Aim: This report presents the aesthetic restoration of an avulsed maxillary central incisor through auto transplantation of an impacted mesiodens.
Summary: A 10-year old male patient with a history of fall 1 week back reported to the Department of Pedodontics. On examination it was found that 11 was avulsed and the radiographs confirmed it. On radiograph, an impacted mesiodens was found lying in the same region. This tooth was atraumatically removed and replaced in the place of 11. After stabilization, root canal treatment was performed and the aesthetics were restored with a polycarbonate crown. Over 1 year, the aesthetics remained excellent, and the transplant functioned normally without any signs or symptoms of root resorption.