Flow diagram - managing the carious primary tooth

Decision-making for managing the carious primary tooth in a child with no medical complications

This flow diagram illustrates the key decisions to be made in forming an appropriate caries management plan that takes into account the factors that influence treatment provision. If a child is pre-cooperative or unable to co-operate (due to young age, a learning disability or where behaviour management techniques have been unsuccessful) or has multiple affected teeth, referral to assess suitability for extractions under sedation or general anaesthesia may be necessary.

This classification includes descriptions of initial and advanced lesions in primary teeth. Refer to the full guidance for more detailed advice on individual management techniques.