Intrusive luxation of a permanent tooth causes extensive damage to the surrounding bone and soft tissues, in addition to resulting in a high incidence of pulpal necrosis and the potential for root resorption. When coupled with additional challenges, such as immature apical root development and a lateral luxation, thorough treatment planning and timing of treatment choices are imperative to retain the tooth in symptom-free function. This case report addresses these clinical challenges that are highlighted in a 7-year-old female patient. Keywords: intrusion, lateral luxation, orthodontics, pulpal necrosis, resorption