Impacted teeth can be a challenging scenario in orthodontic patients asking for ‘invisible’ treatments. Skeletal anchorage can help clinicians to overcome the limitations of aligners, making possible more predictable and efficient clinical protocols. This case report describes a ‘canine-first’ approach and the relative workflow for the orthodontic management of impacted teeth with aligners and skeletal anchorage. The approach could be very effective in adult patients who present with impacted teeth and request aesthetic orthodontic treatment options.

Receipt of manuscript: 28.04.2022, Acceptance: 15.05.2022