Prompt Parental Reimplantation of an Avulsed Permanent Incisor in an Eight-Year-Old Child With Five-Year Follow-Up: A Case Report

This report presents a successful long-term outcome of an immediate replantation of an avulsed immature permanent maxillary central incisor in an eight-year-old girl. The avulsion occurred at home during recreational activity, and the tooth was replanted within 10 min by the patient's mother, a trained allied health professional. Clinical and radiographic assessments confirmed an open apex (Cvek stage 4), and the patient was managed in accordance with the International Association of Dental Traumatology guidelines, including flexible splinting and close follow-up. Over a five-year period, the tooth remained asymptomatic and functionally integrated. In the third year, apexification was performed using mineral trioxide aggregate owing to incomplete root development. By the fifth year, the tooth demonstrated functional success without signs of resorption. This case emphasizes the critical role of immediate management, parental awareness, and adherence to clinical follow-up protocols in ensuring the favorable prognosis of avulsed immature teeth. Furthermore, this case highlights the significance of community education and preparedness among caregivers and healthcare professionals in managing dental trauma effectively.