The mandibular bone is an important component of the facial bone, which has a unique role in digestive system, speech, and facial esthetics. For these important functions of mandibular bone, it is vital that surgeons should not only treat function but also consider the esthetics together. Mandibular fractures are among the most common traumatic injuries of the maxillofacial, and it is in facial region, the second most frequently fractured adult facial bone is the mandible due to its vulnerable position and projected onto the face. The objective of this study is to show in detail all the specific aspects, the management and the efficacy of the use of treatments by means of closed reduction and open reduction+stable internal fixation in patients with mandibular fractures. Special emphasis was placed on the potential impact of socioeconomic standards on the mechanism and pattern of jaw fractures.

This paper describes the treatment of a patient diagnosed clinically and based on cone beam computed tomography images with excessive gingival display caused by altered passive eruption Type 1B. A digitally computer designed and 3-D printed surgical guide was fabricated for crown lengthening to provide periodontal esthetics. The combination of intraoral scanners and cone-beam computerized tomography images, and use of planning software, provides a very precise representation of the real conditions of the hard and soft tissues. The design and fabrication of computer surgical guides can improve precision and predictability for surgical procedures and can be superior to conventional free-handed surgery in terms of efficiency and treatment outcomes. Surgical experience and general understanding of computer assisted systems and thorough knowledge of conventional protocols is mandatory to make routine use of these systems. To select a treatment modality, the etiology must be clearly identified and the patient has to be informed of his options for treatment which for this condition are a gingivectomy or an apically positioned flap with or without osseous reduction determined by the type of altered passive eruption.

Gorlin-Goltz Syndrome (GGS) also known as Nevoid Basal Cell Carcinoma Syndrome is a rare autosomal dominant disorder. Is characterized for presenting some clinical features such as palmar pits, fused eyebrows, multiple odontogenic keratocyst, which are considered some of the most common signs. In our case, a rare familial case highlights awareness when a member of the family is diagnosed with this condition, and the probability to find in one the first degree relative. Once again it is confirmed that is impossible to determine without the radiographical analysis such as Cone Beam Computed Tomography (CBCT), ortophantomography, magnetic resonance imaging, to corroborate with clinical aspects, advising that, this could be the best way for the sake of patients benefit. Many treatments less aggressive have been proposed along the years, with a lower percentage of success against the traditional way, specifically surgical enucleation/marsupialization combined with peripheral osteotomy, in order to approach the variable behavior of nevoid basal cell carcinoma syndrome. The early diagnosis is considered the key to well manage this kind of disease, due to its aggressiveness, potential to become malignant, and in some cases, with a silent destructive pattern.

Plasma cell gingivitis is a benign lesion of unknown etiology characterized by massive infiltration of plasma cells into the connective tissue of the gingiva. Clinically it presents as a gingival enlargement with erythema and some areas with the presence of desquamation, it is usually asymptomatic, but on some occasions the patient may present pain and gingival bleeding. Diagnosis requires clinical-pathological correlation. Based on the foregoing, we present a case report of a 25-year-old female patient diagnosed with plasma cell gingivitis with idiopathic etiology based on the clinical and histopathological study.

The surgeon and orthodontist face daily difficulties with correcting a patient's occlusion. Compressed maxilla is a big obstacle to conventional orthodontic treatment or orthognathic surgery. The Surgically Assisted Rapid Palate Expansion is a way to optimize the treatment, based on osteogenic distraction and tissue distraction, reaching more quickly the necessary dimensions of the palate. The purpose of this article is to make the case report of two patients with age differences and show the results obtained in each.