guidelines for the management of traumatic dental …avulsion of permanent teeth is one of the most...

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Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x Available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full. ENDORSEMENTS: AVULSION OF PERMANENT TEETH 456 THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY Originating Group International Association of Dental Traumatology Endorsed by the American Academy of Pediatric Dentistry 2013 Lars Andersson* 1 • Jens O. Andreasen* 2 • Peter Day* 3 • Geoffrey Heithersay* 4 • Martin Trope* 5 • Anthony J. DiAngelis 6 • David J. Kenny 7 • Asgeir Sigurdsson 8 Cecilia Bourguignon 9 • Marie Therese Flores 10 • Morris Lamar Hicks 11 • Antonio R. Lenzi 12 • Barbro Malmgren 13 • Alex J. Moule 14 Mitsuhiro Tsukiboshi 15 1 Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center, Kuwait University, Kuwait City, Kuwait; 2 Department of Oral and Maxillofacial Surgery, Center of Rare Oral Diseases, Copenhagen University Hospital, Rigs- hopitalet, Copenhagen, Denmark; 3 Paedriatic Dentistry, Leeds Dental Institute and Bradford District Care Trust Salaried Dental Service, Leeds, UK; 4 Faculty of Health Sciences, School of Dentistry, Endodontology, The University of Adelaide, Adelaide, SA, Australia; 5 Department of Endodontics, School of Den- tistry, University of Pennsylvania, Philadelphia, PA, USA; 6 Department of Den- tistry, Hennepin County Medical Center and University of Minnesota School of Dentistry, Minneapolis, MN, USA; 7 Hospital for Sick Children and University of Toronto, Toronto, ON, Canada; 8 Department of Endodontics, UNC School of Dentistry, Chapel Hill, NC, USA; 9 Private Practice, Paris, France; 10 Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaiso, Val- paraiso, Chile; 11 Department of Endodontics, University of Maryland School of Dentistry, Baltimore, MD, USA; 12 Private Practice, Rio de Janeiro, Brazil; 13 Divi- sion of Pediatrics, Department of Clinical Sciences Intervention and Technology, Karolinska University Hospital, Stockholm, Sweden; 14 Private Practice, University of Queensland, Brisbane, Qld, Australia; 15 Private Practice, Amagun, Aichi, Japan. Correspondence to Lars Andersson, DDS, PhD, DrOdont, Oral & Maxillofacial Surgery, Department of Surgical Sciences, Health Sciences Center, P.O. Box 24923, Safat 13110, Kuwait. Tel.: +965 24986695 Fax: +965 24986732 e-mail: [email protected] * Members of the Task Group. Abstract Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. The International 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 specialties were included in the task group. The guidelines represent the current best evidence and practice based on literature research and professionals’ opinion. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate orurgent care of avulsed permanent teeth. (Dental Traumatology 2012;28:88-96; doi:10.1111/j.1600-9657.2012. 01125.x) Accepted January 30, 2012 KEYWORDS: AVULSION, EXARTICULATION, CONSENSUS, REVIEW, TRAUMA, TOOTH Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth How to Cite: Andersson L, Andreasen JO, Day P. Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth. Dent Traumatol 2012;28:88-96. +

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Page 1: Guidelines for the Management of Traumatic Dental …Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important

Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x

Available at: “http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full”.

ENDORSEMENTS: AVULSION OF PERMANENT TEETH

456 THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY

Originating GroupInternational Association of Dental Traumatology

Endorsed by the American Academy of Pediatric Dentistry2013

Lars Andersson*1 • Jens O. Andreasen*2 • Peter Day*3 • Geoffrey Heithersay*4 • Martin Trope*5 • Anthony J. DiAngelis6 • David J. Kenny7 • Asgeir Sigurdsson8

Cecilia Bourguignon9 • Marie Therese Flores10 • Morris Lamar Hicks11 • Antonio R. Lenzi12 • Barbro Malmgren13 • Alex J. Moule14 • Mitsuhiro Tsukiboshi15

1Department of Surgical Sciences, Faculty of Dentistry, Health Sciences Center, Kuwait University, Kuwait City, Kuwait; 2Department of Oral and Maxillofacial Surgery, Center of Rare Oral Diseases, Copenhagen University Hospital, Rigs- hopitalet, Copenhagen, Denmark; 3Paedriatic Dentistry, Leeds Dental Institute and Bradford District Care Trust Salaried Dental Service, Leeds, UK; 4Faculty of Health Sciences, School of Dentistry, Endodontology, The University of Adelaide, Adelaide, SA, Australia; 5Department of Endodontics, School of Den- tistry, University of Pennsylvania, Philadelphia, PA, USA; 6Department of Den- tistry, Hennepin County Medical Center and University of Minnesota School of Dentistry, Minneapolis, MN, USA; 7Hospital for Sick Children and University of Toronto, Toronto, ON, Canada; 8Department of Endodontics, UNC School of Dentistry, Chapel Hill, NC, USA; 9Private Practice, Paris, France; 10Department of Pediatric Dentistry, Faculty of Dentistry, Universidad de Valparaiso, Val- paraiso, Chile; 11Department of Endodontics, University of Maryland School of Dentistry, Baltimore, MD, USA; 12Private Practice, Rio de Janeiro, Brazil; 13Divi- sion of Pediatrics, Department of Clinical Sciences Intervention and Technology, Karolinska University Hospital, Stockholm, Sweden; 14Private Practice, University of Queensland, Brisbane, Qld, Australia; 15Private Practice, Amagun, Aichi, Japan.Correspondence to Lars Andersson, DDS, PhD, DrOdont, Oral & Maxillofacial Surgery, Department of Surgical Sciences, Health Sciences Center, P.O. Box 24923, Safat 13110, Kuwait. Tel.: +965 24986695 Fax: +965 24986732

e-mail: [email protected]

* Members of the Task Group.

AbstractAvulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. The International 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 specialties were included in the task group. The guidelines represent the current best evidence and practice based on literature research and professionals’ opinion. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate orurgent care of avulsed permanent teeth. (Dental Traumatology 2012;28:88-96; doi:10.1111/j.1600-9657.2012. 01125.x) Accepted January 30, 2012

KEYWORDS: AVULSION, EXARTICULATION, CONSENSUS, REVIEW, TRAUMA, TOOTH

Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth

How to Cite: Andersson L, Andreasen JO, Day P. Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth. Dent Traumatol 2012;28:88-96.

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Page 2: Guidelines for the Management of Traumatic Dental …Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important

Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x

Available at: “http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full”.

ENDORSEMENTS: AVULSION OF PERMANENT TEETH

THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY 457

Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth

Page 3: Guidelines for the Management of Traumatic Dental …Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important

Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x

Available at: “http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full”.

ENDORSEMENTS: AVULSION OF PERMANENT TEETH

458 THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY

Page 4: Guidelines for the Management of Traumatic Dental …Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important

Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x

Available at: “http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full”.

ENDORSEMENTS: AVULSION OF PERMANENT TEETH

THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY 459

Page 5: Guidelines for the Management of Traumatic Dental …Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important

Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x

Available at: “http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full”.

ENDORSEMENTS: AVULSION OF PERMANENT TEETH

460 THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY

Page 6: Guidelines for the Management of Traumatic Dental …Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important

Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x

Available at: “http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full”.

ENDORSEMENTS: AVULSION OF PERMANENT TEETH

THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY 461

Page 7: Guidelines for the Management of Traumatic Dental …Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important

Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x

Available at: “http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full”.

ENDORSEMENTS: AVULSION OF PERMANENT TEETH

462 THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY

Page 8: Guidelines for the Management of Traumatic Dental …Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important

Copyright © 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org. Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:88-96; doi: 10.1111/j.1600-9657.2012.01125.x

Available at: “http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01125.x/full”.

ENDORSEMENTS: AVULSION OF PERMANENT TEETH

THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY 463