Interdisciplinary Management and Provisional Rehabilitation of Severe Anterior Dentoalveolar Trauma Following a Motorcycle Accident in an Adolescent Patient: A Case Report

Traumatic avulsion of multiple anterior teeth is a dental emergency that requires prompt diagnosis, immediate stabilization, and coordinated multidisciplinary management to optimize both immediate and long-term outcomes. This case report describes the comprehensive management of a 15-year-old female patient who presented to a private dental office immediately following a motorcycle accident with complete avulsion of the maxillary anterior teeth (#7, #8, #9, and #10), extensive soft tissue injury, active hemorrhage, and exposed maxillary alveolar bone. Initial treatment focused on emergency assessment, hemorrhage control, clinical and radiographic evaluation to exclude maxillofacial fractures, and screening for signs of associated head injury requiring medical referral. During the emergency procedure, a traumatically exposed impacted maxillary left canine was identified and surgically removed because of the loss of its osseous and soft tissue coverage and its unfavorable prognosis for preservation. Alveolar ridge preservation with particulate bovine bone grafting and primary soft tissue closure was subsequently performed to preserve the remaining hard and soft tissue architecture and facilitate future rehabilitation. Following initial stabilization, the patient was referred to the hospital for a comprehensive medical evaluation, where no additional traumatic injuries were identified. Clinical follow-up demonstrated uneventful healing and progressive soft tissue recovery. Four weeks after the injury, a conservative temporary fixed bridge was fabricated to restore esthetics, function, and patient confidence while preserving adjacent healthy teeth until definitive implant-supported rehabilitation could be performed after completion of craniofacial skeletal growth. This case demonstrates that successful management of severe dentoalveolar trauma extends beyond emergency treatment alone. A systematic, evidence-based clinical approach, interdisciplinary collaboration, preservation of hard and soft tissues, and patient-centered treatment planning were fundamental to achieving favorable functional, esthetic, and long-term outcomes. The clinical principles presented in this report may assist dental practitioners in recognizing, stabilizing, and managing similar traumatic emergencies encountered in everyday clinical practice.