Treatment of a mutilated dentition with the mandibular protraction appliance: a patient report

A 35-year-old female presented missing her maxillary right first premolar, left central and lateral incisors, and left second premolar and mandibular left first molar. The referring dentist had requested that only the maxillary left first molar be intruded to facilitate the prosthodontic replacement of the missing mandibular left first molar. After clinical examination and consultation with her dentist, it was decided to protract the mandibular left second and third molars, intrude the maxillary left first molar, replace the missing incisors with a temporary partial denture, and restore the missing maxillary right first premolar with an implant.