In situations where apicoectomy is required but the surgery has a discouragingly high incidence of potential complications such as nerve or blood vessel damage, or if the root end is in close proximity to other vital structures or inclined away from the access site , an intentional replantation procedure is indicated as a last resort, instead of losing the tooth. This is readily possible in patients with roots that are not too periodontally involved and that adequate bone support is present around relatively conical roots (easy to extract and replant in the socket). During this procedure, the entire tooth is removed through a special, forceps-only extraction method, the apicoectomy or root repair is performed in situ, or outside the mouth, and the tooth is placed back in the socket and stabilized post operatively. If the tooth is removed without breakage and if it’s not dehydrated or scraped too aggressively outside the mouth, it has been shown that this procedure enjoys a relatively high success rate (above 80%) The key here is to be fast and perform the apico atraumatically while keeping the PDL and Cementoblasts alive. The extra-oral time should be confined to less than 10 minutes. The use of BioCeramic root Repair material has made the saving of these teeth simple and efficient.