Management of caries in permanent teeth

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

This flowchart illustrates the key decisions to be made in forming an appropriate caries management plan that takes into account the factors that influence treatment provision.

An accessible version is available and the flowchart is also included in the downloadable Guidance in Brief.

^‡ The RCSE Guideline for the Extraction of First Permanent Molars in Children provides further information about optimal age for extraction.
* For descriptions of initial, moderate and extensive lesions in permanent posterior teeth and initial and advanced lesions in permanent anterior teeth, see Lesion classification.