Intentional replantation with 180-degree rotation: an alternative approach for establishing biologic width- A case report

Abstract

Complicated crown root fractures when encountered are difficult to treat and have a bad prognosis. Several types of treatment approaches have been in practice for its management like gingivectomy, orthodontic or surgical extrusion; however, these approaches can be time-consuming, aesthetically compromising, expensive, and unsatisfactory when the fracture line is deep below the gingiva. Intentional replantation with 180 degree rotation consists of extraction, 180 degrees rotation and replantation, thus restoring the biological space. Our case presentation will discuss the treatment options for management of complicated cases and the concept of intentional replantation as an option for management in young permanent anterior teeth by re-establishing the biologic width.