Abstract
A patient initially with a low caries risk, who had been coming to our clinic for maintenance from an infancy, presented with an early carious lesion after becoming a junior high school student and going through environmental and lifestyle change, due to club activities and cram school attendance. The patient had no subjective symptom and was not aware of the lesion, but his consistent maintenance visit helped reducing the risk of further developing the caries lesion at the early stage and prevented cavity formation. This case reminded us of importance of continuous maintenance treatment, reliable detection of the initial carious lesions, and appropriate response to the change in patient’s caries risk.