none 10.31254/dentistry.2025.10311 BioMed Research Publishers BioMed Research Publishers 16195 191234184 314763 20260308062943796 10.31254 2026-03-08T06:29:47Z 2026-03-08T06:29:45Z 0 International Journal of Dentistry Research Int J Dentistry Res 25813218 10.31254/dentistry https://www.dentistryscience.com/ 01 17 2026 10 3 R Sowndharyalakshmi Department of Periodontics Government Dental College and Hospital, Cuddalore-607001, Tamil Nadu, India S Srinivasan Department of Periodontics Government Dental College and Hospital, Cuddalore-607001, Tamil Nadu, India RT Arun Department of Periodontics Government Dental College and Hospital, Cuddalore-607001, Tamil Nadu, India V Krishnan Department of Periodontics Government Dental College and Hospital, Cuddalore-607001, Tamil Nadu, India This case report describes the management of a 35-year-old female patient who presented with mobility and extrusion of the maxillary incisors (#21, #22) following trauma. Clinical examination revealed Grade III mobility, extrusion, and loss of vitality in tooth #21, while tooth #22 exhibited Grade I mobility with a delayed response. Radiographic findings showed periodontal ligament widening, periapical radiolucency, and bone loss extending to the middle third of the roots. Following Phase I therapy and root canal treatment, intentional replantation of #21 was performed, involving atraumatic extraction, root surface conditioning with 17% EDTA, and reimplantation. The tooth was stabilized initially with extracoronal and occlusal splints, later replaced by permanent intracoronal splinting. At the one-year follow-up, the reimplanted tooth was functional, asymptomatic, and esthetically acceptable. Radiographs demonstrated bone fill, although ankylosis was noted. This case highlights intentional replantation as a conservative, cost-effective, and tooth-preserving treatment option in situations where otherwise extraction and replacement with implants may be considered. 01 17 2026 126 129 1 10.31254/biomed-crossmark-policy www.biomedresearch.org false 10.31254/dentistry.2025.10311 https://www.dentistryscience.com/IJDR_2025103_11.pdf