Impacted teeth are admitted as an important problem in orthodontics. Anomally of anterior teeth eruption can interfere with facial esthetics and cause clinical difficulties. Etiology of these anomally might be early loss of primary teeth, obstruction or no path of eruption and improper positioning of the developing tooth buds. Many techniques have been developed as a choice of treatment. If the impacted tooth is extracted, loss of alveolar bone is expected and after healing period, the alveolar ridge becomes thinner and deficient. When these disadvantages are considered, orthodontic treatment therefore, eruption of natural tooth and maintaining natural appearance are aimed. Treatment of a 13-year-old male patient with a Class I malocclusion and bilateral impacted maxillary central incisors was presented. Treatment procedure included leveling and surgical exposure. The closed-eruption surgical technique had been used and gold chain consisting of a caplin hook with a chain that is made of gold material was used. The impacted incisors were brought into proper position maintaining good esthetic and functional results.

Keywords: Impacted teeth, Gold chain, Caplin hook, Combined surgical and orthodontic therapy