Earlier quoted context omitted.
There are a lot of fields like this, where they have mostly been reduced to refinements but ultimately are still very barbaric procedures. All we've done is upgrade the stick (in this case, a nice shiny pick), but the procedure hasn't changed much at all. Too much of dentistry is still stuck on instant fix solutions. Take hard metal, scrape teeth. Something wrong on inside, just drill into it scrape it out and fill i…
If you avoid sugar and floss religiously, and have a decent calcium intake, that takes care of most of the potential problems.
Mouth pH and mouth biome make all the difference.
Also spacing between teeth.
I used to be friends with someone that ate bags of gummy bears a day.
Never flossed, brushed a couple of times a week.
Zero cavities well into his 30s, maybe longer.