Delayed Reimplantation of an Avulsed Maxillary Central Incisor Following Extended Extra-oral Dry Time: A Case Report

Abstract

Background: Tooth avulsion is the complete displacement of a tooth from its alveolar socket, causing damage to the periodontal structures. Although relatively uncommon, it represents 1–16% of traumatic dental injuries and is most frequently seen in the maxillary anterior region. Immediate management is critical, particularly in children and adolescents, to improve the prognosis of replantation. Case Description: A 14-year-old male patient presented with avulsion of the maxillary left central incisor following trauma. The tooth had been stored dry for approximately 12 hours prior to presentation, creating an unfavorable condition for replantation. Intervention: Despite the extended extra-oral dry time, replantation was performed considering the patient’s age and the need to maintain aesthetics, function, and psychological well-being. Outcome: The tooth was successfully replanted and managed, aiming to preserve alveolar bone structure and provide temporary functional and aesthetic rehabilitation, despite the guarded long-term prognosis. Conclusion: Delayed replantation may still be considered in young patients even under unfavorable conditions, as it can help maintain aesthetics, function, and psychological health while serving as a temporary solution until definitive treatment is feasible.