Caries Process and Prevention Strategies: The Environment

Write Review

This is part 4 of a 10-part series entitled Caries Process and Prevention Strategies. In this course, the role of fermentable carbohydrates is discussed, paying particular attention to how caries can be influenced by the cariogenic potential of ingested sugars and starches, the physical traits of ingested carbohydrates (such as their adhesiveness), and the frequency of intake and exposure to sugars. The Stephan curve, which illustrates the dental pH changes over time in response to a carbohydrate challenge, is also introduced, with a discussion of how factors such as the type of carbohydrate, the buffering capacity of saliva, and the type and amount of bacteria present in plaque affect dental plaque pH responses.

Conflict of Interest Disclosure Statement

  • The authors report no conflicts of interest associated with this course.
Video Course Presenter: Robert V. Faller


  • P&G is providing these resource materials to dental professionals. We do not own this content nor are we responsible for any material herein.
  • Participants must always be aware of the hazards of using limited knowledge in integrating new techniques or procedures into their practice. Only sound evidence-based dentistry should be used in patient therapy.

Note: Registration is required to take test.

Printing course PDF's is temporarily unavailable using the Google Chrome browser. Please open in an alternate browser (e.g., Safari, Edge) for printing.

Educators only! Use this feature to create assignments for your students.


Academy of General Dentistry (AGD) Submission
For credit transfers to appear in your AGD account in real time, make sure to add your AGD membership number in the field provided on the “Share Your Test Score” page.

CE Broker
For all states that use CE Broker for licensure, “proof of completions” are electronically reported the first of every month. If a course was taken in November, the “proof of completion” will be submitted the beginning of December.