The management of the anterior open bite may be quite challenging and in some cases necessitates a multidisciplinary approach. We present here a patient suffering from an anterior open bite with an ankylosed central incisor due to previous trauma. The anterior open bite was corrected using conventional orthodontics and the ankylosed incisor was repositioned in the correct tri dimensional position using segmental osteotomy. The repositioned bone block needed 5 months of stabilization and the prosthetic rehabilitation of the anterior maxilla was completed using e-max crowns. At 24 months ,the result was stable with no relapse and an excellent pink and white esthetic score.