Demographic socioeconomic, physical/lifestyles, dietary, food security and dental factors contributing to restoration or extraction receipt were assessed among 3,275 New Zealand children aged 5–14 years (37.4% were Mäori, 32.3% Pacific and 30.3% NZ European and Other [NZEO]). Mäori children had higher odds of having received a restoration than NZEO children after adjusting for age, gender and length of time lived in New Zealand and with addition of household SES, lifestyle, dietary, food security or dental factors. By contrast, Pacific children had higher odds of having received an extraction than NZEO children when age, gender and length of time lived in New Zealand were taken into account, and with addition of household SES, lifestyle, dietary, food security or other dental factors.