Interdisciplinary Approach to Dental Trauma: Long-Term Functional and Esthetic Results
DOI:
https://doi.org/10.48165/ajm.2026.9.01.29Keywords:
Dental trauma, traumatic dental injuries, interdisciplinary management, anterior teeth, esthetic rehabilitation, functional outcome.Abstract
Aim: The aim of the present study was to evaluate the effectiveness of an interdisciplinary approach in the management of traumatic dental injuries and to assess the long-term functional and esthetic outcomes following treatment of traumatized anterior teeth. Method: A prospective clinical observational study was conducted on 60 patients aged between 8 and 25 years presenting with traumatic dental injuries involving maxillary anterior teeth. A total of 84 traumatized teeth were included in the study. Patients underwent comprehensive clinical and radiographic examination to determine the type and severity of injury. Based on the diagnosis, an interdisciplinary treatment approach involving restorative procedures, endodontic therapy, orthodontic repositioning, and replantation when required was implemented. Patients were followed clinically and radiographically at 3, 6, and 12 months to evaluate functional recovery, tooth vitality, esthetic outcome, and the presence of complications. Result: The most common type of traumatic dental injury observed was crown fracture (40.5%), followed by luxation injuries (25%), avulsion (15.5%), root fractures (11.9%), and crown-root fractures (7.1%). At the end of the 12-month follow-up period, 85.7% of the treated teeth demonstrated successful outcomes, including normal function, absence of pain, and satisfactory esthetic restoration. However, 14.3% of the cases showed complications, such as pulp necrosis, discoloration, or root resorption. Conclusion: The findings of this study indicate that an interdisciplinary treatment approach significantly improves the prognosis of traumatized teeth. Early diagnosis, appropriate treatment planning, and coordinated management among dental specialties contribute to successful functional rehabilitation and satisfactory esthetic outcomes. Regular follow-up is essential to monitor healing and detect possible complications following dental trauma.
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References
Van Gorp, G. (2025). Dental trauma: Current perspectives and future directions. Dental Traumatology, 41(Suppl. 1), 27–37. https://doi.org/10.1111/edt.13023
Taylor, G. D., Sumner, O., Holmes, R., & Waterhouse, P. J. (2021). Management of traumatic dental injuries in children and adolescents. Dental Traumatology, 37(4), 608–616. https://doi.org/10.1111/edt.12676
Majewski, M., Kostrzewska, P., Ziółkowska, S., Kijek, N., & Malinowski, K. (2022). Dental trauma management in clinical practice. Polski Merkuriusz Lekarski, 50(297), 216–218.
Aydin, A., Schunk, J., Giese, M., Schuck, O., & Dudde, F. (2025). Evaluation of dental trauma treatment approaches. Dentistry Journal, 13(9), 409. https://doi.org/10.3390/dj13090409
Yu, J., Yu, J., & Liu, C. (2025). Clinical outcomes of traumatic dental injuries: A retrospective study. BMC Oral Health, 25(1), 1985. https://doi.org/10.1186/s12903-025-07382-4
Wang, Y., Wang, X., Zhao, Y., Qiao, L., Ye, L., Zhou, L., & Zhao, J. (2025). Advances in diagnosis and management of dental trauma in pediatric patients. Translational Pediatrics, 14(7), 1637–1651. https://doi.org/10.21037/tp-2025-243
Kilgariff, J. K., & Fairless, M. (2023). Management of dental trauma in primary care settings. Primary Dental Journal, 12(4), 47–56. https://doi.org/10.1177/20501684231213770
Nazzal, H., Dhaliwal, H. K., Littlewood, S. J., Spencer, R. J., & Day, P. F. (2014). Updates in the management of traumatic dental injuries. British Dental Journal, 217(9), 517–523. https://doi.org/10.1038/sj.bdj.2014.954
Johnson, W. T., Law, A. S., McTigue, D. J., Moos, H. L., & Vann, W. F., Jr. (2013). Guidelines for the management of traumatic dental injuries. Pediatric Dentistry, 35(2), 198–202.
Yassen, G. H., Chin, J. R., Al-Rawi, B. A., Mohammedsharif, A. G., Alsoufy, S. S., Hassan, L. A., Salim, L. H., & Eckert, G. J. (2013). Traumatic dental injuries in children: A clinical evaluation. Journal of Dentistry for Children, 80(1), 3–8.
Levin, L., Day, P. F., Hicks, L., O’Connell, A., Fouad, A. F., Bourguignon, C., & Abbott, P. V. (2020). International Association of Dental Traumatology guidelines for the management of traumatic dental injuries. Dental Traumatology, 36(4), 309–313. https://doi.org/10.1111/edt.12574
Ganesh, G., & Tripathi, T. (2021). Interdisciplinary management of traumatized maxillary incisors with an anterior crossbite in a young adult. Journal of Interdisciplinary Dentistry, 11(3), 124–128. https://doi.org/10.4103/jid.jid_58_20
Ravishankar, T. L. (2010). Management of traumatic dental injuries in children. Chinese Journal of Dental Research, 13(1), 57–60.
Naidoo, S., Sheiham, A., & Tsakos, G. (2009). Traumatic dental injuries of permanent incisors in children. Dental Traumatology, 25(2), 224–228. https://doi.org/10.1111/j.1600-9657.2008.00749.x
Narayanan, S. P., Rath, H., Panda, A., Mahapatra, S., & Kader, R. H. (2021). Management of traumatic dental injuries: A review. Journal of Contemporary Dental Practice, 22(10), 1206–1224.
Nagarajappa, R., Ramesh, G., Uthappa, R., Kannan, S. P. K., & Shaikh, S. (2020). Prevalence and patterns of traumatic dental injuries. Journal of Dental Sciences, 15(1), 96–103. https://doi.org/10.1016/j.jds.2019.07.003
Petti, S. (2018). Traumatic dental injuries: Epidemiology and public health implications. Dental Traumatology, 34(2), 71–86. https://doi.org/10.1111/edt.12389
Richards, D. (2018). Management of traumatic dental injuries: Evidence-based review. Evidence-Based Dentistry, 19(2), 34–35. https://doi.org/10.1038/sj.ebd.6401297
Del Negro, B., Kimura, J. S., Menezes, A. N., Mendes, F. M., & Wanderley, M. T. (2023). Outcomes of treatment of traumatic dental injuries in children. International Journal of Paediatric Dentistry, 33(5), 498–506. https://doi.org/10.1111/ipd.13052
Hashim, R., Luke, A. M., Salah, A., & Mathew, S. (2024). Global prevalence and management of traumatic dental injuries: A systematic review. PeerJ, 12, e18366. https://doi.org/10.7717/peerj.18366
