Surgical repositioning of a pathologically displaced central incisor with a large cystic lesion

Apical cyst development is one of the late sequels of trauma to teeth, which can make the treatment challenging. Till the time the condition becomes symptomatic or gets noticed by the surgeon, displacement of the involved tooth with increase in the size of the lesion may occur. This report presents the case of a 30-year-old female patient with a large cystic lesion around the maxillary right central incisor, along with malpositioning. Root canal treatment was performed followed by enucleation of the cystic lining. Intentional luxation and repositioning of the tooth in a more favorable position were performed and it was splinted for 4 weeks. On regular follow-up, the patient showed no symptoms with bony healing of the cystic cavity and reduction in tooth mobility.