Caries Risk

  • Caries is a continuum of disease states of increasing severity and tooth destruction, ranging from subclinical changes at the molecular level to lesions involving the dentin, either with an intact surface or obvious cavitation.
  • The formerly practiced paradigm of “drill and fill,” drilling out pits and fissures or surgically removing decayed and diseased tissue and placing permanent restorations, does not address the full continuum of the caries disease process, including microbial activity and the balance between enamel remineralization and demineralization.
  • Systematic methods of caries detection, classification, and risk assessment, as well as prevention/risk management strategies, can help to reduce the patient risk of developing the advanced disease and may even arrest the disease process.

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