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


Anthony J. DiAngelis*1 • Jens O. Andreasen*2 • Kurt A. Ebeleseder*3 • David J. Kenny*4 • Martin Trope*5 • Asgeir Sigurdsson*6 • Lars Andersson7 Cecilia Bourguignon8 • Marie Therese Flores9 • Morris Lamar Hicks10 • Antonio R. Lenzi11 • Barbro Malmgren12 • Alex J. Moule13 • Yango Pohl14 • Mitsuhiro Tsukiboshi15 

1Department of Dentistry, Hennepin County Medical Center and University of Minnesota School of Dentistry, Minneapolis, MN, USA; 2Center of Rare Oral Diseases, Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital, Rigshopitalet, Denmark; 3Department of Conservative Dentistry, Medical University Graz, Graz, Austria; 4Hospital for Sick Children and University of Toronto, Toronto, Canada; 5Department of Endodontics, School of Dentistry, University of Pennsyl- vania, Philadelphia, PA, USA; 6Department of Endodontics, UNC School of Dentistry, Chapel Hill, NC, USA; 7Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center Kuwait University, Kuwait City, Kuwait; 8Private Practice, Paris, France; 9Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaiso, Valparaiso, Chile; 10Department of Endodontics, University of Maryland School of Dentistry, Baltimore, MD, USA; 11Private Practice, Rio de Janeiro, Brazil; 12Department of Clinical Sciences Intervention and Technology, Division of Pediatrics, Karolinska University Hospital, Stockholm, Sweden; 13Private Practice, University of Queensland, Brisbane, Australia; 14Department of Oral Surgery, University of Bonn, Bonn, Germany; 15Private Practice, Amagun, Aichi, Japan.

Correspondence to Anthony J DiAngelis, DMD, MPH, Hennepin County Medical Center, 701 Park Avenue South, Minneapolis, MN 55415, USA.
Tel.: 612-873-6275.
Fax: 612-904-4234
* 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.


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. (Dental Traumatology 2012;28:2–12; doi: 10.1111/j.1600-9657.2011.01103.x) Accepted January 7, 2012.