+ Visual chalky white spots on tooth can rise dental caries risk 3.13 times (95% CI: 1.61 - 6.08), and incipient caries risk 3, 49 times (95% CI: 1.79 - 6.80), (95% CI: 1.79 - 11.42) + Tooth brushing with fluoride toothpaste twice a day reduces 0.37 times dental caries risk (95% CI: 0.23 - 0.58), and incipient caries risk 0.34 times (95% CI: 0.21-0.54).