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A 40-year-old female patient visited the Tohoku University School of Dentistry, Department of Prosthodontics in 1976 requesting restoration of esthetic appearance. The patienthad had open face crowns with a prosthetic space appliance cemented to both right and left uppercentral incisors in about 1962.Following this treatment, the patient had not been satisfied with the prosthetic space applianceand metallic portion of the open face crowns.Intraoral examination revealed a spaced dental arch in both the upper and lower jaws, butperiodontal disease was not obserbed by either radiographic or intraoral examination. In general, prosthodontic treatment by itself is not satisfactory for restoration of esthetic appearance and, therefore, orthodontic treatment in combination with prosthodontic treatment is required. In andprior to 1976, the application of MTM (minor tooth movement) in patients older than 40 years of agewas rare.This is a report of the prognosis 11 years after prosthodontic treatment in combination with MTM to restore esthetic appearance. After 11 years, a space of 0.8mm between the upper centralincisors as well as attrition of the artificial teeth of the partial denture were found, but the prognosiswas good since no breakage of the coronal prosthesis or the partial denture was obserbed.We therefore report this case together with reconsideration of the original treatment plan.

The prognosis 11 Years after Prosthodontic Treatment with MTM to Restore Esthetics in a 40-year-old Patient Having a Spaced Dental Arch.