International Association of Dental Traumatology Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth


Ashraf F. Fouad1 • Paul V. Abbott2 • Georgios Tsilingaridis3,4  • Nestor Cohenca5  • Eva Lauridsen6  • Cecilia Bourguignon7  • Anne C. O’Connell8  • Marie Therese Flores9  • Peter F. Day10 • Lamar Hicks11  • Jens Ove Andreasen12  • Zafer C. Cehreli13  • Stephen Harlamb14  • Bill Kahler15  • Adeleke Oginni16  • Marc Semper17  • Liran Levin18


1Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA. 2UWA Dental School, University of Western Australia, Crawley, WA, Australia. 3Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden. 4Center for Pediatric Oral Health Research, Stockholm, Sweden. 5Department of Pediatric Dentistry, University of Washington and Seattle Children’s Hospital, Seattle, WA, Australia. 6Resource Center for Rare Oral Diseases, Copenhagen University Hospital, Copenhagen, Denmark. 7Private Practice, Paris, France. 8Paediatric Dentistry, Dublin Dental University Hospital, Trinity College Dublin, The University of Dublin, Dublin, Ireland. 9Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaíso, Valparaíso, Chile. 10School of Dentistry, Community Dental Service Bradford District Care NHS Trust, University of Leeds, Leeds, UK. 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.


Whenever referring to IADT Guidelines, the original article, (Dent Traumatol 2020;36:331-342) should always be used as reference.




Avulsion of permanent teeth is one of the most serious dental injuries. Prompt and correct emergency management is essential for attaining the best outcome after this injury. 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. It represents the current best evidence and practice based on that literature search and expert opinions. 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 consensus opinions or majority decisions of the working group. They were then reviewed and approved by the members of the IADT Board of Directors. The purpose of these Guidelines is to provide clinicians with the most widely accepted and scientifically plausi-ble approaches for the immediate or urgent care of avulsed 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;36:331-342; doi: 10.1111/edt.12573)    Received May 19, 2020  |  Accepted May 19 2020.