Abstract
As dental caries is primarily a disease of childhood and appears to be at least in part preventable, the pediatrician is obliged to be interested in this problem and can play an important part in prophylaxis. Present knowledge indicates that the most effective prevention available is the consumption of fluoridated drinking water containing a concentration of fluoride appropriate to the environmental temperature. Reduction of the intake of refined sugar both in amount and frequency has a beneficial effect on caries control. The prescription of diets essentially devoid of all sugars should be used to stem the progression of rampant caries. That this regimen would be as effective when complex carbohydrates are permitted and only refined sugar prohibited has been indicated by some studies. However, any highly restricted program must be considered therapeutic and not preventive and should be under pediatric supervision.
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