Frustrated by seeing mouths ravaged and destroyed by your patient’s destructive habits, despite your best efforts to reconstruct them time and time again? CAMBRA (Caries Management By Risk Assessment) is a simple concept to understand, but challenging to implement in practice, especially when patient compliance is an obstacle. What if we took a more offensive approach to prevention and stop all the “counseling” and “instruction"? This presentation will allow the practitioner to reframe Caries Risk Assessment and to track disease and health outcomes. Minimize risk factors, instill protective factors and remineralize lesions rather than “watching” lesions. Most importantly, the attendee will learn how to improve the prognosis of restorative treatment.