Guidelines for the Management of Traumatic Dental Injuries: 1. Fractures and Luxations of Permanent Teeth.

TLDR

Traumatic dental injuries of permanent teeth are common in children and young adults, with crown fractures and luxations being the most frequent, and accurate diagnosis, treatment planning, and follow‑up are essential for favorable outcomes. The guidelines aim to provide dentists and patients with evidence‑based recommendations for the immediate or urgent management of fractures and luxations of permanent teeth, facilitating effective decision‑making and care. The IADT developed the guidelines through a consensus process involving literature review, multidisciplinary expert discussion, and board opinion when evidence was inconclusive. The resulting guidelines reflect the best available evidence and expert consensus for managing fractures and luxations of permanent teeth.

Abstract

Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and followup are important for improving a favorable outcome. Guidelines should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the best current evidence based on literature search and professional opinion. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented.