To achieve a satisfactory outcome for transposed impacted teeth, the esthetic assessment and functional rehabilitation should be considered from both the orthodontic and periodontic perspective. In this case, a stepwise approach was used for both surgical uncovering and orthodontic treatment to manage the soft and hard tissue of transposed high canine. The case involved a girl aged 11 years and 7 months with bilateral high impacted canine–lateral incisor transposition. The impacted canines were first uncovered with the closed eruption technique and then moved horizontally to a normal sequence in the arch. Apically repositioned flap surgery was then performed, and the canines were pulled into occlusion. The entire treatment took 48 months. Finally, the transposed canines were moved to their normal position in the arch with consideration for both esthetic preferences and functionality.

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Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.