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The mandible is the most frequently fractured bone in maxillofacial trauma, the treatment of which consists of reduction and fixation of dislocated fragments by open or closed approach. Innovative techniques toward reducing the period of the postoperative intermaxillary fixation (IMF) are being researched. A relatively unknown treatment that may have an effect on fracture healing is ultrasound. Recent clinical trials have shown that lowintensity pulsed ultrasound (LIPUS) has a positive effect on bone healing. The aim of this study was to evaluate the effect of LIPUS on healing by its application in fresh, minimally displaced or undisplaced mandibular fracture in young and healthy individuals.

Introduction: Conventional implants have great limitations in case of atrophic maxillary and mandibular ridges. Ultimately, patients who have severely atrophied jawbones paradoxically receive little or no treatment, as long as conventional implants are considered the device of first choice. Basal implants were developed with the goal to overcome the limitations of conventional implantology, primarily for atrophied ridges or inadequate bone with the protocol of immediate loading. However, studies regarding the rehabilitation followed by placement of screwable basal implants in atrophied ridges are limited. The purpose of the study was to conduct a prospective evaluation for the feasibility of placing strategic basal implants in clinical practice along with its merits and demerits. Materials and Methods: A prospective study was designed to evaluate the protocol of immediate functional loading using the technology of strategic basal implants ® for fixed complete arch prostheses and segmental teeth prostheses. A minimal of 10 patients selected in the age group of 20–80 years were restored with strategic basal implants irrespective of the quality and quantity of cancellous/alveolar bone following immediate functional loading protocols. Results: About 157 various designs of basal implants were placed in 10 patients, out of which four failed with the survival rate of 97.5% of basal implants. Discussion: The new concepts laid by basal implantology eliminate all drawbacks of conventional implantology and should be used as an adjunct to improve the quality of life of our patients. The concept of strategic implantology is innovative but reliable technique for patients in need of permanent rehabilitation.

To evaluate the efficacy of nasolabial (NL) flap as a grafting technique in the management of oral submucous fibrosis (OSMF). Patients and Methods: A prospective randomized study was conducted including 10 patients who were treated surgically for OSMF. Patients with the chief complaint of long standing difficulty in mouth opening (less than 20mm), pain in relation with the third molars or any non-malignant growth associated with that region were included. Results: This prospective study was carried out to evaluate the use of NL flap as a grafting technique in OSMF cases and observe the surgical outcome in terms of post-surgical mouth opening.1 week postoperative mouth opening ranged from 25mm to 45mm with a mean of 36 mm. However, 15 days, 1 month and 3 months post-operative mouth opening was 32, 34, and 36 mm respectively. Finally the 12 months follow up showed a range from 22 mm to 44 mm with a mean of 34 mm. Conclusion: Cessation of habits, vigorous mouth opening exercises and improvement in nutritional statusis must for better results post-operatively. All the patients showed sustained mouth opening, satisfactory epithelialization, and minimum wound contracture. The NL flap has proven to be a useful and reliable treatment modality.