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.

Objective: There are several developed protocols for implant placement. When treating the esthetic zone different alternatives can be presented according to case variations and implications of the treatment planning and clinical challenges. Immediate implant placement protocols, favor both the patient and the clinician. This particular technique reduces time needed throughout the planning and performing. This document presents the clinical outcome of immediate implant placement in esthetic zone. Clinical Considerations: This case report describes the treatment of a 33 years old patient that requested the rehabilitation of missing teeth in the esthetic zone, previously lost due to facial trauma. All medical and clinical implications were taken into consideration to establish the treatment plan. Radiographic analysis and digital planning were carried through, accordingly. In the second surgical phase of implant treatment, the augmentation of keratinize tissue, in the treated area had no significant results, therefore a third surgery was performed “vestibuloplasty”. Conclusions: The proper planification of immediate implant placement should be ideally included, all the diagnostic tools available, granting the complete visualization of the patient’s conditions, permitting the development of the ideal treatment plan. The treatment with osseointegrated implants inserted immediately after the tooth extraction could be an implantological secure alternative, achieving a successful treatment. However, there’re still several issues that should be addressed. Further investigation is needed.

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.

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.