Titanium three dimensional miniplate versus conventional titanium miniplate in fixation of anteriormandibular fractures. A total of 20 patients were managed by open reduction and internal fixation for fractures of anterior mandible. The patients were randomly divided into two equal Group I: (10 patients) were treated with two 2.0 mm titanium mini-plates, Group II: (10 patients) were treated with 3D rectangular mini-plates. Subsequent postoperative clinical follow up for malocclusion, neurosensory deficit, wound breakdown, infection and presence of mal-union/non union was performed. Postoperative radiographs were taken to assess the gap between fracture segments. All patients were followed up clinically and radiographically for 6 months postoperatively. No problems of wound healing,swelling, discoloration, or discharge were seen during follow-up expect one patient in group I showed slight wound dehiscence. Post-operative radiographic examination revealed that the fracture line could not be detected on the radiographs after 6 months in six patients (60%) patients in group I and eight patients (80%) patients in group II. The 3D mini-plate system is a better and easier method for fixation of mandibular fractures, But there is limitation to use in cases of oblique fractures and those involving the mental nerve.