Impaction of maxillary permanent central incisors is not a frequently reported case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Early detection of such teeth is most important if complications are to be avoided. We report a case of a 14-year-old male with impacted maxillary central incisors. After correct planning of the case, the impacted central incisors were pulled using a combined approach with surgical exposure and the application of an orthodontic force, restoring the patient's function and aesthetics, with good preservation of the supporting structures.