Trauma in the primary dentition is a relatively common occurrence, children are always eager to explore the world around them, a condition inherent to the process of psychic and motor development, sometimes without the perception of the danger they are running. Tooth avulsion is a situation where, as a result of trauma, the tooth is completely displaced from its socket, resulting in the total rupture of the apical vascular-nervous bundle and the fibers of the periodontal ligament. The teeth most often involved are the upper incisors. Due to the close proximity to the permanent dentition, reimplantation is contraindicated, at the risk of damaging the developing germ. Possible esthetic damage has been reported as a major concern for parents after early loss of anterior primary teeth. Aesthetics, with clear and evident repercussions on the psychological issue, is of great importance for family members and for the children themselves, as everyone recognizes teething as a fundamental component of appearance. In this way, the present study describes the behavior after avulsion of the maxillary central incisors in a 3-year-old child, who when seeking care, the reimplantation maneuver was not performed. After 7 months, the treatment option, to minimize the effect caused by the missing teeth, was the creation of an aesthetic-functional appliance, in order to improve the quality of life of the little patient.