Despite our best efforts to restore natural dentition with adhesive dentistry, all restorations are inferior to natural tooth structure and susceptible to secondary caries. This course presents a simple approach for treating caries based on the risk factors of our patients. The patients will be grouped into those who have inadequate production of saliva, those who have frequent consumption of sugar, those who have poor oral hygiene, and those with inadequate exposure to fluoride. Time-tested approaches will be reviewed, i.e., fluoride-containing products and diet modification recommendations. Additionally, the evidence for fluoride, its mechanism of action, and the possible risks of too much fluoride will be discussed.
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