It is well established that fermentable carbohydrates and microorganisms in plaque play a significant role in pathogenesis of dental caries. The sugar most commonly associated with dental caries is sucrose and has been termed as the arch criminal of dental caries. The properties of carbohydrates that make them more cariogenic include type of sugar, consistency, oral retention, concentration of sugar, and frequency of ingestion. Cariogenic microorganisms in dental plaque metabolize fermentable carbohydrates into organic acids, which in turn cause demineralization of the enamel below the...