Cheryl E. Fryer, DDS, MS, MA; Ronald S. Brown, DDS, MS; and Sandra D. Osborne, RDH, MS; present a case of uncontrolled dental caries in a 24-year-old adult and discuss diagnosis, etiology, and management of the high-risk caries patient. This article is peer-reviewed and available for 2 hours of CE credit. Learning Objectives: After participating in this CE activity, the individual will learn: Factors involved in the etiology and diagnosis of uncontrolled dental caries. How to manage the patient with uncontrolled dental caries.