The impaction of maxillary permanent central incisor becomes a common problem for the pediatric dentists these years, but the treatment is challenging because of esthetics. Early diagnosis and intervention of such teeth is important to avoid further orthodontic complications. We report a case of a 9-year-old girl with an impacted central incisor in the maxillary anterior region. The odontoma which disturbed the eruption of the permanent incisor was surgically removed. After surgical exposure of the impacted incisor, we brought the impacted maxillary left central incisor downward to its proper position with the orthodontic force applied.