It happens many times that the dental surgeon faces a tricky situation when fracture of the root tip occurs during tooth extraction. It is frequently a time consuming and a stressful situation for the patient as well as to the surgeon when attempting removal of these root apices . Though many techniques have been described in the literature, they have some disadvantages. The present article describes a case series of two reports in which we have done atraumatic removal of the broken root tips with the help of endodontic files.

Mandibular third molars were found to be the common impacted tooth, but the ectopic eruption of the third molar is uncommon. The etiology and other information of these teeth were not completely clarified. The present article reports a case of an ectopically impacted left mandibular third molar in the ramus of the mandible.

C-reactive protein (CRP) was discovered by Tillet and Francis in 1930 as a substance in the serum of patients with acute inflammation that reacted with the C polysaccharide of pneumococcus. C-reactive protein (CRP) is an acute phase protein which reflects a measure of the acute phase response. CRP, which is present in only small amounts in healthy individuals, is involved in several processes of the unspecific immunologic defense. The serum levels of CRP raises with infection making it a positive acute phase reactant. This review mainly highlights the role of CRP in the field of Oral and maxillofacial surgery, It provides a knowledge based framework for interpretation and analysis of clinical observations of CRP in relation to infection and other pathologies in orofacial region.

Maxillofacial injuries of which mandible fractures is a common phenomenon are very common now due to increased traffic, alcoholism and have a significant functional, anatomic and aesthetic impact on facial region. The aim of the study was to study the pattern of mandibular fractures in Kashmiri population. A prospective study was carried out which included 240 patients to study the etiology, gender distribution and type of mandible fracture present in maxillofacial region in a Kashmiri population. The showed that 73.3 % were males and 26.7% were females ,about 62.9% had suffered fracture due to RTA, followed by13.7% due to falls and 17.9% by assault .About 53.7% of patients had mandible fractures, of which 20.9% times it was parasympheseal fractures. The study establishes that mandibular fractures are very common in Kashmir in maxillofacial region due to road traffic accidents.

Amongst the various complications reported for single visit endodontics, incidence of post endodontic pain (PEP) is the most common. To evaluate and compare the incidence, duration, intensity and nature of post endodontic pain (PEP) in single visit endodontic treatment, following biomechanical preparation (BMP), using K files with Step Back Technique, Protaper Next with Crown down Technique and Passive Ultrasonic Instrumentation (PUI) along with Protaper Next. 75 patients, with asymptomatic irreversible pulpitis in Maxillary anterior teeth were selected and treated with single sitting root canal treatment, by a single operator. Patients were randomly divided into 3 groups, Control (K files using step back technique), Experimental 1 (Protaper Next using crown down technique) and Experimental 2 (Protaper Next along with PUI). Patients were recalled, examined and asked to fill up questionnaire after 3hrs, 24 hrs, 48 hrs and 7 days of wearing-off of anaesthesia. On the basis of response given in the feedback forms, PEP was evaluated for incidence, duration, intensity and nature. Statistical analysis of the data was carried out using Chi square test and level of significance (p < 0.05) was evaluated. Incidence of PEP was identical in the two experimental groups, which was lower than the control group. Statistically, difference in the incidence of pain, amongst the three groups was found to be non-significant. The duration of pain was longest in Control group, with more patients, experiencing pain, whereas it was least in Experimental group 2. Across the groups, maximum patients experienced mild, continuous pain. Majority of patients experience PEP that is mild, continuous, localised and precipitated by trigger factors. It lasts longer, with hand instruments.