Neglect requires willful failure to seek or complete necessary care; severe caries alone does not establish it.
- Explain the disease and treatment, assess caregiver understanding and usable access, and help address barriers.
- The companion AAP/AAPD clinical report directs reporting when necessary treatment remains unobtained despite those efforts.
- The decision considers harm or risk of harm and the treatment’s net benefit, not simply the number of cavities or missed visits.