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  1. Balance


    Regular Price: $24.95

    Special Price: $0.00


    A guide for managing dental caries for patients and practitioners

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  2. CTx3 Rinse bottle

    CTx3 Rinse


    Previously called Maintenance Rinse and Xyli-Tots Anticavity Rinse

    CariFree CTx3 Rinse contains three of the five CTx Treatment Agents.

    • Fluoride
    • Xylitol
    • pH Neutralization
    Learn More
  3. CTx Gum package

    CTx2 Xylitol Gum


    Formerly Oral Neutralizer Xylitol Gum

    CTx2 Xylitol Gum contains 2 of the 5 CTx treatment agents

    • Xylitol
    • pH Neutralization
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  4. CTx4 Treatment Rinse with A & B Bottles

    CTx4 Treatment Rinse


    Previously called CariFree Treatment Rinse

    CariFree CTx4 Rinse contains four of the five CTx treatment agents.

    • Antibacterial
    • Fluoride
    • Xylitol
    • pH Neutralization
    Learn More
  5. CTx26 Kit with CTx4 Gel 1100

    CTx26 Kit with CTx4 Gel 1100


    3-month supply of products for high risk patients requiring antibacterial therapy.

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  6. CTx36 Kit with CTx4 Gel 1100

    CTx36 Kit with CTx4 Gel 1100


    3-month supply of products designed to treat extreme risk patients.
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  7. CTx21 Kit with CTx4 Gel 1100

    CTx21 Kit with CTx4 Gel 1100


    3-month supply of products designed to treat high and moderate risk patients that do not require antibacterial therapy.

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  8. CTx4 Gel 1100

    CTx4 Gel 1100



    CTx4 Gel 1100 contains 4 of the 5 CTx treatment agents

    • Fluoride
    • Xylitol
    • pH neutralization
    • Nano-hydroxyapatite (Ca PO4)
    Learn More
  9. Breakthrough Box

    Breakthrough Box


    Everything you need to decide if this level of care is right for your practice. We hope you will join the mission.

    Already have a box? Scroll to the bottom of this page for your next steps!

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    A questionnaire vs. a needle and drill? Sign me up! The acronym CAMBRA stands for “CAries Management by Risk Assessment”. CAMBRA is a method of assessing caries (cavity) risk and...

  • Caries Balance

    Find out which side of the scale you want to be on. Dr. John Featherstone of University of California, San Francisco School of Dentistry introduced the concept of the Caries...

  • Questions To Ask Your Dentist

    When it comes to your health, this is a good time to get mouthy! Speak up next time you're in the dental chair.  How do my oral health habits -- how...

  • Science

    The following are abstracts which relate to the new science that may support the CariFree System. Dental plaque as a biofilm and a microbial community – implications for health and...

  • I have cavities

    Cavities are caused by a bacterial infection known as caries An acidic oral environment drives the infection Brushing and flossing alone can not stop the infection The good news is that...

  • I want to prevent cavities

    To prevent cavities, you must create an oral environment that makes it difficult for infectious cavity-causing bacteria to survive Brushing and flossing alone may not be enough to prevent decay Stop...

  • I have lost teeth

    Tooth loss is primarily caused by a periodontal infection, caries infection, or trauma to the tooth Periodontal and caries infections are caused by specific groups of bacteria and are known as biofilm diseases New products are now available...

  • Cavity Prevention | CariFree CTx: It Works, Because It's Different

    Partnering with your dentist to treat people better. Dental caries (tooth decay) is an epidemic, and it is increasing in all age groups. We are proud to be doing something...

  • Products at your dentist

    Products you'll find at your local CariFree dentist! CariScreen Caries Susceptibility Testing Meter The CariScreen Caries Susceptibility Test is a simple 1-minute chair-side bacterial test for assessing caries risk. The...

  • CariFree Schools

    Bridge theory and practice in your institution with CariFree. We have bridged the gap between academia and private practice in our easy-to-implement Caries Management by Risk Assessment system. Join your...

  • Balance Book

      Dental decay (caries) is an epidemic. The disease is caused by an oral imbalance between risk factors for the disease and protective factors keeping patients healthy. Despite major advances...

  • School Resources

    Click to download Diagnosis CRA Form Caries Management Guide Patient Brochures Treatment Options Caries Risk Assessment Watch the CariScreen...

  • How to Identify a Patient At Risk

    In order to identify if a patient is at risk for cavities, the dental practitioner must identify if the patient has any risk factors for the disease dental caries. A...

  • Bacterial Biofilm Imbalance

    Bad plaque / too much plaque The bacterial biofilm on teeth discussed earlier is commonly referred to as dental plaque. Dental plaque consists of a community of diverse bacteria from...

  • Dry Mouth/Saliva

    Saliva is one of the most important protective mechanisms of the teeth. It contains proline-rich proteins and glycoproteins, mucins, calcium, phosphate, and bicarbonate, along with a host of other antibacterial,...

  • Drinks and Snacking (Diet)

    Drinking and snacking. Every time we eat or drink, the pH in the mouth becomes acidic. The more often individuals eat and drink, the more frequently the pH becomes acidic...

  • Home Care

    Poor or wrong home care product routine. Many individuals have been taught since they were children to “brush and floss your teeth twice a day to keep the dentist away....

  • Other Health Concerns

    Dental professionals will often also interview a patient for other health concerns as they may have an effect on the patient’s saliva flow, acid exposure, or diet/food frequency.[1]  Some...

  • Fluoride

    Fluoride as a protective factor for tooth decay. There is abundant scientific evidence that demonstrates that fluoride strengthens the teeth, makes them less susceptible to acid attacks, and inhibits the...

  • Remineralization

    Nanohydroxyapatite and Calcium Phosphate Ions. Dr. Philip Marsh first reported the biofilm nature of dental caries and prolonged periods of low pH, not sugar availability, as being responsible for the...

  • The Caries Risk Assessment Appointment

    Historically, the dental “checkup” or hygiene appointment consisted of examining patients for signs/symptoms of oral diseases. Cavities caused by the caries infection, periodontal disease caused by a periodontal infection, accelerated...

  • Caries Risk Assessment Patient Examples

    Note: all patient examples have been taken from actual interviews, phone conversations, and e-mails with patients, practitioners, and CAMBRA experts. Patient names have been changed to protect privacy. Each category...

  • Low-Risk Patient

    Approximately 3% of the population. [1] Mary 12/5/05: Mary is a 34-year-old stay-at-home mother with 2 children. She had a cavity 16 years ago when she was a teenager, and...

  • Moderate-Risk Patient

    Risk factors; approximately 23% of the population. [1] Jeff 9/11/08: Jeff is a 26-year-old construction worker who often works long hours building homes. He has not had a single cavity...

  • High-Risk Patients

    Risk factors and biofilm challenge; approximately 24% of the population. [1] Roger 1/25/10: Roger is a 51-year-old police officer who has been seeing the same dentist for over 20 years....

  • High-Risk Patients with Decay

    Risk factors and disease indicators [decay] present, low biofilm challenge, approximately 19% of the population. [1] Amelia 1/21/11: Amelia is a 23-year-old female with little dental history. She has not...

  • High/Extreme Risk Patient

    Risk factors and disease indicators [decay] present, high biofilm challenge; approximately 30% of the population. [1] Jack 11/10/10: Jack is a 7-year-old boy with a recent history of decay. His...

  • Selecting the Proper Treatment Strategy

    The primary goal when selecting the proper treatment strategy is to provide enough protective agents to outweigh any risk factors or biofilm challenge present and reverse the balance back toward...

  • Treatment Expectations

    How long does treatment take? There are many confounding factors that influence caries risk treatment time and the potential results a patient and practitioner can expect. Each patient’s oral biofilm...

  • Long-Term Maintenance

    One of most common questions regarding caries management therapy is, “Will the patient need to be on therapy products for life?” Like most medical questions, the answer is never...

  • The Science of ATP Testing (CariScreen)

    ATP stands for adenosine triphosphate and is the energy molecule in all living cells. In the mouth, ATP provides the opportunity to measure bacterial load and biofilm activity levels as...

  • Dental Insurance & Caries Management by Risk Assessment

    There are many misconceptions within the public perception of dentistry surrounding dental insurance. The first and most important is the idea that “dental insurance” is “insurance” at all. When individuals...

  • Children & Caries

    Specific recommendations for ages 0-5. Early childhood caries has increased significantly in children, particularly those aged 2–5 years.[1] The disease progression in this age group has been the subject of...

  • Solutions

    There are many myths surrounding the cause of cavities, and maybe you have heard a few. “Maybe you just have soft teeth.” “Sugar causes cavities.” “Just brushing and...