Ideal treatment of anterior tooth impaction (secondary to supernumerary teeth, trauma or ectopic development) and missing teeth (due to agenesis or trauma) aims to minimize long-term maintenance and maximize long-term esthetics. Temporary anchorage devices (TADs) and CBCT imaging now allow more teeth to be successfully disimpacted and spaces (left by missing teeth) to be closed to maintain alveolar bone and avoid prostheses. Realizing the potential of these new treatments requires directed treatment planning by pediatric dentists from the time of initial diagnosis. Clinical cases will be presented demonstrating the current interdisciplinary management of these challenging clinical problems in young patients.