Managing dental luxation injuries remains a complex challenge for clinicians, as such injuries represent 18–33% of traumas to permanent teeth and can be treated through various therapeutic strategies. This study had two primary objectives: (i) to perform a scoping review of current knowledge regarding orthodontic interventions—specifically repositioning and stabilization splints—applied immediately after trauma, and (ii) to assess the prevalence and types of pulp outcomes following these injuries. A literature search was carried out between June and December 2020 across PubMed/MEDLINE, SCOPUS, and Web of Science. Research questions were structured using the PICO framework (Population, Intervention, Comparison, Outcomes), addressing the type of luxation and root development stage, utilization of orthodontic repositioning and splinting, occurrence and type of pulp responses, and adherence of interventions to international guidelines. Initial database searches with selected keywords retrieved 587 articles, but only 8 met all inclusion criteria. Further examination of these 8 studies revealed insufficient data for meta-analysis, necessitating a focus on six specific aspects: number and type of injuries, initial treatment methods, follow-up duration, and number and type of pulp outcomes. Orthodontic approaches are widely applied for managing dental intrusions, but are less commonly used for extrusive and lateral luxations, where their role is generally limited to stabilization. Among pulp outcomes, most studies report only pulp canal obliteration (PCO) and pulp necrosis (PN), often overlooking natural pulp healing or the potential for PN to develop after PCO. These findings highlight the urgent need for well-designed clinical studies with systematic, standardized data collection to better inform management strategies.
