Intrusive luxation is considered to be one of the most severe type of dental trauma. Its treatment outcome is strongly related to severity of intrusion and the stage of root formation at the time of trauma. The prognosis of treating an intruded tooth is unpredictable because of the damage including periodontal ligament, pulp, and alveolar bone. This case report presents the treatment course of a 7.5y/o boy who had a severely intrusive luxation and complicated crown fracture at tooth 21. Apexogenesis with MTA was performed. The development of the apical portion of the root was at stage H1 three years after the apexogenesis procedure.