In the context of traumatic dental injuries, the maxillary central incisors are the teeth most likely to be affected. The objective of this case report is to discuss a 9 year old female who presented for an emergency appointment an hour after the patient experienced a traumatic dental injury of tooth #9. Patient guardian reports no medical conditions, allergies or medications. A clinical examination was performed and revealed extrusion and a MIFL fracture with < 1 mm pulpal exposure of tooth #9. This patient had several obstacles when treatment was considered which included the patient's inability to follow up for a month, the patient’s extreme anxiety, severe crowding of maxillary teeth and esthetics was very important to the patient. The treatment of a fracture and a tooth avulsion that occurred simultaneously varies from provider and is patient-dependent.