This article reviews dental caries management in children. The goal is to help clinicians recognize common patterns of dental caries in primary dentition and make appropriate decisions regarding management of carious lesions in children, taking into account the best available evidence, clinician expertise and experience, and a child's treatment needs, age, medical history, and ability to tolerate treatment as well as caregiver preferences. It also is important to protect the developing psyche of the child, stabilize or restore the dentition to health and natural esthetics when possible, and maintain space for the eruption of the future permanent dentition.