Objective: To explore the therapeutic effect of surgical guided-assisted orthodontic treatment on impacted maxillary anterior teeth in children. Methods: The research subjects were 70 children with impacted maxillary anterior teeth. Implementation time: From February 2021 to February 2025, the grouping method for the enrolled children was random lottery. 35 children who received surgical guidance treatment were included in the control group, and 35 children who received surgical guidance assisted orthodontic treatment were included in the study group. The differences in treatment effects between the two groups of children were evaluated. Results: The total effective rate of correction in the study group was higher than that in the control group (P < 0.05). The gingival rupture time, treatment time, eruption time of impacted teeth, and VAS scores at 1 month and 3 months after treatment in the study group were all lower than those in the control group (P<0.05). Six months after treatment, the width and thickness of the attached gingiva and the thickness of the labial bone plate in the study group increased more significantly than those in the control group (P < 0.05). The incidence of complications in the study group was lower than that in the control group (P < 0.05). Conclusion: The implementation of surgical guided-assisted orthodontic treatment for impacted maxillary anterior teeth in children can effectively promote the eruption of affected teeth, reduce the degree of pain, decrease complications, improve the orthodontic effect, and has positive significance for improving the prognosis of children.