Delayed replantation and endodontic management of traumatically avulsed permanent central incisors with mature apex

Tooth avulsion is referred as complete displacement of tooth from the alveolar socket. It may involve both primary and permanent tooth as well. The management and outcome of such avulsion depends on speedy location of avulsed tooth and immediate replantation within the socket as the chances of periodontal ligament (PDL) cells survival decreases with increase in extra-oral dry time. The delayed replantation of tooth avulsion can also be managed following the proper guidelines and protocol. Therefore, the present article is about to discuss the replantation and management of the avulsed permanent maxillary central incisors of a patient with mature apex and an extra-oral dry time of more than 60 minutes.