Background: The management of subgingival root fractures requires an integrated interdisciplinary treatment approach that addresses functional, esthetic and biologic factors. Extrusion of root fragment is indicated in order to provide a sound tooth margin for full coverage restoration in conjunction with the adequate, easily maintainable biological width. In the present case, a 31-year-old male patient reported with fractured upper right central incisor following road traffic accident and the horizontal cervical fracture was found to extend below the gingival margin. The treatment plan included endodontic treatment followed by orthodontic extrusion using E chain and lingual buttons placed on facial surface of concerned tooth and adjacent teeth before permanent crown placement. Aims: To describe the management of subgingival root fractures by employing lingual buttons and E chain for orthodontic extrusion of root fragment. Key words: orthodontic extrusion, subgingival root fracture, lingual buttons, E chain.