<p>Sport-related orofacial trauma is a common occurrence, particularly in contact sports and among young adults, necessitating effective emergency management. This article highlights the prevalence of these injuries and emphasises the importance of proactive planning, including athlete and staff education, establishment of emergency protocols, and ensuring access to dental expertise. Immediate and appropriate on-site management, guided by the International Association of Dental Trauma guidelines, is crucial for optimal outcomes, especially in cases of avulsion. Furthermore, the complexities surrounding return-to-play decisions for elite athletes are discussed, advocating for a collaborative, individualised approach that prioritises long-term health and necessitates further research to establish specific guidelines. The evolving nature of dental trauma management in sports underscores the need for continuous professional development and a commitment to prioritising athletes‘ wellbeing.</p>