CURRENT RECOMMENDATIONS FOR THE MANAGEMENT OF TRAUMATIC DENTAL INJURIES
Dide Tekinarslan, Kürşat Er
Department of Endodontics, Faculty of Dentistry, Akdeniz University, Antalya, Türkiye
Introduction:
Traumatic dental injuries (TDIs) are a significant concern, especially in children and adolescents, as they
often result in complex injuries to the teeth, supporting bone, and surrounding soft tissues. The
increasing prevalence of such trauma in younger populations makes it a crucial subject in contemporary
dental practice. These injuries can range from mild enamel fractures to serious luxations and avulsions,
with long-term implications for oral health, function, and aesthetics.
Methods:
This narrative review analyzes current evidence and clinical recommendations for the management of
TDIs, focusing on the latest updates from the International Association of Dental Traumatology (IADT).
The study involved an in-depth review of the types of dental injuries, clinical and radiographic
examination protocols, pulp vitality assessment tools, and intervention strategies such as splinting,
replantation, and antibiotic administration.
Results:
Proper diagnosis and timely management are crucial for preserving dental structures and preventing
long-term complications, particularly in young patients with developing dentition and immature root
structures. The management approach depends on the type and severity of the injury, with a special
focus on pulp vitality preservation and the appropriate use of splints and antibiotics. Clinical techniques,
such as sensibility and vitality tests, assist in monitoring pulp status, while interventions like partial and
full pulpotomy are increasingly used to maintain pulp health. Additionally, adherence to IADT guidelines
ensures standardized care across various types of injuries, including fractures, luxations, and avulsions.
These guidelines emphasize not only initial management but also the necessity of long-term follow-up
and patient compliance.
Conclusion:
Through proper adherence to these guidelines, dental professionals can mitigate complications like pulp
necrosis, root resorption, and tooth loss, ultimately improving long-term outcomes for patients. The
integration of evidence-based protocols into clinical practice supports optimal healing and reduces the
burden of trauma-related sequelae in both pediatric and adult populations.
Keywords: Trauma, guideline, fracture, splint, treatment, pulp vitality, IADT.
