Treatment of Bilaterally Impacted Maxillary Central Incisors: Surgical Exposure and Orthodontic Treatment

This case report describes the treatment of a patient with his maxillary central incisors impacted along with 2 impacted supernumerary teeth. Due to the 4 impacted teeth in the anterior region, a two-stage treatment plan was developed. In the first stage, the impacted supernumerary teeth were extracted. The second stage involved the surgical exposure and traction of the impacted central incisors with the fixed 2x4 orthodontic appliance. At the end of the treatment, the patient had a normal and stable occlusion along with an adequate width of the attached gingiva