Complete inversion and impaction of both permanent central incisors is uncommon and rarely reported in the literature. In this report, we describe the treatment of maxillary central incisors that were completely inverted and impacted and positioned high in the vestibule. The esthetic results achieved provide an alternative to extraction or surgical repositioning. Schlagwörter: central incisors, esthetics, impaction, orthodontic traction, permanent dentition