Background/Objectives: Odontomas are the most common mixed odontogenic tumors and may cause impaction of adjacent teeth and masticatory disorders. Treatment of tooth impaction caused by the presence of odontomas is related to their stages of root development and their positions in the alveolar bone. The aim of this case report is to present the combined surgical and orthodontic treatment in growing patients with odontomas and to discuss the treatment outcomes. Methods: Two growing patients, an 8-year-old boy and a 17-year-old girl, with large odontomas in the posterior maxillary region of the maxilla were presented. The tumors were found during a radiological examination, and the first molars on the affected sides were impacted due to the presence of odontomas. Results: The treatment plans included the surgical removal of the tumors. In the case of the younger patient, the impacted developing molar erupted spontaneously in the oral cavity one year and two months after surgery. An orthodontic traction of the impacted molar was successfully applied in the older patient. Conclusions: The presence of a large odontoma in the posterior segments may lead to a displacement and impaction of neighboring molars and malformation of their roots. Spontaneous eruption of the affected molar can be expected if the tumor is diagnosed and removed early before its root formation is completed; otherwise, an orthodontic extrusion is needed. Interdisciplinary cooperation is important to diagnose and plan the dental treatment in young patients with odontomas.

Background/Objectives: Vascular anomalies represent a complex group of conditions including vascular malformations and haemangiomas. Haemangiomas are benign tumours that have an endothelial origin. In contrast, vascular malformations are characterized by the abnormal dilation of vessels without proliferation. Depending on the extension of the disease, there is a higher risk of life-threatening haemorrhages that may occur during simple dental procedures. The aim of this case report is to present the interdisciplinary treatment for patients with venous malformation and to discuss the possible dental management of these patients. Methods: A 66-year-old male patient with an extensive venous malformation of the head and neck was referred for a tooth extraction. The venous malformation involved lips, buccal mucosa, tongue, and floor of the oral cavity. Its proximity to the tooth requiring extraction was associated with a high risk of severe bleeding. Results: Prior to the treatment, CBCT and CT scans were performed to confirm the extensions of the lesion and visualise its margins. Considering the possible risks related with venous malformation, the procedure consisted of tooth removal in a hospital setting with control over severe bleeding complications. Conclusions: The presence of an extensive vascular malformation in the head and neck region is burdened with a higher risk of haemorrhages during simple dental procedures. The radiological and clinical planning enables the choice of an accurate treatment strategy to avoid possible difficulties. In cases where such complications cannot be avoided, it is important to perform the treatment in a hospital setting with the cooperation of maxillofacial surgeons.

Soft tissue deficiencies around teeth and dental implants remain a significant challenge in contemporary periodontology and implant dentistry. These deficiencies influence a number of factors, including esthetic outcomes, peri-implant tissue stability, long-term maintenance, and patient satisfaction. Although autogenous connective tissue grafts remain the clinical gold standard for soft tissue augmentation, their use is limited by donor-site morbidity, increased surgical time, and restricted tissue availability. Consequently, polymer-based biomaterials have emerged as promising alternatives or adjunctive regenerative materials capable of improving wound healing while reducing surgical invasiveness. This narrative review compares natural polymers, including collagen, hyaluronic acid, extracellular matrix-derived scaffolds, fibrin-based platelet concentrates, and gelatin-based materials, with synthetic polymeric systems, such as polycaprolactone, polylactic acid, polyethylene glycol, and advanced composite hydrogels. The influence of these materials on angiogenesis, fibroblast migration, extracellular matrix remodeling, immune modulation, and soft tissue integration is reviewed in the context of periodontal plastic surgery and peri-implant soft tissue reconstruction. This narrative review summarizes the current landscape of polymer-based biomaterials used for periodontal and peri-implant soft tissue augmentation, integrating material science with clinical evidence. The advantages, limitations, indications and future perspectives of polymer-based substitutes are discussed in comparison with autogenous grafting procedures.

Soft tissue deficiencies around teeth and dental implants remain a common clinical challenge affecting aesthetics, tissue stability, and long-term maintenance. Polymer-based substitutes reduce donor-site morbidity compared with autogenous connective tissue grafts, but comparative evidence frequently shows lower gains in mucosal thickness and keratinized tissue dimensions. This narrative review examines the biological and material factors that may limit the performance of current soft tissue substitutes and evaluates strategies aimed at overcoming these limitations. Particular attention is given to the mismatch between healing dynamics and passive material behavior, including early burst release of bioactive agents, degradation uncoupled from cellular colonization, delivery kinetics that are not designed to respond to the state of the wound, and limited dose control. Current approaches such as platelet concentrates, recombinant growth factors, affinity-based delivery, covalent immobilization, and cell-seeded matrices can improve selected healing outcomes, but their effects remain strongly dependent on the carrier and have not consistently matched the gains in mucosal thickness and keratinized tissue width obtained with autogenous grafts. Stimuli-responsive and bioresponsive polymer systems offer a potential strategy for making degradation or release depend on the local wound state, although their application in oral soft tissue augmentation remains predominantly preclinical. Future research should focus on polymer–cell and polymer–bioactive agent systems in which degradation, cellular colonization, signal delivery, and mechanical performance are better aligned with tissue healing and long-term maintenance.