eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2024-04-29 12 5 73 77 10.12691/ajmcr-12-5-2 AJMCR20241252 article Wedad A Mashali drwedad_mesh@yahoo.com 1 Sharifah Wafi 2 Mona Al Homoud 2 Ministry Of Health, Primary Health Center, Jazan, Saudi Arabia Ministry Of Health, Primary Health Center, Abha, Saudi Arabia In a properly functioning natural human permanent dentition, the importance of each individual tooth falling appropriate to its pre designed position is responsible for normal functioning without causing abberant problems. Malpositined tooth (MT) alters the physiological balance of natural dentition which renders the natural ability of self cleansing incompetent, besides creating conducive environment for plaque accumulation and initiating periodontal diseases. MT are conservatively corrected by orthodontic tooth movements but due to long term treatment and expenses, many patients do not prefer such correction. In such cases, alternative correction is by prosthodontic means which has it own limitations. In many other cases there is a compromise in treatment planning, since the inclusion of MT does not allow clinician to implement ideal treatment plan. This article in the form of case report presents one such case where multiple MT were accomodated in the treatment plan where both fixed partial and removable partial dentures were designed. The patient was treated in phases and had to undergo many restorative, endodontic and surgical procedures as part of pre prosthetic mouth preparations. The patient was satisfied with the outcome of the treatment plan. https://pubs.sciepub.com/ajmcr/12/5/2/ajmcr-12-5-2.pdf orthodontics fixed partial denture cast partial denture abutment tooth metal ceramic restoration