Robert Caplin, senior teaching fellow, King’s College London, looks at how properly weighing up the various factors in a decision can benefit both practitioner and patient.

My undergraduate exposure to paediatric dentistry was 'patchy' at best. I was the student assigned the child that failed to attend or the child that needed impressions for an orthodontic appliance. Three years ago, I would have described my paediatric specialities as the acclimatisation visit and the general anaesthetic consent form. Still, I passed my competencies and graduated, despite never having given a child an ID block nor taken out a tooth from a conscious patient.

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