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


Peter F. Day1 • Marie Therese Flores2 • Anne C. O'Connell3 • Paul V. Abbott4 • Georgios Tsilingaridis5,6 • Ashraf F. Fouad7 • Nestor Cohenca8 • Eva Lauridsen9 • Cecilia Bourguignon10 • Lamar Hicks11 • Jens Ove Andreasen12 • Zafer C. Cehreli13 • Stephen Harlamb14 • Bill Kahler15 • Adeleke Oginni16 • Marc Semper17 • Liran Levin18


1School of Dentistry, University of Leeds and Community Dental Service Bradford District Care NHS Trust, Leeds, UK. 2Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaíso, Valparaíso, Chile. 3Paediatric Dentistry, Dublin Dental University Hospital, Trinity College Dublin, The University of Dublin, Dublin, Ireland. 4UWA Dental School, University of Western Australia, Nedlands, WA, Australia. 5Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden. 6Center for Pediatric Oral Health Research, Stockholm, Sweden. 7Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA. 8Department of Pediatric Dentistry, University of Washington and Seattle Children’s Hospital, Seattle, WA, USA. 9Resource Center for Rare Oral Diseases, Copenhagen University Hospital, Copenhagen, Denmark. 10Specialist Private Practice, Paris, France. 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(4):343-359) should always be used as reference.


Traumatic injuries to the primary dentition present special problems that often require far different management when compared to that used for the permanent dentition. 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 or majority decisions of the working group. They were then reviewed and approved by the members of the IADT Board of Directors. The primary goal of these Guidelines is to provide clinicians with an approach for the immediate or urgent care of primary teeth injuries based on the best evidence provided by the literature and expert opinions. The IADT cannot, and does not, guarantee favorable outcomes from strict adherence to the Guidelines; however, the IADT believes their application can maximize the probability of favorable outcomes.  (Dental Traumatology 2020;36:343-359; doi: 10.1111/edt.12576)  Received May 19, 2020  |  Accepted  May 19 2020.