Paediatric dentistry B. Gupta1 British Dental Journal volume 230, pages3–4(2021)Cite this article Sir, in response to J. Stuart Robson's letter, Duty to extract,1 I wholly agree that clinicians have a duty of care to extract a child's tooth when appropriate. Many of us would do so. However, he has seemed to have missed the complete picture. Creating a positive dental experience for a young child is just as important as dealing with the underlying need for extraction.