{"id":1250,"date":"2022-06-20T10:00:00","date_gmt":"2022-06-20T01:00:00","guid":{"rendered":"https:\/\/smiledigitaldc.com\/intentional-replantation-fractured-front-tooth-case\/"},"modified":"2026-10-11T23:52:07","modified_gmt":"2026-10-11T14:52:07","slug":"intentional-replantation-fractured-front-tooth-case","status":"publish","type":"post","link":"https:\/\/smiledigitaldc.com\/en\/intentional-replantation-fractured-front-tooth-case\/","title":{"rendered":"Tooth Replantation in Seomyeon, Busan: Saving a Broken Front Tooth and Restoring It with a Crown"},"content":{"rendered":"<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"773\" height=\"531\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-cover.jpg\" alt=\"Cover image: treatment process of tooth replantation\" class=\"wp-image-1232\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-cover.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-cover-300x206.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-cover-768x528.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-cover-18x12.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Hello.<br>From the heart of Seomyeon,<br>drawing tomorrow's smile,<br>This is Smile Digital Dental Clinic \ud83d\ude42<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">If a front tooth breaks off badly near the gum line,<br>does the tooth always have to be extracted and replaced with an implant?<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">When a tooth is severely fractured, extraction is sometimes necessary.<br>However, after evaluating the fracture location, the condition of the root, the remaining tooth structure, the periodontal tissue and the status of the previous root canal treatment,<br>there are also cases in which treatment to preserve the natural tooth can be considered.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Today I will introduce a case of a woman in her 20s who came in for an implant consultation after a front tooth was badly broken,<br><strong style=\"color:#1a5fb4\">who underwent intentional replantation<\/strong>and was then restored with a crown.<\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Table of contents<\/h2><nav><ul><li class=\"\"><a href=\"#sec-1\">I was thinking about an implant after my front tooth broke.<\/a><\/li><li class=\"\"><a href=\"#sec-2\">We also checked the condition of the previous root canal treatment on the X-ray.<\/a><\/li><li class=\"\"><a href=\"#sec-3\">What is intentional replantation?<\/a><\/li><li class=\"\"><a href=\"#sec-4\">We removed the fractured crown portion and examined the remaining root<\/a><\/li><li class=\"\"><a href=\"#sec-5\">We extracted the tooth and treated the root tip<\/a><\/li><li class=\"\"><a href=\"#sec-6\">In this case, the tooth was replanted in a different orientation<\/a><\/li><li class=\"\"><a href=\"#sec-7\">We checked the healing after replantation<\/a><\/li><li class=\"\"><a href=\"#sec-8\">We restored the remaining tooth structure to prepare for the crown<\/a><\/li><li class=\"\"><a href=\"#sec-9\">We made the final crown after an intraoral scan<\/a><\/li><li class=\"\"><a href=\"#sec-10\">We placed the final front tooth crown.<\/a><\/li><li class=\"\"><a href=\"#sec-11\">We checked again after 9 months.<\/a><\/li><li class=\"\"><a href=\"#sec-12\">Long-term follow-up is important after tooth replantation.<\/a><\/li><li class=\"\"><a href=\"#sec-13\">Can a broken front tooth always be saved?<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"sdc-case-banner\" style=\"background:#000;color:#fff;padding:28px 24px;text-align:center;margin:0 0 8px\"><div style=\"font-size:.95rem;font-weight:700\">Treatment Stage 1<\/div><div style=\"border-top:2px dotted #888;width:60%;margin:8px auto\"><\/div><div style=\"font-size:1.6rem;font-weight:700;line-height:1.3\">Why the Patient Visited<\/div><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"773\" height=\"352\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit.jpg\" alt=\"Panoramic X-ray at the first visit before tooth replantation\" class=\"wp-image-1233\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit-300x137.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit-768x350.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit-18x8.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<h2 id=\"sec-1\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">I was thinking about an implant after my front tooth broke.<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">The patient is a woman in her 20s.<br>She came in after her upper left front tooth broke badly and the fractured piece had been<br>temporarily bonded back on at another dental clinic.<br>She had previously been told that the tooth needed to be extracted, and even at her first visit<br>she believed that, rather than a treatment to keep the natural tooth,<br>she would have to have it extracted and replaced with an implant.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">However, for a highly visible tooth such as a front tooth, the decision to extract is not made<br>just because it is broken.<br>We need to check how far the fracture extends, whether there is any crack or fracture in the root,<br>and whether the remaining tooth can be restored again.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"sdc-case-banner\" style=\"background:#000;color:#fff;padding:28px 24px;text-align:center;margin:0 0 8px\"><div style=\"font-size:.95rem;font-weight:700\">Treatment Stage 2<\/div><div style=\"border-top:2px dotted #888;width:60%;margin:8px auto\"><\/div><div style=\"font-size:1.6rem;font-weight:700;line-height:1.3\">Diagnosis and Treatment Plan<\/div><\/div>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"773\" height=\"403\" data-id=\"1234\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit-marked.jpg\" alt=\"First-visit panoramic X-ray with the broken front tooth area marked\" class=\"wp-image-1234\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit-marked.jpg 773w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit-marked-300x156.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit-marked-768x400.jpg 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-first-visit-marked-18x9.jpg 18w\" sizes=\"(max-width: 773px) 100vw, 773px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"382\" height=\"519\" data-id=\"1235\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-periapical-xray.jpg\" alt=\"Periapical X-ray of the broken front tooth\" class=\"wp-image-1235\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-periapical-xray.jpg 382w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-periapical-xray-221x300.jpg 221w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-periapical-xray-9x12.jpg 9w\" sizes=\"(max-width: 382px) 100vw, 382px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\">First-visit X-ray<\/p>\n\n\n\n<h2 id=\"sec-2\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">We also checked the condition of the previous root canal treatment on the X-ray.<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">The tooth had already received root canal treatment in the past.<br>On the X-ray, an instrument that appeared to have broken during the earlier treatment remained inside the root canal, and a radiolucency was seen around the root tip.<br>Because the tooth was also severely fractured, we also had to judge whether the remaining root could be used<br>to provide prosthetic treatment again.<br>Fortunately, based on the examination results, we judged that in this case a treatment method to preserve<br>the natural tooth could be considered.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">After explaining the various treatment options and their limitations to the patient, we decided to perform <strong style=\"color:#1a5fb4\">intentional replantation (intentional replantation)<\/strong>.<\/p>\n\n\n\n<h2 id=\"sec-3\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">What is intentional replantation?<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Tooth replantation is a treatment method in which a problem tooth is carefully extracted,<br>the root is examined directly outside the mouth and the necessary root-end treatment is performed,<br>and the tooth is then placed back in its original position.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">It is not a treatment performed on every root-canal-treated tooth.<br>It can be chosen when general non-surgical retreatment or apical surgery is difficult to apply,<br>or when replantation can be considered after comparing the various treatment methods,<br>in limited cases.<br>The shape of the root, whether it is fractured, the condition of the periodontal tissue, and<br>whether the tooth can be removed without damage during extraction are also important.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"sdc-case-banner\" style=\"background:#000;color:#fff;padding:28px 24px;text-align:center;margin:0 0 8px\"><div style=\"font-size:.95rem;font-weight:700\">Treatment Stage 3<\/div><div style=\"border-top:2px dotted #888;width:60%;margin:8px auto\"><\/div><div style=\"font-size:1.6rem;font-weight:700;line-height:1.3\">Treatment in Progress<\/div><\/div>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1236\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-fractured-tooth.jpg\" alt=\"Intraoral photo of the broken front tooth\" class=\"wp-image-1236\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-fractured-tooth.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-fractured-tooth-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-fractured-tooth-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1237\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-after-crown-removal.jpg\" alt=\"Intraoral photo after removing the fractured crown portion\" class=\"wp-image-1237\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-after-crown-removal.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-after-crown-removal-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-after-crown-removal-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\">Photo after removing the fractured crown portion<\/p>\n\n\n\n<h2 id=\"sec-4\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">We removed the fractured crown portion and examined the remaining root<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">This shows the fractured part that had been temporarily attached after it was removed.<br>A considerable part of the crown was lost, so tooth structure remained mainly in the root.<br>Considering the condition of the remaining tooth and the possibility of restoring it later,<br>we proceeded with replantation as planned.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-3 wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1238\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-extracted-tooth.jpg\" alt=\"Extracted front tooth\" class=\"wp-image-1238\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-extracted-tooth.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-extracted-tooth-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-extracted-tooth-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1239\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-root-end-filling.jpg\" alt=\"Root-end treatment of the extracted tooth\" class=\"wp-image-1239\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-root-end-filling.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-root-end-filling-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-root-end-filling-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1240\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-replanted-sutures.jpg\" alt=\"Sutured mouth right after tooth replantation\" class=\"wp-image-1240\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-replanted-sutures.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-replanted-sutures-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-replanted-sutures-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\">Extracted tooth \/ Root-end treatment photo \/ Intraoral photo right after replantation<\/p>\n\n\n\n<h2 id=\"sec-5\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">We extracted the tooth and treated the root tip<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">We extracted the tooth carefully, minimizing damage to the root and surrounding tissue.<br>After examining the root directly outside the mouth, we performed the necessary treatment at the root tip<br>and carried out a root-end filling using MTA.<br>In intentional replantation, it is important to reduce damage to the periodontal ligament cells<br>on the root surface of the extracted tooth.<br>Therefore, we keep the time the tooth is outside the mouth as short as possible<br>and carry out the treatment carefully so that the root surface is not unnecessarily dried out or damaged.<\/p>\n\n\n\n<h2 id=\"sec-6\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">In this case, the tooth was replanted in a different orientation<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">This patient's treatment had one distinctive feature.<br>Because the crown was severely fractured and it was difficult to secure tooth structure for a future crown,<br>in this case we rotated the tooth 180 degrees from its original orientation<br>and replanted it.<br>This is not a method used in every tooth replantation.<br>It was chosen considering this patient's fracture location, root shape, remaining tooth structure, and<br>the possibility of future restoration.<br>Therefore, it should not be generalized to mean that any broken tooth can be saved by turning it and replanting it.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-4 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1241\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-healing-1month.jpg\" alt=\"Healing photo one month after tooth replantation\" class=\"wp-image-1241\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-healing-1month.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-healing-1month-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-healing-1month-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1242\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-post-core-process.jpg\" alt=\"Post process photo after tooth replantation\" class=\"wp-image-1242\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-post-core-process.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-post-core-process-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-post-core-process-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\">Photo of healing after replantation \/ Photo of the post and core process<\/p>\n\n\n\n<h2 id=\"sec-7\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">We checked the healing after replantation<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">After replanting the tooth, we did not make the final crown right away,<br>but checked the progress of the tooth and surrounding tissue.<br>About a month later, we checked the condition through the clinical findings and X-rays,<br>and examined the replanted tooth and surrounding tissue again.<br>After replantation, it is important to continuously monitor not only pain and mobility but also changes in<br>the root and periodontal tissue.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">After checking the condition, we decided to proceed with the final prosthetic treatment.<\/p>\n\n\n\n<h2 id=\"sec-8\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">We restored the remaining tooth structure to prepare for the crown<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-core-buildup.jpg\" alt=\"Front tooth core build-up photo\" class=\"wp-image-1243\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-core-buildup.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-core-buildup-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-core-buildup-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">In this patient, the remaining crown tooth structure was insufficient because of the fracture.<br>Therefore, we carried out the restorative steps needed to build and retain a core<br>for making the final crown.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-5 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"386\" data-id=\"1244\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-intraoral-scan.jpg\" alt=\"Intraoral scan photo of the front tooth\" class=\"wp-image-1244\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-intraoral-scan.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-intraoral-scan-300x300.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-intraoral-scan-150x150.jpg 150w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-intraoral-scan-12x12.jpg 12w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"567\" data-id=\"1245\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-in-house-lab.jpg\" alt=\"In-house dental lab information poster\" class=\"wp-image-1245\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-in-house-lab.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-in-house-lab-204x300.jpg 204w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-in-house-lab-8x12.jpg 8w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\">Intraoral scan photo \/ Digital design<\/p>\n\n\n\n<h2 id=\"sec-9\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">We made the final crown after an intraoral scan<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">In the prosthetic stage, we scanned the teeth and surrounding tissue with an intraoral scanner.<br>Using the scanned data, we designed the shape of the crown and made the final restoration considering the length and shape of the neighboring front teeth,<br>the color and the bite.<br>The in-house digital lab process has the advantage that, without transporting impressions to an outside dental laboratory,<br>prosthesis design and fabrication can continue directly from the scan data.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"sdc-case-banner\" style=\"background:#000;color:#fff;padding:28px 24px;text-align:center;margin:0 0 8px\"><div style=\"font-size:.95rem;font-weight:700\">Treatment Stage 4<\/div><div style=\"border-top:2px dotted #888;width:60%;margin:8px auto\"><\/div><div style=\"font-size:1.6rem;font-weight:700;line-height:1.3\">Final Restoration (Before and After)<\/div><\/div>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-6 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1246\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-final-crown-1.jpg\" alt=\"Final front tooth crown after tooth replantation\" class=\"wp-image-1246\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-final-crown-1.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-final-crown-1-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-final-crown-1-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"258\" data-id=\"1247\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-final-crown-2.jpg\" alt=\"Full smile with the final front tooth crown after tooth replantation\" class=\"wp-image-1247\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-final-crown-2.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-final-crown-2-300x201.jpg 300w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-final-crown-2-18x12.jpg 18w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\">Photo of the final crown<\/p>\n\n\n\n<h2 id=\"sec-10\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">We placed the final front tooth crown.<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">After checking progress following the replantation, we finally placed the crown.<br>Because it is a front tooth, we made the restoration considering its length, width, shape and color<br>in harmony with the neighboring teeth.<br>However, with replantation, the treatment is not completely finished once the crown is placed.<br>It is especially important to check the long-term progress after treatment.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-2 wp-block-gallery-7 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"514\" data-id=\"1248\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-after-treatment.jpg\" alt=\"X-ray right after crown treatment following tooth replantation\" class=\"wp-image-1248\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-after-treatment.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-after-treatment-225x300.jpg 225w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-after-treatment-9x12.jpg 9w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"386\" height=\"511\" data-id=\"1249\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-9months.jpg\" alt=\"X-ray 9 months after tooth replantation\" class=\"wp-image-1249\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-9months.jpg 386w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-9months-227x300.jpg 227w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/smile-case-intentional-replantation-xray-9months-9x12.jpg 9w\" sizes=\"(max-width: 386px) 100vw, 386px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\">Right after treatment \/ X-ray comparison after 9 months<\/p>\n\n\n\n<h2 id=\"sec-11\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">We checked again after 9 months.<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">The left is when treatment was completed, and the right is at the follow-up about 9 months later.<br>Even after 9 months, we checked the replanted tooth and the area around the root again.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">\u201cOn the X-ray after 9 months, we checked the root of the replanted tooth and the surrounding bone,<br>and continued follow-up together with the clinical symptoms.\u201d<\/p>\n\n\n\n<h2 id=\"sec-12\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">Long-term follow-up is important after tooth replantation.<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">After intentional replantation, various changes such as root resorption, ankylosis and lesions around the root<br>need to be observed over a long period.<br>Therefore, rather than judging the long-term prognosis from photos right after treatment alone,<br>it is important to check changes in the root and surrounding tissue<br>through regular clinical examinations and X-rays.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">This patient's course was as follows:<br>front tooth fracture \u2192 checking the previous root canal treatment and root-tip condition \u2192 evaluating the possibility of preserving the natural tooth<br>\u2192 intentional replantation \u2192 MTA root-end treatment \u2192 180-degree rotated replantation \u2192 checking healing progress<br>\u2192 core and crown restoration \u2192 9-month follow-up<br>in that order.<\/p>\n\n\n\n<h2 id=\"sec-13\" class=\"wp-block-heading has-text-align-center\" style=\"color:#0b9b3f;font-size:1.15rem\">Can a broken front tooth always be saved?<\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Not necessarily.<br>Even though preserving the natural tooth is important,<br>forcibly saving a tooth that is hard to maintain is not always good treatment.<br>If the root is fractured or the remaining tooth structure is difficult to restore,<br>or if there is severe damage to the periodontal tissue, extraction may be more appropriate.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Conversely, rather than thinking only of an implant from the start just because the tooth is badly broken,<br>you can first evaluate the fracture location, the root condition, the previous root canal treatment, the periodontal tissue and the possibility of restoration<br>to see whether there is a way to preserve the natural tooth.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">This case also does not show a treatment that can be applied to every broken front tooth;<br>it is the treatment process of one patient in whom, after evaluating various conditions, natural tooth preservation was attempted with intentional replantation<br>and the tooth was then restored with a crown.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">*The treatment process and before-and-after photos of this case are published with the patient's consent.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Treatment methods and results vary from person to person. Intentional replantation is not a treatment that can be applied to every tooth, and depending on the shape of the root, whether it is fractured, the periodontal tissue, the remaining tooth structure and the possibility of restoration, it may be difficult to perform or extraction may be necessary. Even after treatment, various problems such as root resorption, ankylosis, inflammation and increased mobility may occur, so long-term follow-up is necessary.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">#BusanToothReplantation #SeomyeonToothReplantation #ToothReplantation #IntentionalReplantation #BusanFrontToothTreatment #SeomyeonFrontToothTreatment #BrokenFrontTooth #FrontToothFracture #ToothFracture #NaturalToothPreservation #SavingNaturalTeeth #BusanFrontToothCrown #SeomyeonFrontToothCrown #FrontToothCrown #MTA #RootEndTreatment #SeomyeonDentist #SmileDigitalDental<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Related cases:<br><a href=\"https:\/\/smiledigitaldc.com\/en\/anterior-zirconia-crown-4teeth-case\/\">Anterior Zirconia Crowns in Seomyeon, Busan: Improving the Shape of the Front Teeth<\/a><br><a href=\"https:\/\/smiledigitaldc.com\/en\/anterior-crown-root-only-tooth-preservation-case\/\">Seomyeon, Busan Front Tooth Crown: Re-Treating a Root-Only Tooth While Preserving It<\/a><br><a href=\"https:\/\/smiledigitaldc.com\/en\/anterior-crown-retreatment-case\/\">Front Tooth Crown Retreatment in Busan Seomyeon: A Case With Root Canal Retreatment and Non-Vital Whitening<\/a><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Related information: <a href=\"\/en\/oneday-crown\/\">Same-day crown guide<\/a> \u00b7 General dental information is also available on the <a href=\"https:\/\/www.kda.or.kr\/\" target=\"_blank\" rel=\"noopener\">Korean Dental Association<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"968\" height=\"1024\" src=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-968x1024.webp\" alt=\"Map to Smile Digital Dental Clinic and office hours\" class=\"wp-image-1452\" srcset=\"https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-968x1024.webp 968w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-283x300.webp 283w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-768x813.webp 768w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026-11x12.webp 11w, https:\/\/smiledigitaldc.com\/wp-content\/uploads\/2026\/10\/sdc-directions-map-2026.webp 1219w\" sizes=\"(max-width: 968px) 100vw, 968px\" \/><\/figure>","protected":false},"excerpt":{"rendered":"<p>A case of a woman in her 20s with a badly broken front tooth who was considering an implant, treated with intentional replantation and restored with a crown.<\/p>","protected":false},"author":1,"featured_media":1232,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[8],"tags":[],"class_list":["post-1250","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-case"],"_links":{"self":[{"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/posts\/1250","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/comments?post=1250"}],"version-history":[{"count":6,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/posts\/1250\/revisions"}],"predecessor-version":[{"id":1619,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/posts\/1250\/revisions\/1619"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/media\/1232"}],"wp:attachment":[{"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/media?parent=1250"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/categories?post=1250"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/smiledigitaldc.com\/en\/wp-json\/wp\/v2\/tags?post=1250"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}