Aims: The main goal of this study was to determine the prevalence, pattern and treatment needs of traumatized permanent anterior teeth of secondary school children aged 11-15 years in Ojokoro Local Council Development Area, Lagos (South West Nigeria). Methods: This cross-sectional survey was carried out among 1265 secondary school children from both private and public secondary schools in Ojokoro Local Council Development Area, Lagos State. A multistage sampling technique was adopted to select study participants. A self-administered structured questionnaire was used for data collection and school children with positive history of traumatic dental injuries (TDI) had intra-oral examination to determine the type of fracture sustained, tooth involved, number of tooth/teeth affected and type of treatment received. Results: The prevalence of TDI was 16.7%. Private school children had a higher prevalence (24.3%) compared with those in public schools (15.1%) [p = 0.001]. More males were affected with a male to female ratio of 1.5:1 (p = 0.003). The maxillary arch was more involved (95.7%) and majority of the respondents (93.8%) had a single tooth injury. The maxillary central incisors were mostly affected (86.3%); the most common type of fracture was enamel fracture (56.4%) and most of these injuries occurred at home. Conclusion: Traumatic dental injuries require prompt attention to prevent the ensuing complications of delayed treatment. School and community based oral health education should be carried out in order to create the neccessary awareness about traumatic dental injuries and to encourage prompt management.