Research Information System
Contemporary Pediatric Dentistry, vol.6, no.2, pp.87-104, 2025 (Peer-Reviewed Journal)
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