Alliance for a Cavity-Free Future

Alliance for a Cavity-Free Future
Stop Caries NOW for a Cavity-Free Future
An Oral Health Resource

Welcome to the Alliance for a Cavity Free Future - ACFF

During mediaeval times tooth decay was a rare disease as only the very rich could afford sugar. In fact it is recorded that Queen Elizabeth I suffered terribly from toothache.

Sugar is fermented by plaque bacteria on teeth resulting in the production of acids. These acids dissolve calcium from tooth surfaces (demineralisation) but nature fights back restoring the lost calcium from saliva (remineralisation). Fluoride is the main protective factor against demineralisation. When fluoride is available from drinking water and toothpaste it dramatically increases the remineralisation rate. However, if teeth are frequently exposed to high levels of sugar, the balance between demineralisation and remineralisation tips in favour of excess calcium loss from the teeth. This is early decay (white spot lesions) and if it is not stopped it will progress tooth cavities.

The good news

Tooth decay can be stopped, reversed, and prevented.
It is the goal of the ACFF that children born after 2026 should remain cavity free for life.
We now have the technology to achieve this.

The facts

Today, sugar-enriched food is freely available and makes up a significant part of many peoples diet. This has resulted in a rise in tooth decay in Australia and most other regions in the world, particularly, developing countries.


Only 49% of 6-year-olds in Australia today have no decayed teeth. The 51% of 6-year-olds who have experienced tooth decay have, on average, five teeth that are decayed, have fillings or have been extracted due to decay. Furthermore, the worst 10% of these children have an average of ten or more decayed, filled, or extracted teeth. These are shocking statistics.


The challenge

ACFF aims:

First - to alert everyday people to the fact that tooth decay can be stopped, reversed and prevented
Second - to ensure that the public understands that water fluoridation and twice daily tooth brushing with fluoride toothpaste are the best known methods to prevent cavities
Third - to shift the focus of dental care from fillings to preventive programs that stop early decay from progressing to cavities
Fourth - to join with all health professionals in advocating for the reduced consumption of sugar – the cause of tooth decay, diabetes, and obesity.

We welcome you to join us as we rise to the challenge.

Wendell Evans

Wendell Evans
Honorary Colgate Associate Professor, Sydney Dental School
Co-Chair, Australia-New Zealand Chapter, ACFF