International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations

Abstract

Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations of these teeth are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning, and follow up are important for achieving a favorable outcome. Guidelines should assist dentists and patients in decision making and in providing the best care possible, both effectively and efficiently. 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 of the working group. They were then reviewed and approved by the members of the IADT Board of Directors. These Guidelines represent the best current evidence based on literature search and expert opinion. The primary goal of these Guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines cover the management of fractures and luxations of 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.

Clarifying the effect of refractive errors and stereopsis on traumatic dental injuries in childhood

“…Oral injuries account for 5% of all body trauma for all ages, and this rate is 18% in preschool children 2,3 . Traumatic dental injuries specifically are observed in 85% of patients with oral trauma 4 . Traumatic dental injuries are a social problem, as they are frequently encountered in ages of rapid development and have a high recurrence rate compared to other types of trauma.…”

Partial Pulpotomy with Mineral Trioxide Aggregate in Permanent Incisors with Complicated Crown Fracture: 5-Year Follow-Up

“…Guidelines should support dentists in decision making and in providing the best care to patients. Accordingly, the International Association of Dental Traumatology (IADT) and the American Academy of Pediatric Dentistry (AAPD) have issued a consensus statement after analyzing dental publications and have recommended partial pulpotomy for this clinical situation [ 12 , 13 ]. This recommendation is based on the fact that every effort must be made to preserve pulpal vitality in the young permanent tooth to guarantee continuous root development and increased resistance of the tooth.…”

“…This recommendation is based on the fact that every effort must be made to preserve pulpal vitality in the young permanent tooth to guarantee continuous root development and increased resistance of the tooth. Recovery capability after traumatic pulp exposure is well known [ 12 ], but what about bacterial penetration in the three-day elapsed time between the accident and treatment? Is partial pulpotomy also recommended when an exuberant proliferated pulp reaction exists?…”

Projeto De Extensão Cetat Em Tempo De Pandemia: Novas Experiências E Reflexões

“…O projeto conta atualmente com a participação de cinquenta pessoas da comunidade acadêmica da Odontologia e estão sendo promovidas discussões e atualizações sobre o tema traumatismo em dentes permanentes, através da apresentação de casos clínicos e revisões da literatura atualizada sobre o tema, destacando a discussão dos novos guidelines da International Association of Dental Traumatology (IADT) para manejo dos traumatismos, divulgados em março de 2020, os quais norteiam a maioria das ações clínicas do serviço. Professores e colegas convidados também compuseram a lista de participantes que, eventualmente, enriqueceram as discussões realizadas (FOUAD et al, 2020;BOURGUIGNON et al, 2020).…”