Let’s face it, sitting through a lecture about dental caries doesn’t sound appealing. In fact, it sounds downright boring. However, the science of clinical cariology is beginning to have an impact on restorative techniques and technology. Handpieces and burs will remove compromised tooth structure, but comprehensive patient care involves addressing the chronic disease that leads to cavitation. Take the practice of dentistry to new heights. Give Streptococcus mutans more to fear than stronger fluoride. Participants will be able to explain the mixed bacteria ecological plaque hypothesis, describe the newly identified bacteria implicated in dental caries, implement disease management in practice and improve the prognosis of restorative treatment.