Vital reimplanted tooth in torsiversion: A one-and-half-year follow-up

A 10-year-old boy reported to the dental outpatient department with a chief complaint of a labially placed upper left central incisor and wanted treatment for esthetic reasons. No history of pain, bleeding, or any swelling was reported. Clinical examination revealed that the left upper central incisor was in torsoversion, that is, the palatal side of a tooth in labial position or a tooth rotated along its long axis by 180°. There was a history of traumatic avulsion followed by replantation 2.5 years earlier. No dental treatment was taken by the child. The radiograph showed root fracture in the apical one-third area but with no periapical radiolucent changes. As the tooth was completely asymptomatic and was vital with no periapical changes, no endodontic treatment was planned. Interceptive orthodontic treatment for the labially positioned tooth was undertaken followed by esthetic recontouring with labial crown forms. The case highlights the excellent results of immediate replantation. It also highlights the need for basic education about common dental emergencies, such as avulsion, to schoolchildren, teachers, and primary health-care providers.