Transmigration, is an intraosseous displacement of an unerupted tooth in which a movement phenomenon causes it to cross midline by more than half. There are some complications associated with its extraction like, inflammation, mild to moderate pain, and alterations of the contour of the mandibular symphysis. Periosteum and symphysis cortical midline preservation, as well as, grafting with particulate bone mixed with Platelet-enriched fibrin glue and FRP membrane, improve bone regeneration and decrease aesthetic complications associated.In this article, we aim todiscuss a case report of a transmigrated mandibular canine with symphysis cortical midline preservation to decrease aesthetic sequels on the soft tissue.