Purpose: The study was carried out to assess the use of 1.5 mm low profile titanium miniplate as a tension band in the treatment of mandibular parasymphyseal fractures. Patients and Methods: The study was performed on 12 patients; 10 males and 2 females suffering from mandibular parasymphyseal fractures with/without other fractures in the maxillofacial region. Patients were selected from those attending the outpatient clinic, Oral and Maxillofacial Surgery Department in both, Faculty of Oral and Dental Medicine, Cairo University and Faculty of Dentistry, October 6th University. The selected patients were randomly divided into two equal groups. All patients were treated under general anesthesia with standard nasal endotracheal intubation. Results: The use of 1.5 mm low profile titanium miniplates shows no statistical significance (P< 0.05 ) in the treatment of mandibular parasymphyseal fractures when compared to 2.0 mm titanium miniplates. Conclusion: There were no differences detected in results between 1.5 mm low profile titanium miniplate and 2.0 mm titanium miniplate when used as a tension band