Intentional replantation is a procedure where a tooth is deliberately extracted and then reinserted into its original socket. It is recognized as an alternative treatment for teeth with advanced periodontal damage, especially in the anterior region. This technique is most commonly used for teeth with endodontic re-infection but good periodontal support, while it is generally not recommended for teeth with significant periodontal compromise. One of the main advantages of this procedure is that it allows for better access to areas of the tooth that are otherwise difficult to treat, without harming the surrounding periodontal tissues, thereby promoting the healing of periradicular structures. Recent studies have expanded the use of intentional replantation to include teeth with poor periodontal prognosis. This case report discusses the treatment of a periodontally compromised lower central incisor using intentional replantation, combined with periapical surgery on the adjacent lateral incisor. The patient was monitored with follow-up visits every 3 months for a year.
