Lesion location High AGP* Low AGP* Non-AGP
Carious lesions limited to enamel
Smooth surface N/A Resin infiltration Maximise fluoride during tooth brushing
Topical fluoride therapy
(Other remineralisation agents**)
Occlusal surface N/A Resin fissure sealant ART/HVGIC sealant
GIC sealant
Approximal surface N/A Resin infiltration Fluoride
(Other remineralisation agents**)
Carious lesion extending into dentine or on root surface
Smooth or root surface Carious tissue removal (high-speed air rotor) and composite resin restoration N/A ART restoration
NRCC
SDF
Occlusal surface Carious tissue removal (high-speed air rotor) and composite resin restoration Resin fissure sealant (minimal enamel breakdown) ART restoration
NRCC†
SDF
Approximal/multi-surface Carious tissue removal (high-speed air rotor) and composite resin restoration
Stainless steel crown (conventional placement)
Zirconia crown Resin infiltration (outer 1/3 dentine) ART restoration†
Hall Technique
NRCC†
SDF†
Key:
* = use rubber dam with sealant around tooth/dam interface and high-volume aspiration
** = CPP-ACP could be used as an additional measure but should not replace fluoride. Peptides may be considered, though there is limited evidence to support them. SDF is not recommended for anterior teeth
† = only for primary teeth
ART = atraumatic restorative treatment
CMCR = chemo-mechanical caries removal
GIC = glass-ionomer cement
HVGIC = high-viscosity glass-ionomer cement
NRCC = non-restorative cavity control
SDF = silver diamine fluoride