s parents will seek treatment at the Emergency Room where physicians will give the first treatment (Fig 2. After suture of soft tissue lacerations, the child o should be referred to a pediatric dentist or a dentist who treats children for a general e h of teeth injuries Intra-oral trauma affecting the lips, gums, tongue, palate, and severe tooth injuries in children ic <5 years old, should be examined and suspect of child abuse (7-9). In such cases, the patient should also be examined by a pediatric dentist on call or oral surgeon who will give the diagnosis of primary teeth injuries and prognosis for the developing e permanent dentition The child should be referred for follow-up controls to a pediatric dentist. It is important to explain the parents that the permanent dentition may have long-term consequences that may be seen e many years later, at the time of eruption of the permanent incisors Special considerations for trauma to primary teeth The management of traumatic injuries to primary g teeth differs from that used for permanent. It is important to keep in mind that there is close relationship between the apex of the root of the injured primary tooth and the underlying perma- nent tooth germ Tooth malformation, impacted teeth and eruption disturbances in the developing permanent dentition are some of the consequences that can occur following severe injuries to primary teeth and/or alveolar bone (Fig 3). Because of these potential sequelae, treatment selection should such as to avoid any additional risks of further damaging the permanent successors ation for Dental Traumatology 197