This case report describes the treatment of a woman who lost a central incisor. The socket developed severe tissue defects. She rejected hard and soft tissue management and the use of biomaterials. The lateral incisor was moved mesially with orthodontic treatment. The tissue defects were filled with the alveolar bone of the moved tooth and adequate bone volume was generated behind it. An implant was placed in the space that was generated without any tissue augmentation. The moved tooth had sound periodontal tissue and was restored without preparation. The horizontal tooth movement enabled an esthetic outcome with minimal intervention.