The microbial etiology of dental caries is discussed in terms of the dynamic relationship among the dental plaque microbiota, dietary carbohydrate, saliva, pH lowering and the cariogenic potential of dental plaque. Herein, a case is presented in which the main cause of the caries for this pampered patient was compromised oral hygiene maintenance, after a history of a severe accident, in which he lost his digits. This case report emphasizes the proper evaluation of history, which leads to proper diagnosis and treatment planning. Educating people about the etiopathology and introduction of preventive and maintenance strategies does not only assists in meeting the special oral needs of the adolescent population, but also helps to establish lifelong healthy habits.
Key words: Dental caries, caries, etiology, plaque.
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