case_images: PMC10837054_01
case_images: Pre-treatment intra-oral images: (a) maxillary arch, (b) mandibular arch, (c) right molar in occlusion, (d) left molar in occlusion, and (e) anteriors in occlusion. Pre-treatment images reveal missing 11, 12, and 13 and crowding in the lower anterior region
case_images: cureus-0016-00000051611-i01.jpg
case_images: PMC10837054_01_cureus-0016-00000051611-i01.jpg
case_images: FIG1
case_images: Intra-oral examination showed missing 11, 12, and 13, as well as over-retained 53 (Figure 1).
case_images: Pre-treatment orthopantomogram (OPG). OPG reveals impacted 11, 12, and 13 along with over-retained 53
case_images: cureus-0016-00000051611-i02.jpg
case_images: PMC10837054_01_cureus-0016-00000051611-i02.jpg
case_images: FIG2
case_images: The intra-oral findings were confirmed using an orthopantomogram (OPG), which revealed impacted 11, 12, and 13 (Figure 2).
case_images: CBCT showing the position of the impacted teeth: (a) coronal section, (b) sagittal section, (c) axial section, and (d) 2D image. CBCT, cone-beam computed tomography; 2D, two-dimensional
case_images: cureus-0016-00000051611-i03.jpg
case_images: PMC10837054_01_cureus-0016-00000051611-i03.jpg
case_images: FIG3
case_images: A cone-beam computed tomography (CBCT) was taken to confirm the positions of the same (Figure 3).
case_images: Surgical exposure of impacted 11 and 13
case_images: cureus-0016-00000051611-i04.jpg
case_images: PMC10837054_01_cureus-0016-00000051611-i04.jpg
case_images: FIG4
case_images: Immediately after the initial alignment of the upper arch using 0.014" and 0.016" nickel-titanium (NiTi) wire, the surgical exposure of the central incisor and canine along with the extraction of over-retained 53 was done (Figure 4).
case_images: Rudimentary 12. On surgical exposure, 12 was found to be rudimentary and hence extracted
case_images: cureus-0016-00000051611-i05.jpg
case_images: PMC10837054_01_cureus-0016-00000051611-i05.jpg
case_images: FIG5
case_images: Since, after exposure, the lateral incisor was found to be rudimentary, it was extracted (Figure 5).
case_images: Post-treatment intra-oral images: (a) maxillary arch, (b) mandibular arch, (c) right molar in occlusion, (d) left molar in occlusion, and (e) anteriors in occlusion
case_images: cureus-0016-00000051611-i06.jpg
case_images: PMC10837054_01_cureus-0016-00000051611-i06.jpg
case_images: FIG6
case_images: The complete levelling and alignment of both arches were done using NiTi wires followed by stainless steel wires (Figure 6).
case_images: Post-treatment orthopantomogram (OPG). Post-treatment OPG reveals proper alignment of 11 and 13
case_images: cureus-0016-00000051611-i07.jpg
case_images: PMC10837054_01_cureus-0016-00000051611-i07.jpg
case_images: FIG7
case_images: The post-treatment OPG shows proper alignment of 11 and 13 (Figure 7).
case_images: Comparison of pre- and post-treatment frontal smiling
case_images: cureus-0016-00000051611-i08.jpg
case_images: PMC10837054_01_cureus-0016-00000051611-i08.jpg
case_images: FIG8
case_images: The pre- and post-treatment smiling photographs are compared in Figure 8.