Table 2  Non-aerosol caries management options
Depth of carious lesion Occlusal Multi-surface
Primary teeth Permanent teeth Primary teeth Permanent teeth
Limited to enamel APP
TF
SDF APP
TF
ART/HVGIC FS APP
TF
SDF APP
TF
Extending no more than the outer 1/3 to 1/2 of dentine NRCC
SDF
ART
+/- CMCR ART*
+/- CMCR NRCC
SDF
ART
+/- CMCR
HT ART*
+/- CMCR
Over halfway through dentine ART**
+/- CMCR
+/- SDF ART**
+/- CMCR
+/- SDF ART**
+/- CMCR
HT
+/- SDF ART**
+/- CMCR
+/- SDF
Key:
* = because the lesion is shallow, it is likely that complete carious tissue removal will be necessary to give adequate depth to the restorative material
** = because the lesion is deeper, selective carious tissue removal can be carried out
APP = active primary prevention
ART = atraumatic restorative treatment
ART/HVGIC FS = atraumatic restorative treatment fissure sealant using high-viscosity glass-ionomer cement
CMCR = chemo-mechanical caries removal
HT = Hall Technique
NRCC = non-restorative cavity control
SDF = silver diamine fluoride
TF = topical fluoride
+/- = with or without