Treatment of a crown-root fracture with intentional replantation - case report with 16-year follow-up

Aim To report the intentional replantation of a maxillary central incisor with a crown-root fracture. Summary An 11-year-old girl was referred to a paediatric clinic with an extensive crown-root fracture of the maxillary right central incisor (tooth 11) with pulp exposure. Radiographs revealed that tooth 11 had a periapical radiolucent lesion, which suggested pulpal necrosis. The treatment option chosen was planned extraction and immediate intentional replantation of tooth 11 in a more coronal position. Sixteen years after treatment, tooth 11 was aesthetically and functionally sound, suggesting that the treatment was successful. Key learning point Intentional replantation may be considered as a treatment option for teeth with crown-root fractures.