Extracted teeth can be bonded directly to adjacent teeth as a noninvasive long-term provisional tooth replacement. In this case report, step-by-step clinical procedures are described for using an incisal splint to simplify and ensure a precise repositioning of the extracted tooth after removal of its root. The essential steps include (1) fabrication of an incisal splint, (2) tooth extraction, (3) root removal and pontic contouring, and (4) direct bonding of the natural pontic. Using this technique, a long-term provisional fixed tooth replacement with an acceptable functional and esthetic outcome can be obtained. (Quintessence Int 2008;39:283–288)

Key words: adhesive, immediate tooth replacement, incisal splint, provisional prosthesis, resin-bonded fixed partial denture, single-tooth replacement