An alternative to dental trauma guidelines: replantation of avulsed primary incisors with 3.5-year follow-up

Background: Avulsion of primary teeth may require comprehensive consideration because such teeth are not replanted. This case report highlights and discusses the complexities of clinical decision-making in a pediatric dental trauma, in which adherence to guidelines may be balanced against the potential benefits of deviating from them in exceptional cases. Cases: A 2-year old and 7-month-old male child visited our clinic with the chief complaint of avulsion of primary maxillary incisors. The extraoral time was less than 30 min. After obtaining the informed consent to the parents, the teeth were replanted and pulpectomies were performed on the teeth. A 3.5-year follow-up examination confirmed the stability of the replanted teeth with no adverse outcomes. Conclusions: In summary, this case demonstrated that, under well-defined circumstances, replantation can serve as a viable alternative, potentially guiding more personalized approaches in similar clinical scenarios.