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Prevention and Management of Dental Caries in Children

Cover Dental Caries in ChildrenPublished May 2018 (2nd Edition)


  • Guidance in Brief (PDF)summarises the main recommendations and clinical practice advice within the full guidance
  • Full Guidance (PDF) provides more detail about the recommendations and how to follow them, including illustrated step-by-step advice on individual clinical techniques and flowcharts for decision making about prevention and management options

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Also available via the SDCEP Dental Companion app.

Versions in accessible formats (Word) are also available

These publications are only available as downloadable online resources. They are not available in print.

About this guidance

Prevention and Management of Dental Caries in Children aims to support dental teams to improve and maintain the oral health of their younger patients through the delivery of preventive care and, where necessary, effective management of dental caries. The second edition includes advice on

  • assessment of the child and family
  • helping the family manage dental care
  • delivery of preventive care based on caries risk
  • choosing from the range of caries management options available
  • delivery of restorative care, including how to carry out specific treatments
  • referral and recall
  • management of suspected dental neglect
  • working with other agencies to support and safeguard the wellbeing of children and young people

NICE has accredited the process used by the Scottish Dental Clinical Effectiveness Programme to produce Nice accreditation logoits Prevention and Management of Dental Caries in Children guidance. Accreditation is valid for 5 years from 15 March 2016. More information on accreditation can be viewed at www.nice.org.uk/accreditation. Further information about NICE accreditation of SDCEP guidance can be viewed at NICE Accreditation.

British Society of Paediatric Dentistry logoThe British Society of Paediatric Dentistry has endorsed this guidance as a source of reliable, high quality professional advice that promotes the provision of safe and effective oral health care for patients.

Guidance development

The second edition of this guidance is based on consideration of available evidence and the opinion of dental experts and experienced practitioners and has been subject to open consultation and peer review prior to finalising for publication.

Recommendations for caries prevention in children are primarily based on the evidence on which the Scottish Intercollegiate Guideline Network (SIGN) guideline 138 Dental Interventions to Prevent Caries in Children is based. Recommendations on the management of dental caries have been expanded, with a more comprehensive approach to management of children’s primary and permanent teeth and management techniques presented in a separate section.

The methodology used for the development of this guidance, including details of the evidence search strategy, evidence appraisals and information about conflict of interests can be found in the Prevention and Management of Dental Caries in Children Methodology (PDF).  Further information on the SDCEP guidance development process is available or contact the SDCEP office (scottishdental.cep@nes.scot.nhs.uk).

During the development process, potential barriers to the implementation of this guidance were identified. A Guidance Implementation Summary (PDF) of information about these is provided. For further details visit the TRiaDS website.

Guidance Development Group

A Guidance Development Group comprising individuals from relevant branches of the dental profession and two patient representatives was convened to update this guidance.

Name Position
Barbara Chadwick (Co-Chair) Professor of Paediatric Dentistry, Vice-Dean, School of Dentistry, Cardiff University
Nicola Innes (Co-Chair) Professor of Paediatric Dentistry, School of Dentistry, University of Dundee
Paul Ashley Consultant in Paediatric Dentistry, UCL Eastman Dental Institute, London
Sarah-Louise Blackwood Patient Representative
David Conway Professor of Dental Public Health, University of Glasgow
Timothy Cooke Senior Dental Officer, Public Dental Service, Nairn, NHS Highland
Brett Duane Associate Professor in Dental Public Health, Trinity College, Dublin
Dafydd Evans Honorary Senior Lecturer in Paediatric Dentistry, University of Dundee
Martin Foster Specialist in Paediatric Dentistry, Children’s Dental Service, NHS Lothian
Alex Keightley Consultant and Honorary Senior Clinical Lecturer in Paediatric Dentistry, Edinburgh Dental Institute
Nicole Kettles General Dental Practitioner
Peter King Childsmile Programme Manager (West Region)
Maxine Lee BSc Programme Lead, Oral Health Sciences, Dundee Dental Hospital
Gillian Nevin General Dental Practitioner; Assistant Director of Postgraduate GDP Education, NHS Education for Scotland
Derek Richards Consultant in Dental Public Health, South East Scotland
Marguerite Robertson Patient Representative
Margaret Ross Senior Lecturer for Dental Care Professionals, Edinburgh Dental Institute

SDCEP acknowledges the important contribution of all those who commented during the consultation and peer review stages.

Review and updating

For this guidance, a review of the topic will take place five years after publication and, if this has changed significantly, the guidance will be updated accordingly.