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Pediatric Dentistry

How do I manage a traumatically displaced primary incisor?


This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Karen Campbell. It is also available on Oasis Help


  • Incidents of primary incisors displaced as a result of trauma caused by impact occur most often when the child’s gross motor skills and coordination are still under development.
  • The younger the child, the more likely that total tooth displacement will occur, as opposed to tooth/root fracture. The pediatric alveolus by nature tends to be more elastic and will preferentially yield to the force of impact, resulting in total tooth displacement.

TD Presentation

TD Investigation

TD Diagnosis

TD Treatment 1

TD Treatment 2


  1. University Hospital of Copenhagen and the International Association of Dental Traumatology. The dental trauma guide. Primary teeth [accessed 2012 Nov 23]. Available: http://dentaltraumaguide.org/Primary_teeth.aspx.
  2. Flores MT, Malmgren B, Andersson L, Andreasen JO, Bakland LK, Barnett F, et al. Guidelines for the management of traumatic dental injuries. III. Primary teeth. Dent Traumatol. 2007;23(4):196-202.
  3. American Academy of Pediatric Dentistry. Guideline on management of acute dental trauma. Pediatr Dent. 2009;31(6):187-95.

Do you need further information on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca

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1 Comment

  1. James Noble May 16, 2013

    Thanks for the informative review Karen!


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