PMC4999640_01
Intraoral examination showing two fully erupted mesiodens
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F1
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.
Periapical radiograph showing absence of unerupted supernumerary teeth
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F2
Radiographic examination ruled out presence of any other unerupted supernumerary teeth (Fig. 2).
Elastic thread used to achieve mesial bodily movement of right central incisor
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F3
Anchorage was taken on the left side to prevent bodily movement of left central incisor (Fig. 3).
Patient followed up after 2 months
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F4
The patient was followed up every 15 days for first 2 months then monthly till 5 months (Fig. 4).
Post-treatment clinical appearance
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F5
Post-treatment periapical radiograph
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F6
PMC4999640_02
Intraoral examination showing mesiodens with 180  rotated central incisor
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F7
Intraoral examination revealed mesiodens with 180  rotated right maxillary central incisor (Fig. 7).
Periapical radiograph showing absence of any other supernumerary teeth
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F8
Radiographic examination ruled out presence of any other unerupted supernumerary teeth (Fig. 8).
Elastic bands placed for derotation
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F9
Right side elastic acted as an anchorage (Fig. 9).
Full arch maxillary anchorage
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F10
Post-treatment clinical appearance after 8 months
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F11
Periapical radiograph showing no bone resorption with proper alignment
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F12
PMC4999640_03
Intraoral examination showing midline diastema
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F13
With over-retained maxillary left deciduous lateral incisor (Fig. 13).
Occlusal radiograph showing bilateral congenital absence of lateral incisors
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F14
The radiographic examination revealed congenital absence of permanent lateral incisors on both sides (Fig. 14).
Brackets placed horizontally
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F15
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).