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 in early decay detection, surgical repair technologies, and minimally invasive technique, decay rates in many demographics continue to rise. For many patients, despite regular homecare, dental caries is a lifelong disease that progresses causing pain, financial distress, and eventual tooth loss. Balance is a guide for managing dental caries disease and answers the questions… “Why do I keep getting cavities?” and “What can I do about it?”