Minimum intervention dentistry in the management of earlychildhood caries lesions: A narrative review

Sümeyra Akkoç¹ image, Şevval Çakıcı2 image

Highlights

Early childhood caries management requires minimally invasive strategies tailored to lesion type, promoting age-appropriate and tissue-preserving care.

Minimum intervention dentistry strategies, from non-invasive to mixed approaches, offer evidence-based options balancing efficacy, comfort, and practicality.

Clinical decisions should follow lesion characteristics and current expert consensus to ensure rational and personalized treatment planning for early childhood caries.

Abstract

Early childhood caries (ECC) is defined as the presence of one or more cavitated or noncavitated lesions, missing (due to caries), or filled surfaces in any primary tooth in a child under six years of age. ECC is a prevalent and chronic condition that requires effective, evidence-based management. This narrative review aimed to present an evidence-based overview of minimally invasive dentistry (MID) strategies for the management of ECC, focusing on their clinical rationale, classification, and application based on lesion characteristics. A comprehensive literature search was conducted using PubMed, Scopus, and Web of Science to identify recent studies, systematic reviews, and clinical guidelines published between 2019 and 2025. MID strategies were categorized as non-invasive, micro-invasive, minimally invasive, and mixed, based on lesion activity, cavitation, and cleanability. Evidence from randomized controlled trials and meta-analyses supports the use of micro-invasive methods like sealants and resin infiltration for non-cavitated lesions, while minimally invasive and mixed strategies, including the Hall technique and selective caries removal, are more appropriate for cavitated lesions. Ultimately, ECC management should aim to retain teeth symptom-free until natural exfoliation while preserving function, form, and aesthetics with minimal tissue loss. The application of MID principles enables personalized, child-friendly treatment planning and should be guided by updated expert consensus and lesion-specific criteria.

Keywords: Caries Lesions; Consensus; Primary Tooth; Strategies

Author Affiliations

  1. Asst. Prof., Department of Pediatric Dentistry, Faculty of Dentistry, Kutahya Health Sciences University, Türkiye

  2. Res. Asst., Department of Pediatric Dentistry, Faculty of Dentistry, Kutahya Health Sciences University, Türkiye (Correspondence:sevval.cakici@ksbu.edu.tr)

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Article Info

Contemp Pediatr Dent 2025:6(2):87-104

Received: 21 April 2025

Accepted: 25  July 2025

Online First: 05 August 2025

DOI: 10.51463/cpd.2025.17

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					Sümeyra Akkoç, Şevval Çakıcı. Minimum intervention dentistry in the management of early childhood caries lesions: A narrative review. Contemp Pediatr Dent 2025:6(2):87-104.

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