Crown-Root Fracture Management by Therapeutic Extraction and Intentional Replantation in Children

Intentional replantation is in practice from past many years as a treatment option for pulpless teeth and also an effective treatment option for teeth which are difficult or impossible to treat using the conventional root canal therapy. The preservation of periodontal ligament vitality, the removal of all tissue debris and irritating substances from the root surface, establishment of a good apical seal and reinforcement of the crown structure are crucial in establishment of the normal function of the reimplanted tooth. This procedure should be considered as an alternative to tooth extraction. A case of vertical crown root fracture of a permanent maxillary central incisor treated with intentional replantation is reported in this article. At the two-year recall visit, the patient was asymptomatic. The tooth was still in function and radiograph showed no evidence of pathological changes.