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Maxillary canines are the second most frequently impacted teeth after third molars. In some cases, the position of the impacted tooth makes orthodontic traction too risky or even impossible. Autotransplantation can be a viable treatment option, and has been proven to have an acceptable success rate. The case reports a young female with a complex impaction solved using autotransplantation together with orthodontic alignment, with a 5-year follow-up. Clinical RelevanceImpacted maxillary canines are often difficult to manage, and associated risks must be taken into consideration when defining a treatment plan. There are several treatment options, and sometimes autotransplantation can be one of the best options from a risk/benefit point of view.

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