The 8th Edition of this Guide focuses on the concept that meeting a child’s needs and their parent’s expectations for appropriate care of carious lesions is based on early recognition of risk indications and timely implementation of corrective actions. The benefits, and potential risks, of fluoride supplementation and topical application are discussed in detail. A table listing fluoride concentrations of various preparations is helpful to the prescribing dentist. A thorough discourse of the coordinated role of sealants, diet, and oral hygiene in the prevention and control of dental caries is also presented. The information in this guide should prove to be of value not only to the dentist but to the entire staff as they work to create an atmosphere in which the delivery of dental care is a positive experience for the child and gives parents the sense that the practice is anticipating and preventing problems.