Objective To explore the clinical effect of orthodontic traction combined with resin in the repair of permanent anterior teeth fracture in children. Methods A total of 70 children with permanent anterior tooth fracture admitted to our hospital from December 2018 to June 2023 were randomly divided into control group and observation group, with 35 children in each group. The control group was treated with conventional periodontal repair, and the observation group was treated with orthodontic traction combined with resin repair. The clinical efficacy, anterior tooth shape recovery and gingival index were compared between the two groups. Results The excellent and good rate of treatment in the observation group was 94.29%, which was higher than 77.14% in the control group, and the difference was statistically significant (P <0.05). The color matching degree, marginal fit, gingival color score and total score of the observation group were higher than those of the control group, and the differences were statistically significant (P <0.05). The gingival index of the observation group was lower than that of the control group after treatment, and the difference was statistically significant (P <0.05). Conclusion Orthodontic traction combined with resin is effective in repairing children's permanent anterior tooth fracture, which is of positive significance for improving clinical efficacy and improving the shape of anterior teeth. At the same time, it is conducive to reducing gingival index and promoting recovery.