Aims and Objectives:To compare the maximum voluntary bite force generated at different periods during mandibular fracture healing using miniplates and microplates as means of rigid internal fixation.Materials and Methods:Maximum voluntary bite force was recorded in healthy young individuals of different age group from either gender. Patients suffering from symphyseal and parasymphyseal and body fractures were selected and randomly treated using miniplate and microplate osteosynthesis by open reduction and rigid internal fixation. Postoperative bite forces at intervals of 1st, 2nd, 4th, and 6th week were recorded and compared with control group.Observations and Results:It was noticed that bite forces were significantly reduced in the study groups in comparison to control group and at different intervals of treatment. There was a progressive improvement in the bite force with passage of time. There was no statistical significance in the observed bite force in both the study groups at different intervals of assessment.Conclusion:1.5 mm microplates provide adequate stability comparable to miniplates for the treatment of fractured mandible and should be preferred over miniplates. We further suggest that bite forces should be considered for the assessment of clinical union of bone as well as studies pertaining to selection of hardware for rigid internal fixation.

Introduction:The purpose of this study is to compare the efficiency of culture methods in detecting microorganisms appearing in the bloodstream after various oral surgical procedures and effect of preoperative antibiotics and antiseptic rinses on bacteremia.Materials and Methods:The prevalence of bacteremia at various intervals of time (pre- and post-surgical) was studied in three different groups presenting with indications to surgical intervention. Two of the groups were given presurgical prophylaxis (systemic antibiotic and antiseptic rinse) while, in one group, no prophylactic measure was adopted. Blood samples were withdrawn from the subjects at specific pre- and post-surgical time intervals, and microbiological analysis was done. The findings were compared with a control group involving healthy individuals and a group involved in maxillofacial trauma where the breach of oral mucosal integrity was not surgically planned.Results:The presence of bacteremia was not observed in all five groups at baseline while postsurgery (30 min, 60 min, and 90 min) in only three groups (preoperative antibiotic, without prophylaxis, and 1% Povidone iodine rinse). At all postsurgery periods (30 min, 60 min and 90 min), the presence of bacteremia was evident highest in without prophylaxis group followed by 1% Povidone iodine rinse and preoperative antibiotic the least.

Sialolithiasis is one of the commonest disease of major salivary gland especially submandibular salivary gland. It occurs most commonly in 3 rd and 4 th decades of life and rarely seen in children. Patients usually present with pain and swelling due to obstruction of salivary duct classically at meal time. The diagnosis can be made by history, physical examination and using Ultrasonography, sialography or CT scan. Treatment is mainly surgical and it depends weather the stone is intraglandular or in the salivary duct. Here we report two cases of large stone in Wharton's duct which was removed trans-orally without any complication. We have also reviewed the related previous article.

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<p> </p><span lang="EN-IN">Management of large periapical cysts often require removal of overlying lateral cortical bone to gain access. We report a case in which huge periapical cyst was treated using a novel technique to preserve the overlying lateral cortical bone to facilitate faster healing of the defect. </span>