Guidelines for the Management of Traumatic Dental Injuries: 3. Injuries in the Primary Dentition

Authors

Barbro Malmgren¹ * • Jens O. Andreasen² * • Marie Therese Flores³ * • Agneta Robertson⁴ * • Anthony J. DiAngelis⁵ * • Lars Andersson⁶ Giacomo Cavalleri⁷ • Nestor Cohenca⁸ • Peter Day⁹ • Morris Lamar Hicks¹⁰ • Olle Malmgren¹¹ • Alex J. Moule¹² • Juan Onetto¹³ Mitsuhiro Tsukiboshi¹⁴ 

¹Division of Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden; ²Department of Oral and Maxillofacial Surgery, Center of Rare Oral Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; ³Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaiso, Valparaiso, Chile; ⁴Department of Pedodontics, Institute of Odontology, Gothenburg University, Gothenburg, Sweden; ⁵Department of Dentistry, Hennepin County Medical Center and University of Minnesota School of Dentistry, Minneapolis, MN, USA; ⁶Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center, Kuwait University, Kuwait City, Kuwait; ⁷Department of Dentistry, University of Verona, Verona, Italy; ⁸Department of Endodontics, University of Washington, Seattle, WA, USA; ⁹PediatricDentistry, Leeds Dental Institute and Bradford District Care Trust Salaried Dental Service, Leeds, UK; ¹⁰Department of Endodontics, University of Maryland School of Dentistry, Baltimore, MD, USA; ¹¹Orthodontic Clinic, Folktandvården, Uppsala, Sweden; 12Private Practice, University of Queensland, Brisbane, QLD, Australia; ¹³Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaiso, Valparaiso, Chile; ¹⁴Private Practice, Amagun, Aichi, Japan.
Correspondence to Barbro Malmgren, DDS, PhD, DrMed, Karolinska Institutet, Department of Dental Medicine, Division of Pediatric Dentistry, POB 4064, SE-14104 Huddinge, Sweden.
Tel.: +46 739851788
Fax: +46 8 7743395
e-mail: barbro.malmgren@ki.se
* Members of the Task Group.

Whenever referring to IADT Guidelines, the original article, (Dent Traumatol 2012;28:174-182) should always be used as reference.

Abstract

Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. 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 specialities were included in the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize the chances of a positive outcome. (Dental Traumatology 2012;28:174–182; doi: 10.1111/j.1600-9657.2012.01146.x) Accepted March 26, 2012

KEYWORDS: TOOTH, TRAUMA, PRIMARY, LUXATION, FRACTURE, REVIEW