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Sorry, there is no abstract. Read the first few lines of the text instead! Despite the well-known decline in the overall prevalence and incidence of dental caries in the Western societies, there remain persistent pockets of high caries. These are located generally within inner-city, low-socio-economic and immigrant populations throughout Europe and elsewhere. However, two other groups continue to record high caries: the very young and the elderly. Both show remarkable similarities in their characteristics and in many ways caries has the same aetiology, prevalence, treatment and preventive strategies. Copyright (C) 2004 S. Karger AG, Basel