences were observed in facial swelling and trismus among pre-operative and post-operative IV 8 mg doses after the surgery (student t-test; P > 0.05). The visual analogue scale scores for pain assessment showed no clinically or statistically significant differences in both groups (student t test; P > 0.05). Conclusions: Pre-operative administration of 8 mg intravenous dexamethasone is as effective as 8 mg IV post-operative dexamethasone with no clinically or statistically significant differences in the final outcomes of the third molar surgery. Clinical SignificanceThis study demonstrates that the steroids can be used pre-operatively and post-operatively for the third molar surgery safely without any statistical difference. However, the steroids should be used judiciously and its use depends on the case selection and preference of the practitioner.

The amalgamated mixture of lignocaine and bupivacaine had equivocally rational onset and provided a more profound and in-depth anesthesia especially in complicated and protracted minor oral surgical procedures. Though this mixture is widely used in other surgical fields, its efficacy still remains unexploited and undocumented in oral and maxillofacial surgical procedures.