Abstract
Even though the impaction of maxillary central incisor during the mixed dentition stage is uncommon, it poses esthetic and phonetic problems that need early detection and management. This case report aims to present a common finding of an 11-year old boy with impacted permanent maxillary left central incisor, affecting the facial aesthetic and the patient's smile. This impaction was managed by an interceptive orthodontic approach that consisted of surgical removal of the obstruction, and regaining of space for the impacted tooth. This was followed by surgical exposure, orthodontic traction, and proper alignment of the impacted tooth 21. This case report illuminates the importance of early diagnosis of the impacted central incisor and the effectiveness of interceptive orthodontic management in insuring successful long-term aesthetic outcomes.