The goal of this paper is to explain the concepts and techniques of intentional replantation so as to encourage all practitioners to include this procedure in their armamentarium. We will seek to answer why this procedure is not done more frequently. The latest review of papers from the 1960s through 2017 shows a success rate approaching 89%. Other than newer root-end filling materials and transport media, the technique has not varied significantly. The CBCT has allowed for better imaging to help treatment plan the direction of extraction without fracturing the tooth. Future research may show easier ways or tools to more predictably remove a tooth atraumatically.