Introduction: Odontomas are the most common type of odontogenic tumors of the oral cavity and are described as one of the contributing factors to tooth impaction. The impaction of the maxillary incisors causes several esthetic and functional problems. A multidisciplinary approach is required for proper planning, surgical pro-cedure, and orthodontic traction of the impacted tooth.
Case Presentation: The aim of this case report is to present a clinical case of a 10-year-old female patient with the chief compliant of absence of the upper right per-manent central incisor. Radiographic examination revealed that over-retention of the right central incisor was associated with a mixed lesion showing tooth-like structures. The lesion, which was characterized as compound odontoma, was surgically removed. Because of the deep position of the impacted tooth, surgical exposure and orthodontic traction were planned after 10 months of watchful waiting.
Results: Combined surgical and orthodontic treatments are recommended for impacted maxillary central incisors associated with odontoma.