The Future of the Caries Decline

Dental caries declined in prevalence and severity among schoolchildren in the United States during the 1970s, although it still remains a problem in some areas. The decline could have started well before the 1970s, even though it was only recently identified. Caries should continue to decline as long as fluoride use remains around current levels. Use of fluoride toothpaste seems to be increasing. Sugar consumption is stable, although sucrose consumption as a proportion of total sugar consumption is declining. Increased tooth retention is thought to increase the risk of root caries in older persons, but the continued use of fluoride toothpaste should minimize any such increase. The main growth area for fluoride use may be in toothpastes. Monitoring caries trends in the future will require good data on the epidemiology of caries in young and middle‐aged adults.