Traumatic dental injuries (TDIs) occur frequently in children and young adults, comprising 5% of
all injuries. Twenty‐five percent of all school children experience dental trauma and 33% of adults have
experienced trauma to the permanent dentition, with the majority of the injuries occurring before age 19. Luxation injuries are the most common TDIs in the primary dentition, whereas crown fractures are
more commonly reported for the permanent teeth. Proper diagnosis, treatment planning and follow‐up
are important to assure a favorable outcome.
This update includes a review of the current dental literature using EMBASE, MEDLINE, PUBMED
and Scopes searches from 1996‐2011, as well as a search of Dental Traumatology from 2000‐2011.
The goal of these guidelines is to provide information for the immediate and urgent care of TDIs.
It is understood that some of the subsequent treatment may require secondary and tertiary
interventions involving specialists with experience in dental trauma.
The IADT published its first set of guidelines in 2001, and updated them in 2007. As with
previous guidelines, the working group included experienced investigators and clinicians from various
dental specialties and general practice. The current revision represents the best evidence based on the
available literature and expert professional judgment. In cases where the data did not appear
conclusive, recommendations are based on the consensus opinion of the working group, followed by
review by the members of the IADT Board of Directors.
It is understood that guidelines are to be applied with evaluation of the specific clinical
circumstances, clinicians’ judgment and patients’ characteristics, including but not limited to
compliance, finances and understanding of the immediate and long‐term outcomes of treatment
alternatives versus non‐treatment. The IADT cannot and does not guarantee favorable outcomes from
adherence to the Guidelines, but believe that their application can maximize the chances of a favorable
These Guidelines offer recommendations for diagnosis and treatment of specific TDIs; however,
they provide neither the comprehensive nor the detailed information found in textbooks, in the
scientific literature, and most recently in the Dental Trauma Guide (DTG), which can be accessed @
http://www.dentaltraumaguide.org and the IADT website, http://www.iadt‐dentaltrauma.org provides
connection to the journal Dental Traumatology and other dental trauma information
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