Interdisciplinary Sequential Management of Combination Traumatic Dental Injuries

Abstract

Combination dental trauma or combination traumatic dental injuries (C‑TDIs) are often seen with unique presentations. Although most guidelines address the evidence‑based management of such injuries in detail, a sequential protocol and classifications for C‑TDI are lacking. In these scenarios, clinical details with imaging tools play an essential role by helping the clinician apply the elements of the TDI protocol in the correct sequence. However, most cases of C‑TDI are attended by a general dentist, who often finds it difficult to make such clinical decisions, adversely affecting the prognosis. This article reports a case of a 14‑year‑old male patient with avulsion of 12, intrusion of 11, 21, and 13, and uncomplicated crown fracture of 11, 21, and 14, with a sequential interdisciplinary approach for the management and long‑term follow‑up of 10 years.