Trauma to the anterior teeth is a frequent reason for tooth loss in children and adolescents. The transplantation of teeth is an established and biological therapy for replacing missing anterior teeth in these age groups. Premolars and primary canines are suitable for replacing anterior teeth in the maxilla due to their root anatomy and the corresponding emergence profile. This article gives an overview on the indications of tooth transplantation in the anterior maxilla, the surgical procedure and a short survey of the developments in current literature. Keywords: premolar, primary canine, transplantation, trauma