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


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
* 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 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