Approaches to Managing Traumatic Dental Injuries in Permanent Teeth: Narrative Review

Background: Dental trauma in permanent teeth often occurs in children and adolescents, with various clinical manifestations ranging from enamel infraction to avulsion. Understanding management and concept of dental trauma is crucial to achieve good treatment, then discussing the management-concept is needed.

Purpose: This literature review aims to summarize current concepts and treatment options for permanent tooth injuries, focusing on clinical decision-making based on the extent of dental trauma. 

Result: Management of dental trauma depends on the type and severity of injury. Enamel infractions may require no treatment, while fractures can be treated with composite restorations or fragment reattachment. Pulp involvement requires pulp capping, pulpotomy, or root canal treatment depending on root maturity. Luxation and avulsion require immediate repositioning or replantation, with splinting and long-term monitoring of pulp vitality. 

Conclusion: Proper diagnosis and immediate management are crucial to ensure favorable outcomes in dental trauma cases.