Standardized Management Clinical Pathway for Intentional Tooth Replantation Based on Healing Dynamics： case series

Intentional tooth replantation (ITR) serves as a definitive, tooth-preserving treatment but has limited success rate. Previously, ambiguity regarding the postoperative healing process of replanted teeth has led to considerable variability in follow-up schedules and assessment protocols, highlighting an urgent need for standardization. This article presents 4 successful cases of ITR with long-term follow-up, systematically describing the clinical and radiographic findings at postoperative intervals of 2 weeks, 1 month, 3 months, 6 months and beyond 1 year, 2 years or even 5 years. Based on these cases and our cumulative experience with over 20 ITR cases. We systematically propose a standardized clinical pathway for the management of ITR based on the dynamic healing process, including follow-up timeline, key evaluation criteria, and clinical significance. The aim is to enhance the predictability and success rate of ITR, thereby facilitating the long-term preservation of the natural dentition.