A twelve-year-old female patient presented to the University of Tennessee Medical Center Emergency Room for evaluation and treatment of an avulsed and replanted maxillary central incisor (#8). A dental hygienist at the scene of the accident witnessed the avulsion and immediately rinsed the root and replanted the tooth. A history and physical was obtained by the Emergency Room physician, and dentistry was consulted for treatment approximately three hours post-avulsion. A panoramic image showed no hard tissue fracture. Dental occlusion was normal. A small gingival laceration not requiring sutures was the only soft tissue trauma.