Despite the overall reduction in the DMFT index and an increase in the prevalence of caries frees among Brazilian adolescents, there were increases in both income and education-related inequalities among caries-active individuals . This indicates inequality, i.e., the different prevalence of dental caries among individuals can be explained not only by inevitable biological changes, but also by differences in the social environment in which these individuals live, which is expressed through the health-disease process . More severe oral changes are found in a small percentage of the population, which requires greater attention. The damage and unequal distribution of dental caries can be minimized by comprehensive dental care, including prevention, oral health promotion, and treatment .