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


Cecilia Bourguignon1  • Nestor Cohenca2  • Eva Lauridsen3 • Marie Therese Flores4  • Anne C. O'Connell5  • Peter F. Day6  • Georgios Tsilingaridis7,8  • Paul V. Abbot9  • Ashraf F. Fouad10  • Lamar Hicks11  • Jens Ove Andreasen12  • Zafer C. Cehreli13  • Stephen Harlamb14  • Bill Kahler15  • Adeleke Oginni16  • Marc Semper17  • Liran Levin18

1Specialist Private Practice, Paris, France. 2Department of Pediatric Dentistry, University of Washington and Seattle Children’s Hospital, Seattle, WA, USA. 3Resource Center for Rare Oral Diseases, Copenhagen University Hospital, Copenhagen, Denmark. 4Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaíso, Valparaíso, Chile. 5Paediatric Dentistry, Dublin Dental University Hospital, Trinity College Dublin, The University of Dublin, Dublin, Ireland. 6School of Dentistry, University of Leeds and Community Dental Service Bradford District Care NHS Trust, Leeds, UK. 7Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden. 8Center for Pediatric Oral Health Research, Stockholm, Sweden. 9UWA Dental School, University of Western Australia, Nedlands, WA, Australia. 10Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA. 11Division of Endodontics, University of Maryland School of Dentistry, UMB, Baltimore, MD, USA. 12Department of Oral and Maxillofacial Surgery, Resource Centre for Rare Oral Diseases, University Hospital in Copenhagen (Rigshospitalet), Copenhagen, Denmark. 13Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. 14Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. 15School of Dentistry, The University of Queensland, St Lucia, Qld, Australia. 16Faculty of Dentistry, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. 17Specialist Private Practice, Bremen, Germany. 18Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.

Correspondence: Liran Levin, Chair of the IADT Guidelines Committee, Faculty of Medicine & Dentistry, University of Alberta, 5-468 Edmonton Clinic Health Academy, 11405-87 Avenue NW,5th Floor, Edmonton, AB T6G 1C9, Canada. Email:


Whenever referring to IADT Guidelines, the original article, (Dent Traumatol 2020;36:314-330) should always be used as reference.


Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations of these teeth are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning, and follow up are important for achieving a favorable outcome. Guidelines should assist dentists and patients in decision making and in providing the best care possible, both effec-tively and efficiently. The International Association of Dental Traumatology (IADT) has developed these Guidelines as a consensus statement after a comprehensive review of the dental literature and working group discussions. Experienced researchers and clinicians from various specialties and the general dentistry community were included in the working group. In cases where the published data did not appear conclusive, recommendations were based on the consensus opinions of the working group. They were then reviewed and approved by the members of the IADT Board of Directors. These Guidelines represent the best current evidence based on literature search and expert 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 cover the management of fractures and luxations of permanent teeth. The IADT does not, and cannot, guarantee favorable outcomes from adherence to the Guidelines. However, the IADT believes that their application can maximize the probability of favorable outcomes.   (Dental Traumatology 2020;36:314-330; doi: 10.1111/edt.12578)    Received May 19, 2020  |  Accepted May 19, 2020.