The endodontic management of traumatized
permanent anterior teeth has been reviewed and
recommendations have been presented for each type of
injury. The management of dental injuries is an
evolving science. Some traditional treatment options
have stood the test of time and are still valid to this day.
Others have been reviewed and modified with the
passage of time, as new science and new materials
evolve to prove, disprove or facilitate approaches to the
management of these injuries. Practitioners need to
always be aware of changes that occur from time to
time with respect to the recommendations for
treatment, and of scientific studies that support or
disprove treatment rationales. Regrettably, the amount
of good evidence based research data on which to base
treatment decisions is still lacking for most injuries to
the teeth. Thus, while this paper has reviewed the
endodontic management of traumatized anterior teeth
in the light of past and present scientific studies, it is
inevitable that some of the proposed recommendations
will themselves be modified as new science reviews the
effectiveness of treatment methods, and new materials
and techniques develop to facilitate treatment.
Dental trauma rarely involves just a single tooth. A
typical injury may involve multiple injuries to both the
teeth and the supporting tissues. Recommendations for
single tooth treatment may not always be appropriate
for multiple adjacent injuries. Treatment decisions still
need to be based on practicality and experience, as well
as an understanding of the literature.