Intentional replantation involves the purposeful extraction of a tooth, which is then reinserted back into its socket. It is considered one of the alternate options to be considered in the management of hopeless teeth presenting with advanced periodontal destruction in anterior teeth. Intentional replantation is generally opted for the management of endodontically reinfected teeth with good periodontal support and contraindicated in teeth with reduced periodontal support. The main advantage is that the inaccessible areas of the tooth surfaces can be easily visualized without causing damage to the adjacent periodontal tissues thereby promoting reconstruction of periradicular tissues. However, recent evolving studies have extended the method of intentional replantation for the periodontally hopeless tooth. This case report is about the management of a periodontally hopeless tooth with intentional replantation in the lower central incisor with simultaneous periapical surgery in the lateral incisor. This case has been followed up every three months for one year.
