A history of new decay
If cavities have appeared regularly, we note where and how often, and look at cleaning, snacking frequency, fluoride and saliva. Repairs fix each tooth. The measure of the plan is whether new lesions slow down.

A prevention plan is only useful if you can tell whether it is working. For households in Caledon, from Bolton to the smaller villages, we set clear markers at the start and compare them at each review, so progress is visible.
People often change their routine after a checkup, keep it up for a few weeks, and then quietly drift back. Part of the reason is that nothing seems to happen. Teeth do not feel different, gums look much the same, and without a way to measure progress it is hard to stay motivated or to know whether the effort was worth it.
Personalized prevention fixes that by starting with a clear picture of where you are. We look at your record of decay, gum measurements, saliva, medicines, existing dental work and day-to-day habits. Then we agree on a few things to change and, just as important, how we will know whether they helped. Those markers become the yardstick at every review.
The plan can draw on home-care guidance, professional cleaning and protective measures where findings justify them. Every step should come with a reason and a way to judge it. Prevention reduces risk; it cannot guarantee that new decay or gum disease will never appear, and any active problem still needs treatment.

Tell us which problems recur and what has changed for you recently. The examination records a baseline so later visits have something real to compare against.
If cavities have appeared regularly, we note where and how often, and look at cleaning, snacking frequency, fluoride and saliva. Repairs fix each tooth. The measure of the plan is whether new lesions slow down.
Bleeding points, pocket depths and plaque in particular areas can be recorded and compared. Some gum conditions need treatment before prevention can do its part. Ask which numbers we will be watching.
A new medicine, dry mouth, reduced dexterity, a different work pattern or a new appliance can shift results. Note these down even without pain, so we can interpret changes fairly at review.
Bring the products you use, or a short list. Knowing your starting routine makes it easier to see later which changes made the difference, without assuming you need more or costlier items.
A risk assessment balances the protective factors in your mouth against those that may promote disease, and it can be repeated. Comparing assessments over time shows whether your risk is coming down, holding steady or rising. It is not a fixed prediction. It is a way of making the invisible work of prevention more visible.
Measurable also means manageable. A plan might focus on one or two changes with a clear marker each, such as fewer bleeding sites in a particular area. If a step is too costly, uncomfortable or impractical to sustain, tell us, so we can discuss its purpose and choose a different route to the same goal.
Patient information: American Dental Association — caries risk and prevention
Pair each recommendation with something we can check, such as reduced bleeding or no new lesions in a high-risk area. That link makes it easier to stay with the habit.
Cleanings, varnish and sealants should be reviewed for their effect, not just repeated. Ask how we will judge whether each one is worth continuing.
If the markers have not moved, that is useful information, not failure. It may point to a tool that does not suit you, a habit that was harder to change than expected or a health factor we did not know about. The plan can be changed based on what the comparison shows.
Give us an accurate account of your habits and what gets in the way. Real information produces a baseline worth measuring against.
We review dental history, health, medicines and how you clean your teeth. Mention dryness, symptoms and the timing of meals and drinks. The aim is to understand the pattern, not to assign blame to any single habit.
The dentist or hygienist examines teeth and gums, notes current decay and at-risk areas, and may record gum measurements. Additional images are added when clinically useful. Ask which findings will serve as your markers.
The plan may include technique changes, fluoride care, professional cleaning or protective measures, each linked to a marker. Ask for a demonstration of anything unfamiliar and write down your targets.
At review, we compare the same markers. If they have improved, we may keep or scale back the plan. If not, we look for the reason and adjust, rather than simply repeating the same advice.
The plan should be easy to follow without constant effort. Use the steps chosen for your mouth, and check with us before adding a new treatment product, since it could make results harder to interpret.
Brushing with fluoride toothpaste and the interdental cleaning we practised are usually the core. Concentrate on the areas linked to your markers. If a tool still feels awkward, ask for another demonstration.
Jot down when bleeding, dryness or skipped cleaning happens. A few notes help explain results at review. Any eating adjustments should fit medical or dietary advice you already follow.
Report new medicines, illness, a new appliance or a change in routine. At review, describe which steps you kept. That helps us decide whether a measure did not work or was not used enough to tell.
Patient information: American Dental Association — home oral care
Your markers should make sense against your history and examination. If you’re unsure what is being measured or why, ask.
Contact our Bronte Street practice to set up a prevention plan with clear markers, or to review one you are already following. We will examine your mouth, explain what we record and agree a review date so you can see how things are changing.
If something new is bothering you, mention it when you book. Examination or treatment may need to come before the planning.