The ideal treatment for a tooth can vary from the best for the patient. Especially in paediatric dentistry, it's crucial to consider the patient's needs when deciding how to treat a dental issue. We have many options available, ranging from non-restorative cavity control to direct or indirect restoration, allowing us to tailor our approach to each patient. In this lecture, we will discuss the direct approach to advanced carious lesions in a posterior primary vital tooth. We will cover indications, procedures, materials, tips and tricks, providing insight into our daily routine and how to make it enjoyable.