Dental Trauma Protocol Calculator

Guide treatment decisions for pediatric dental injuries based on IADT guidelines — from enamel fractures to avulsion replantation.

Injury classification

Dentition type

Extra-oral dry time (min)

Storage medium

Time since injury (hours)

Tab to move between fields

Urgency level

Treatment code1

Splinting recommendation0

First follow-up (weeks)4

Prognosis1

Antibiotics recommended?0

PDL cell viability (%)100

How to Use This Calculator

Select the Injury classification (1–11): fractures (1–5), luxation injuries (6–10), or avulsion (11) per IADT terminology.
Select the Dentition type: 1 = primary tooth, 2 = permanent with open apex, 3 = permanent with closed apex.
For avulsion cases (type 11), enter Extra-oral dry time in minutes and Storage medium (0 = dry, 1 = water/saliva, 2 = milk, 3 = HBSS/saline, 4 = still in socket).
Enter Time since injury in hours to assess urgency and treatment window.
Review Urgency level (1 = routine, 2 = urgent <24h, 3 = emergency/immediate), Treatment code, Splinting recommendation, Follow-up timing, Prognosis, and whether Antibiotics are indicated.

How the result changes with Injury classification

Injury classification: 1=Enamel fracture, 2=Crown fracture, 3=Crown+pulp, 4=Crown-root, 5=Root fracture, 6=Concussion, 7=Subluxation, 8=Lateral luxation, 9=Intrusion, 10=Extrusion, 11=Avulsion.
Dentition type: 1=Primary tooth, 2=Permanent (open apex), 3=Permanent (closed apex).
Extra-oral dry time (min): Minutes tooth was out of socket (avulsion only).
Storage medium: 0=Dry, 1=Water/saliva, 2=Milk, 3=HBSS/saline, 4=Tooth still in socket.
Time since injury (hours): Hours elapsed since the traumatic event.

Urgency level: 1=Routine (days), 2=Urgent (within 24h), 3=Emergency (immediate).
Treatment code: 1=Observe, 2=Pulp therapy/extract, 3=Pulp cap, 4=Reposition+splint, 5=Extract, 6=Space mgmt, 7=Await re-eruption, 8=Surgical extrusion, 9=Replant.
Splinting recommendation: 0=None, 1=Flexible 2 weeks, 2=Flexible 4 weeks, 3=Rigid 4 weeks.
First follow-up (weeks): Weeks until first clinical/radiographic follow-up.
Prognosis: 1=Excellent, 2=Good, 3=Fair, 4=Poor, 5=Hopeless.
Antibiotics recommended?: 0=No, 1=Yes (systemic antibiotics per IADT protocol).
PDL cell viability (%): Estimated periodontal ligament cell viability for avulsion cases.

Identify Input Parameters
4 parameters
Injury classification = 6, Dentition type = 2, Extra-oral dry time (min) = 0, Storage medium = 2 = 5 input(s) provided
Calculate Urgency level
Urgency level = 1=routine(days)
1 = 1
Calculate Treatment code
1 = 1
Calculate Splinting recommendation
Splinting recommendation = number = 0;
0 = 0