ental caries is a transmissible bacterial infection whose prevalence and severity are affected by multiple factors. It occurs on a continuum, with cycles of demineralization and remineralization occurring over years. Much has been written about the effects of fluoride on the caries process, including public health interventions such as community water fluoridation and various types of professional applications. Despite this, caries remains a significant chronic disease. Public health scholars and agencies have recognized the need for multiple interventions in ensuring the adoption of healthier behaviors in populations. For this reason, it is important for oral health professionals to advocate legislatively and understand the effects of socioeconomic status and environment on health behaviors, in addition to remaining aware of alternative caries preventive agents.