Guia Manejo De Trauma Dientes Temporales

Dental Traumatology 2012; 28: 174–182; doi: 10.1111/j.1600-9657.2012.01146.x

International Association of Dental Traumatology 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, PeterDay9, Morris Lamar Hicks10, Olle Malmgren11, Alex J. Moule12, Juan Onetto13, Mitsuhiro Tsukiboshi14
1 Division 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; 3 Department of Pediatric Dentistry, Facultyof 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; 7 Department of Dentistry, University of Verona, Verona, Italy; 8Department of Endodontics, University of Washington, Seattle, WA, USA; 9 Pediatric Dentistry, 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 ˚rden, Uppsala, Sweden; Clinic,Folktandva 12 Private Practice, University of Queensland, Brisbane, QLD, Australia; 13Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaiso, Valparaiso, Chile; 14 Private Practice, Amagun, Aichi, Japan

Abstract – Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. TheInternational 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, theIADT 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.

Key words:tooth; trauma; primary; luxation; fracture; review 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 e-mail: barbro.malmgren@ki.se
Accepted 26 March, 2012

*Members of the Task Group.

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© 2012 John Wiley & Sons A/S

IADTguidelines for injuries in the primary dentition Trauma to the oral region occurs frequently and comprises 5% of all injuries for which people seek treatment (1–3). In preschool children, head and facial nonoral injuries make up as much as 40% of all somatic injuries (1–3). In the age group 0–6 years, oral injuries are ranked as the second most common injury covering 18% of all somatic injuries (1–3).Of the oral injuries, dental injuries are the most frequent, followed by oral soft-tissue injuries. Luxation injuries affecting both multiple teeth and surrounding soft tissues are mainly reported in children 1–3 years of age and are typically as a result of falls (2, 4–11). Emergency situations therefore present a challenge to clinicians worldwide. It is now recognized that child injuries are...