text: Paediatric dental care during and post COVID 19 era Changes and challenges ahead COVID 19 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 SARS CoV 2 The virus is transmitted through respiratory droplets and by physical contact from contaminated surfaces to the mucosa Its route of transmission has caused a significant challenge in medical and dental healthcare This article aims to review the literature and information available on the provision of paediatric dental treatment during and post pandemic and to provide specific recommendations on the safe provision of paediatric dental care Children infected by SARS CoV 2 have no or milder COVID 19 symptoms and are potential vectors in spreading the disease Routine dental treatment is suspended in many countries because of the increased risk of cross infection in dental practices Only emergency dental care is provided for urgent conditions It is necessary to gradually reinstate regular dental care to paediatric patients and maintain their good oral health To control the disease transmission and maintain the oral health of the population minimally intervention techniques that minimise or eliminate aerosol generation plus comprehensive oral health preventive measures should be practised to safeguard safety at dental practices in this unprecedented time Robust infection control guidelines should be implemented in dental clinics to minimise the risk of infection and to ensure the safety of patients and staff during the pandemic Three levels of preventive care should be practised to prevent oral diseases and improve childrens oral health in this COVID 19 era Treatment should be prioritized to patients in urgent needs and aerosol generating procedures should be minimized 