Levin L, Day PF, Hicks L International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: general introduction. Dent Traumatol. 2020; 36:309-313 https://doi.org/10.1111/edt.12574
Andreasen FM Pulpal healing after luxation injuries and root fracture in the permanent dentition. Endod Dent Traumatol. 1989; 5:111-131
Diangelis AJ, Andreasen JO, Ebeleseder KA International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012; 28:2-12
Andonovski ME, Antonarakis GS Autism spectrum disorder and dento-alveolar trauma: a systematic review and meta-analysis. J Stomatol Oral Maxillofac Surg. 2022; 123:e858-e864
Albadri S, Zaitoun H, Kinirons MJ UK National Clinical Guidelines in Paediatric Dentistry: treatment of traumatically intruded permanent incisor teeth in children. Int J Paediatr Dent. 2010; 20:(Suppl 1)1-2
Levin L, Day PF, Hicks L International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: general introduction. Dent Traumatol. 2020; 36:309-313 https://doi.org/10.1111/edt.12574
Treatment of Dento-alveolar Traumatic Injuries in a Child with Autism Spectrum Disorder (ASD) Afreen Osman Serena A Dodhia Kathleen Fan Meera Ahluwalia Dental Update 2025 51:9, 632-634.
This case report details the multidisciplinary management and follow-up of a 9-year-old boy diagnosed with autism spectrum disorder (ASD). He presented with severe intrusion injuries after a fall to his permanent maxillary central and lateral incisor teeth. The patient was initially seen in the emergency department by the maxillofacial team. Owing to the complexity of the dento-alveolar injury, it was felt that a multidisciplinary approach would improve patient outcomes. In theatre, both maxillofacial and paediatric dental teams managed the acute trauma. The paediatric dental team continued to review and follow-up with the child. A multidisciplinary team is ideal for managing paediatric patients with severe dental trauma and complex behavioural needs. This approach ensures the best care for patients and favourable outcomes.
CPD/Clinical Relevance: Multidisciplinary management is important in paediatric dento-alveolar trauma.
Article
Traumatic dento-alveolar injuries occur frequently in children, making up 5% of all injuries and 25% of all school children experience dento-alveolar trauma.1 Luxation injuries are the most common in the primary dentition, and crown fractures are the most commonly reported in the permanent dentition.1 Intrusion injuries have ‘an incidence of 2% of all dental trauma, with 97.2% in the anterior maxilla’.2 As a result of the force required to intrude incisors into the alveolar bone, there is typically severe damage to the periodontal ligament, root cementum, neurovascular bundle and surrounding alveolar bone.3 The damage to the supporting structures of the tooth gives intrusive luxation injuries, a comparatively worse prognosis to other types dento-alveolar injury. Some intrusive injuries can be so severe that the teeth might require extraction.
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