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The foundation for any health intervention, including oral hygiene instruction, should be firmly based on scientific evidence and not on tradition alone.Two imperative components, which should be recognized, are the risk and motivation of the patients and their communities.Low risk patients are classified, among other criteria, as those with low plaque levels.Medium risk patients are those with medium plaque levels and high risk patients are those with abundant plaque levels.what do you get when you combine bridesmaids with ghostbusters...?you get a whole lotta strong female leads, that's what!This simple objective has been difficult and at times not even possible to attain.

Among medium and high risk groups full consideration should be placed upon postponing or even canceling clinical treatment until further notice (unless there is a clear and urgent medical indication).

Featherstone, in 2004, has stated that "A structured caries risk assessment should be carried out based upon the concept of the caries balance.

Following the risk assessment a treatment plan is devised which leads to the control of dental caries for the patient" [].

However, this has often been based upon incorrect assumptions.

The public is not always willing and does not always need to change its oral health behavior to the same extent as that expected by the dental profession.

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Diocletian Lewis (1823–1886), an illegal medical practitioner, coined the adage "A clean tooth never decays".

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