Esthetic improvement by extraction of teeth with poor prognosis for a patient with skeletal malocclusion

Abstract

A 58-year-old patient first visited the clinic with chief complaints of esthetic problems including maxillary protrusion and mobility of posterior teeth. Occlusal reconstruction was conducted by the combination of implant, orthodontic, and prosthodontic treatment. The patient presented with moderate to severe periodontal disease; considering patientʼs age, teeth with poor prognosis were strategically extracted for the purpose of esthetic recovery and functional restoration. This is to report the course of treatment and four-year follow-up.