title: Herbal remedies for mandibular fracture healing.
abstract: OBJECTIVE
  When a bone is fractured it is usually necessary to employ a mechanical means to reduce and maintain the fragments in position. However, healing of the fracture is governed by biological principles, with which the mechanical measures must be coordinated to the end, such that a satisfactory bony union and restoration of form and function are obtained. We have studied the effect of Cissus quadrangularis (Harjor) and Ocimum sanctum (Tulsi), in the healing of mandibular fractures.
  
  
  METHODS
  A total of 29 cases having a fracture in the body of the mandible were included in the study and divided into three groups. Groups A and B were treated with Ocimum sanctum and Cissus quadrangularis, respectively, and fracture healing was assessed with biochemical markers and the bite force. Group C was the control group.
  
  
  RESULTS
  The period of immobilization was the lowest in the Group A followed by Group B. A significant increase in alkaline phosphatase and serum calcium was seen in Group B. The tensile strength in terms of the biting force was the maximum in cases of Group B.
  
  
  CONCLUSIONS
  We conclude that Cissus quadrangularis and Ocimum sanctum help in fracture healing, and use of such traditional drugs will be a breakthrough in the management and early mobilization of facial fractures.
authors.affiliation: Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Shadab
authors.initials: S
authors.lastname: Mohammad
authors.affiliation: Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: U S
authors.initials: US
authors.lastname: Pal
authors.affiliation: Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: R
authors.initials: R
authors.lastname: Pradhan
authors.affiliation: Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Nimisha
authors.initials: N
authors.lastname: Singh
keywords: Alkaline phosphatase; Cissus quadrangularis; Ocimum sanctum