Article: Volume 46 Number 3 Page 220 - March 2019

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  Dent Update 2019; 46: 220-228

Paediatric dentistry:  Non-Restorative Cavity Treatment: Should This be the Treatment of Choice? Reflections of a Teacher in Paediatric Dentistry

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Abstract: Non-Restorative Cavity Treatment (NRCT) is not favoured by many paediatric dentists. However, perhaps it should be the treatment of choice rather than confronting child and parents with a restorative, symptomatic, often less child-friendly approach. Does the child have a right to a viable biological treatment option, because solving a biological problem, basically caused by neglect, with technical solutions is ethically not defensible in all cases? Restorations simply mask the caries activity. What matters is the oral health and the well-being of the child. How can this best be served?

Clinical relevance: This paper might serve as a discussion document for a group of oral health providers deciding practice policy with regard to the management of caries in primary teeth.

Author notes: René JM Gruythuysen, PhD, Retired Dentist, Post-academic Teacher Paediatric Dentistry,, Rotterdam, The Netherlands. Email:

Objective: To demonstrate how to manage caries in primary teeth by a biological, plaque removal based approach to limit masking the existing caries activity.


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