Impacted teeth are a common problem. Orthodontists and oral and maxillofacial surgeons spend a lot of time assessing tooth position and eruption patterns and managing patients referred from general dentists who have usually seen these impactions on intraoral or panoramic radiographs. Permanent canines erupting abnormally are common, as are horizontally impacted mandibular third molars. Even supernumerary teeth are a common enough anomaly to require additional radiographic assessment. Cone beam volumetric imaging (CBVI) is the most appropriate way to perform this assessment for preoperative planning and orthodontic management. It is likely that CBVI will become the standard of care for the assessment of all impactions in the near future.