Dental trauma is one of the prime reasons for tooth loss in permanent dentition. Horizontal intra alveolar root fractures are rare with an incidence of less than 7% as compared to other dental impact trauma outcomes. Most of the root fractures heal without treatment, complications like pulpal necrosis and resorption may require endodontic intervention. This case report discusses the management of multiple horizontal intraalveolar fractures in maxillary central incisor. Radiographically multiple healing patterns including the rare type 3 were observed. Combined surgical and non-surgical approaches were used for the management of the fractures.