The Caries Management System: an evidence-based preventive strategy for dental practitioners. Application for adults

Aust Dent J. 2008 Mar;53(1):83-92. doi: 10.1111/j.1834-7819.2007.00004.x.


In the absence of effective caries preventive methods, operative care became established as the means for caries control in general practice. Water fluoridation resulted in a declining caries incidence which decreased further following the advent of fluoridated toothpaste. The challenge today is to develop a non-invasive model of practice that will sustain a low level of primary caries experience in the younger generation and reduce risk of caries experience in the older generations. The Caries Management System is a ten step non-invasive strategy to arrest and remineralize early lesions. The governing principle of this system is that caries management must include consideration of the patient at risk, the status of each lesion, patient management, clinical management and monitoring. Both dental caries risk and treatment are managed according to a set of protocols that are applied at various steps throughout patient consultation and treatment. The anticipated outcome of implementing the Caries Management System in general dental practice is reduction in caries incidence and increased patient satisfaction. Since the attainment and maintenance of oral health is determined mainly by controlling both caries and periodontal disease, the implementation of the Caries Management System in general practice will promote both outcomes.

MeSH terms

  • Adult
  • Cariostatic Agents / therapeutic use
  • Clinical Protocols
  • Dental Care
  • Dental Caries / classification
  • Dental Caries / prevention & control*
  • Dental Caries Susceptibility
  • Dental Plaque / prevention & control
  • Evidence-Based Medicine
  • Feeding Behavior
  • Fluorides / therapeutic use
  • Humans
  • Oral Hygiene
  • Patient Care Planning*
  • Patient Education as Topic
  • Patient Satisfaction
  • Periodontal Diseases / prevention & control
  • Radiography, Bitewing
  • Risk Factors
  • Saliva / physiology
  • Tooth Remineralization / methods
  • Treatment Outcome


  • Cariostatic Agents
  • Fluorides