Dental Trauma

Avulsed primary teeth are for the tooth fairy, even if their sacrifice was premature - Orla Kelly

Dental Trauma
Dental Trauma

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Dental Trauma

One of the many perks of practising in the Emergency Department is the knowledge and experience of managing multiple different types of presentations and injuries involving all parts of human anatomy. This is true except for one small yet crucial part that medicine has historically handed over to another speciality – dentists.

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  Dental Trauma

The emergency management of dental trauma in the ED is limited, however can have drastic positive implications if done correctly.

American Association of Endodontists

Traumatic dental injuries often occur in accidents or sports-related injuries. Chipped teeth account for the majority of all dental injuries. Dislodged or knocked-out teeth are examples of less frequent, but more severe injuries.

Dental Traumatology

The journal publishes original scientific papers, review articles in the form of comprehensive reviews or mini reviews, relevant case reports and short communications about clinical methods and techniques.

The global phenomenon of dental trauma is estimated to affect 50-60% of the world's population (including both the primary and the permanent teeth).


In general, acute dental trauma is inadequately treated. In some patient populations, less than half of patients who need treatment receive it; of those who do receive treatment, over half receive inadequate treatment.

Sporting Injuries

Dental injuries are unique in that they are lifelong. When someone breaks an arm or leg, the bones heal. When someone breaks a tooth, it does not heal and requires a lifetime of repairs, replacement, and management.

Core EM

Dental emergencies: avulsion, intrusion >3mm, and Ellis Class III fracture. Dental urgencies: Ellis I or II fractures (cracks), luxation, and subluxation.

Maimonides Emergency Medicine

Complete Avulsion – loss of entire tooth from socket, dental emergency.

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