Evidence-Based Caries, Risk Assessment, and Treatment

Margherita Fontana, Douglas A. Young, Mark S. Wolff

Research output: Contribution to journalReview articlepeer-review


Dental caries is a dietary and host-modified biofilm disease process, transmissible early in life that, if left untreated, will cause destruction of dental hard tissues. If allowed to progress, the disease will result in the development of caries lesions on tooth surfaces, which initially are noncavitated (eg, white spots), and eventually can progress to cavitation. The "medical model," where the etiologic disease-driving agents are balanced against protective factors, in combination with risk assessment, offers the possibility of patient-centered disease prevention and management before there is irreversible damage done to the teeth. This article discusses how to use evidence supporting risk assessment and management strategies for the caries process.

Original languageEnglish (US)
Pages (from-to)149-161
Number of pages13
JournalDental clinics of North America
Issue number1
StatePublished - Jan 2009


  • Dental caries
  • Evidence base
  • Management
  • Risk assessment
  • Treatment

ASJC Scopus subject areas

  • General Dentistry


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