Two cases are presented where the odontomas had caused the impaction of the anterior teeth and required a combined surgical and orthodontic treatment to bring these teeth into the arch. In the first case a large a complex odontome had caused the impaction of the right central incisor, lateral incisor and canine. In the second case a compound odontome blocked the eruption pathway of the right central incisor. It is emphasised that radiographic examination of all pediatric patients that present clinical evidence of delayed permanent tooth eruption or temporary tooth displacement with or without a history of previous dental trauma should be performed. Early diagnosis of odontomas allows adoption of a less complex and less expensive treatment and ensures a better prognosis.