Intrusive luxation is a serious dental injury in the permanent dentition that has a poor prognosis. There is a lock of consensus concerning the management of intruded permanent teeth because of a small number of published studies and the injury's complicated nature. The purpose of this report was to present the successful outcome of a completely intruded permanent maxillary right central incisor with a concomitant uncomplicated enamel fracture in a 9-year-old boy. The intruded tooth was repositioned via surgical extrusion and splinted with a semirigid splint for three weeks. Clinical and radiographic examination 48 months after the surgical extrusion revealed no signs of progressive root resorption, marginal bone loss, or periapical disease. Also the percussion sound was normal and the tooth was functionally acceptable and aesthetically pleasing. (Pediatr Dent 2009;31:253-6) Received March 1, 2008 / Last Revision March 21, 2008 / Revision Accepted April 10, 2008