The success of pulpectomy treatment depends on removal of infected pulp and filling it with a biocompatible material. In order to achieve it, the clinicians should understand the morphology of the individual root canal and atypical root canal configuration. The purpose of this article was to describe a case of primary mandibular second molar with missing successor tooth. BiodentineTM a new dentine substitute was used as an obturating material for retained maxillary second molar. After 24 months follow up, the success of BiodentineTM for management of primary tooth with chronic pulpitis and missing successor was evaluated and reported. Keywords: Dentin substitute, BiodentineTM, missing teeth, Pulpectomy

In skeletal Class III cases, it may be difficult to obtain an excellent occlusal outcome only with orthodontic treatment and to maintain a stable post treatment occlusion. There are three main treatment options for correction of skeletal Class III malocclusion: growth modification, dentoalveolar compensation and orthognathic surgery. In most cases, surgical treatment of Class III malocclusion includes mandibular setback, maxillary advancement or a combination of both. The following is a case report of an ongoing treatment of Skeletal Class III malocclusion due to a prognathic mandible in a 17 year old female patient. The treatment objective was to achieve a more esthetically harmonious facial profile by correcting the skeletal Class III jaw base. The treatment plan included correction of prognathic mandible by surgical line of treatment with conventional orthognathic approach (Bilateral sagittal split osteotomy). Keywords: Skeletal class III, Orthognathic surgery, Bilateral sagittal split osteotomy

Class III skeletal malocclusion with isolated mandibular prognathism is common among kerala population. They may cause both function and esthetic compromise adversely affecting the quality of life of an young individual. Class III skeletal deformity show a familial inheritance pattern. Isolated mandibular prognathism can be treated with bilateral sagittal split osteomy and mandibular setback. Along with orthodontic treatment, this young adults can be given a new face improving their social well being without compromising the function. Here we present a case report of a 22 years old male with isolated mandibular prognathism and class III malocclusion treated with bilateral sagittal split osteotomy and mandbilar setback. Keywords: bilateral sagittal split osteotomy; class III malocclusion, Mandibular prognathism