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Patient: A patient (65 years old, female) visited our hospital with the chief complaint of esthetic and masticatory impairment caused by severe periodontal disease. Maxillary anterior teeth showed flare-out, and all teeth were affected by periodontal disease at the first examination. After MTM, provisional restorations were placed. A porcelain fused metal bridge was placed as the final restoration. Discussion: Flare-out and diastema of maxillary anterior teeth were corrected by MTM, which made it possible to avoid having to perform pulpectomy for most abutment teeth. Conclusion: Esthetic and masticatory impairments caused by flare-out were improved by MTM and rehabilitation with the porcelain fused metal bridge.

Anterior esthetic restoration following minor tooth movement for a patient with advanced periodontal disease: A case report