Oral trauma is usually associated to protruded upper front teeth causing lacerations on the soft tissues and fracture of the tooth segment. Teeth which are proclined are more vulnerable to a traumatic event and restoration of the tooth in the arch is a challenging task. The extent of trauma and its effect on the oral tissues plays an important role in determining the treatment procedures. The outcome of the treatment is also determined by the health of the adjacent soft tissue apart from the remaining tooth structure present. This article deals with prevention of trauma, primary, secondary and tertiary treatments to deal with the extent of trauma. The effects of trauma during Orthodontic treatment will be also outlined to make the clinician aware of the various effects associated with tooth movements.