Introduction: Dental impaction may be due to several etiological factors, including genetic conditions, lack of space, failure of primary tooth resorption and prolonged retention of these teeth, presence of intraosseous cysts, and trauma in the region. The ranula is a mucus-filled cyst-like mass that usually originates from extravasation of mucus from the sublingual gland. Case description: A 7-year-old Saudi female presented to the pediatric dental clinic at Prince Mohammed Bin Abdulaziz Hospital (PMBAH), Al-Madinah al-Munawwarah, Saudi Arabia, with complicated orodental problems that were identified after clinical and radiological assessment, including the following: an intruded primary central incisor in close relation to the nasal cavity, hypodontia, hypomineralization, multiple carious teeth, abscess, and sublingual ranula. The pediatric dentistry, oral and maxillofacial surgery (OMFS), and anesthesiology teams discussed the diagnosis and treatment plan for comprehensive oral rehabilitation under general anesthesia (GA). Conclusion: This case report highlights the crucial need for early dental screening and intervention in pediatric patients to educate the parents, prevent orodental problems, and treat the current complaints. It also shows the importance of a multidisciplinary approach in such cases to reach an ideal treatment plan and results. Clinical significance: The potential for pain, difficulty chewing, malalignment of surrounding teeth, and the risk of infection or cyst formation if left untreated.