Today, our understanding of the cause and progress of caries has changed to the extent that we have entirely new ways of managing the caries as a disease. In order to be effective, it requires an in depth knowledge of prevention, remineralization and adhesion. This approach requires that you first control caries as a disease, then repair the damage in the least invasive way. A total surgical approach is no longer needed as we are now able to remineralize and heal parts of a carious lesion.