Received: 15 February 2025
Accepted: 20 March 2025
Available online: 25 March 2025
UDC: 616.314-001.5-08
DOI: 10.70113/1815-9443.2025.16.90.006
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.
