When we will so understand the etiology and pathology of dental caries that we will be able to combat its destructive effects by systemic medication. Dr. G. V. Black 1896 Much of Black's prediction has come true. Thus, there is now a rational basis for prevention and treatment that reflects the successes of dental research.
Caries is an infectious disease caused by acid-producing bacteria in dental plaque.
Fluorides, both systemic through community water fluoridation or prescribed supplements, and topicals such as toothpaste, rinses , and professionally applied gels, dramatically reduce caries rates. Protective sealants applied to the chewing surfaces of children's permanent teeth reduce these rates further. Therefore, there is every reason to expect that with concerted effort, dental caries largely can be eliminated in future generations and can be well-controlled among Americans living today . In future years, the restoration of cavities will cease to be the mainstay of general and pediatric dentists. Treatments emphasizing conservative and preventive approaches should be expected.