Dental caries remains a serious public health concern worldwide. Traditional caries management approaches often rely on a one-size-fits-all strategy, neglecting individual variation in risk factors. This research presents a comprehensive Caries Risk Assessment (CRA) framework, integrating clinical, microbiological, dietary, and socio-behavioural parameters to predict an individual's likelihood of developing caries. CRA is the critical part of dental caries management and should be considered a standard of care and included as part of the dental examination.