Injuries of the teeth and surrounding periodontium are mainly caused by falling, sporting activities and accidents. Most commonly, they occur in the younger physically active population. Injuries include fractures of the crowns and roots, changes in anatomical position and can cause complete loss of an individual tooth or a group of teeth. Dental injuries can also be associated with fracture of the alveolar process and mucosal injuries with affected other parts of the soft and hard tissues in the head and neck area. The diagnostic procedure is necessary to assess the type and complexity of the injury and therefore decide on the rehabilitation procedure. The described treatment procedures are in accordance with the latest guidelines from 2020. In case of fracture of hard dental tissues, the reconstruction seeks to achieve the most accurate restoration of biologically lost tissue. Before the procedure, a clinical assessment of the future restoration is performed. The colour and appropriate materials are selected, enabling a more natural restoration according to the remaining teeth. In case of periodontal tissue injury or fracture in the root area, a splint immobilization is required to stabilize the tooth and achieve healing of the injured area. With extensive dental and periodontal injuries, achieving an aesthetically satisfactory result and a positive outcome of therapy can be complex and demanding. This paper describes a modern aesthetic-reconstructive procedure for the complex trauma treatment of the tooth and the surrounding periodontium.