University of Oulu

Krastl, G, Weiger, R, Filippi, A, Van Waes, H, Ebeleseder, K, Ree, M, Connert, T, Widbiller, M, Tjäderhane, L, Dummer, PMH, Galler, K. Endodontic management of traumatized permanent teeth: a comprehensive review. International Endodontic Journal, 54, 1221– 1245,

Endodontic management of traumatized permanent teeth : a comprehensive review

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Author: Krastl, G.1; Weiger, R.2,3; Filippi, A.3,4;
Organizations: 1Department of Conservative Dentistry and Periodontology, Center of Dental Traumatology, University Hospital of Würzburg, Würzburg, Germany
2Department of Periodontology, Endodontology and Cardiology, University School of Dental Medicine, Basel, Switzerland
3Center of Dental Traumatology, University School of Dental Medicine, Basel, Switzerland
4Department of Oral Surgery, University School of Dental Medicine, Basel, Switzerland
5Department of Paediatric Dentistry, Clinic for Orthodontics and Paediatric Dentistry, University of Zürich, Zürich, Switzerland
6University Clinic of Dental Medicine and Oral Health, Medical University Graz, Graz, Austria
7Private Practice, Purmerend, Netherlands
8Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
9Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
10Research Unit of Oral Health Sciences, Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, University of Oulu, Oulu, Finland
11School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
Persistent link:
Language: English
Published: John Wiley & Sons, 2021
Publish Date: 2021-10-14


The pulp plays a key role in the treatment of traumatic dental injuries (TDIs) and is strongly associated with the outcome, particularly in severe cases. A correct pulp diagnosis is essential as it forms the basis for developing the appropriate management strategy. However, many TDIs are complex, and their treatment requires a profound knowledge of the physiological and pathological responses of the affected tissues. This comprehensive review will look at the dentine–pulp complex and its interaction with the surrounding tissues following TDIs. The literature up to 2020 was reviewed based on several searches on PubMed and the Cochrane Library using relevant terms. In addition to the recently revised guidelines of the International Association of Dental Traumatology, this article aims to provide background information with a focus on endodontic aspects and to gather evidence on which a clinician can make decisions on the choice of the appropriate endodontic approach for traumatized permanent teeth.

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Series: International endodontic journal
ISSN: 0143-2885
ISSN-E: 1365-2591
ISSN-L: 0143-2885
Volume: 54
Issue: 8
Pages: 1221 - 1245
DOI: 10.1111/iej.13508
Type of Publication: A2 Review article in a scientific journal
Field of Science: 313 Dentistry
Funding: Open Access funding enabled and organized by Projekt DEAL.
Copyright information: © 2021 The Authors. International Endodontic Journal published by John Wiley & Sons Ltd on behalf of British Endodontic Society. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.