case_images: PMC4999640_01
case_images: Intraoral examination showing two fully erupted mesiodens
case_images: ijcpd-04-059-g001.jpg
case_images: PMC4999640_01_ijcpd-04-059-g001.jpg
case_images: F1
case_images: Intraoral examination revealed two fully erupted mesiodens, one behind another (Fig.1), leading to flared maxillary right central incisor and diastema of 4 to 5 mm.
case_images: Periapical radiograph showing absence of unerupted supernumerary teeth
case_images: ijcpd-04-059-g002.jpg
case_images: PMC4999640_01_ijcpd-04-059-g002.jpg
case_images: F2
case_images: Radiographic examination ruled out presence of any other unerupted supernumerary teeth (Fig. 2).
case_images: Elastic thread used to achieve mesial bodily movement of right central incisor
case_images: ijcpd-04-059-g003.jpg
case_images: PMC4999640_01_ijcpd-04-059-g003.jpg
case_images: F3
case_images: Anchorage was taken on the left side to prevent bodily movement of left central incisor (Fig. 3).
case_images: Patient followed up after 2 months
case_images: ijcpd-04-059-g004.jpg
case_images: PMC4999640_01_ijcpd-04-059-g004.jpg
case_images: F4
case_images: The patient was followed up every 15 days for first 2 months then monthly till 5 months (Fig. 4).
case_images: Post-treatment clinical appearance
case_images: ijcpd-04-059-g005.jpg
case_images: PMC4999640_01_ijcpd-04-059-g005.jpg
case_images: F5
case_images: Post-treatment periapical radiograph
case_images: ijcpd-04-059-g006.jpg
case_images: PMC4999640_01_ijcpd-04-059-g006.jpg
case_images: F6
case_images: PMC4999640_02
case_images: Intraoral examination showing mesiodens with 180  rotated central incisor
case_images: ijcpd-04-059-g007.jpg
case_images: PMC4999640_02_ijcpd-04-059-g007.jpg
case_images: F7
case_images: Intraoral examination revealed mesiodens with 180  rotated right maxillary central incisor (Fig. 7).
case_images: Periapical radiograph showing absence of any other supernumerary teeth
case_images: ijcpd-04-059-g008.jpg
case_images: PMC4999640_02_ijcpd-04-059-g008.jpg
case_images: F8
case_images: Radiographic examination ruled out presence of any other unerupted supernumerary teeth (Fig. 8).
case_images: Elastic bands placed for derotation
case_images: ijcpd-04-059-g009.jpg
case_images: PMC4999640_02_ijcpd-04-059-g009.jpg
case_images: F9
case_images: Right side elastic acted as an anchorage (Fig. 9).
case_images: Full arch maxillary anchorage
case_images: ijcpd-04-059-g010.jpg
case_images: PMC4999640_02_ijcpd-04-059-g010.jpg
case_images: F10
case_images: Post-treatment clinical appearance after 8 months
case_images: ijcpd-04-059-g011.jpg
case_images: PMC4999640_02_ijcpd-04-059-g011.jpg
case_images: F11
case_images: Periapical radiograph showing no bone resorption with proper alignment
case_images: ijcpd-04-059-g012.jpg
case_images: PMC4999640_02_ijcpd-04-059-g012.jpg
case_images: F12
case_images: PMC4999640_03
case_images: Intraoral examination showing midline diastema
case_images: ijcpd-04-059-g013.jpg
case_images: PMC4999640_03_ijcpd-04-059-g013.jpg
case_images: F13
case_images: With over-retained maxillary left deciduous lateral incisor (Fig. 13).
case_images: Occlusal radiograph showing bilateral congenital absence of lateral incisors
case_images: ijcpd-04-059-g014.jpg
case_images: PMC4999640_03_ijcpd-04-059-g014.jpg
case_images: F14
case_images: The radiographic examination revealed congenital absence of permanent lateral incisors on both sides (Fig. 14).
case_images: Brackets placed horizontally
case_images: ijcpd-04-059-g015.jpg
case_images: PMC4999640_03_ijcpd-04-059-g015.jpg
case_images: F15
case_images: The brackets were horizontally placed, so that it can engage the elastic thread into it and prevent the thread from the slipping out and irritating the soft tissue (Fig. 15).