The following parameters were considered: inclination of the lower and upper incisors (IMPA and I'SN) and anterior crowding (Little index). The follow-up periodontal clinical examination considered the following parameters: buccal and lingual GR (mm) of incisors and canines, probing score bleeding, plaque score and phenotype gingival. At the follow-up periodontal visits, patients had low overall oral hygiene with bleeding at probing in 66.6% and plaque in the anterior area in 76.2% of patients. From the total examined 240 teeth of the frontal sextants, only three patients showed GR, and the gingival phenotype was thick in 55% of cases. Based on the results, the non-extractive orthodontic treatment would appear not to affect the development of buccal or lingual recessions or the periodontal state after at least two years of post-orthodontic retention. A slight increase in the risk of developing buccal RBC was detected only in correlation with the presence of a fixed retainer and thin gingival phenotype, mainly in patients with gingivitis. Thus, this research will be extremely useful for clinicians in order to schedule periodical periodontal follow-up appointments, mainly in patients after orthodontic treatment, in order to motivate them to maintain better oral hygiene in adulthood [11]. The paper of [PERSON] et al. [9] described a rare case of orthodontic-surgical treatment. In particular, they described a case of inclusion of both maxillary permanent central incisors. This situation negatively affects facial appearance, phonation, and mastication function. As a consequence, early diagnosis is essential to avoid complications and failures. Various reasons for the inclusion were identified, but supernumerary teeth were the leading cause. Early causes of removal and the rapid expansion of the palate show a great chance of success with the spontaneous eruption of the impacted elements; however, surgical orthodontic treatment is often necessary. The inclination of the teeth with respect to the midline and the root maturation degree establishes prognosis and therapeutic times. In this clinical case, a 9-year-old boy showed two impacted supernumerary teeth in the anterior maxillary region, hindering the eruption of the permanent upper central incisors. The impacted supernumerary teeth were surgically removed at different times. A straight wire multibracket technique associated with a fixed palatal appliance was chosen. The palatal appliance consisted of an osteomucosal resin support at the level of the retronicisal papilla. Subsequently, surgical exposure was performed using the closed eruption and elastic traction technique, bringing 11 and 21 back into the arch. The authors concluded that an early and accurate diagnosis supported by clinical and radiological examinations, such as OPG X-ray and CBCT, is crucial. It is essential to evaluate the predictive eruption factor that conditions the treatment plan, such as: patient age, history, compliance, distance from the occlusal plane, vertical position of non-erupted incisors, and inclination with respect to the midline. Complication during tooth eruption could negatively affect the occlusion development and the child's psychology. The early orthodontic interceptive treatment with the elimination of the obstacle and orthopedic expansion with RME is fundamental. In general, the surgical-orthodontic treatment of impacted incisors has a good chance of success, but it takes time. It is essential to inform patients and their parents of the risk of failure and increase in treatment times, especially when the impacted incisors are in a very high alveolar position [9]. With their paper \"Predictors of Analgesic Consumption in Orthodontic Patients\", [PERSON] et al. [12] analyzed the predictors of analgesics consumption and identified the predictive factors for the self-administration of analgesics in orthodontic patients after the initiation of treatment with multibracket fixed appliances.