Intentional replantation using 180-degree rotation with crown-root fracture: A case report

Introduction: Managing crown-root fractured teeth can be challenging due to the extent of the subgingival fracture. The purpose of this report is to present a case on treating a crown-root fracture via intentional replantation with a 180-degree tooth rotation. Case Report: In this case a 19-year-old male patient presented with crown-root fractures of the maxillary central incisors. Intentional replantation with a 180-degree rotation, root canal treatment, post and core build up, followed by extra-coronal restorations was performed to maintain the natural dentition. Conclusion: Intentional replantation using 180-degree rotation can be a valuable treatment option for crown-root fractures. Other treatment options available for crown-root fractures include crown lengthening, and orthodontic or surgical extrusion. However, these forms of treatment can be time consuming, expensive, and esthetically compromising when compared to intentional replantation.