Surgical repositioning is a treatment option for an impacted tooth with root dilaceration in an inverted position. In this case report, surgical repositioning of an abnormally impacted and labially dilacerated maxillary right central incisor is described. The impacted and dilacerated maxillary incisor was surgically repositioned in the early root development period and erupted into proper position with normal root development during a 2-year follow-up period. Keywords: impacted tooth, open apex, repositioning