The impaction of the maxillary permanent central incisors is not frequently reported in dental practice, but when present, it can have a
major impact on the dental and facial esthetics. It is regarded as unattractive and may affect the self esteem and general social
interaction of the child. This article presents a case with an unerupted maxillary central incisor which was diagnosed radiographically
with an impacted dilacerated maxillary central incisor. The dilacerated impacted maxillary central incisor poses a clinical dilemma,
but can be successfully managed by surgical and orthodontic approach to get the best functional and esthetic results.