Is there a need for aggressive early restorative interventions?
You cannot be born with the bacteria that produce dental disease; they require a tooth surface to survive. Dental disease is a communicable disease that you most commonly get or cross-contaminate from your parents, grandparents, siblings or care givers.
The natural development of all back teeth and some front teeth leave the hard enamel chewing surface with open holes that penetrate that surface with 100% certainty all the way into the live porous tubular structure inside the tooth (the dentin). This dentin structure has direct vascular access and connection with all other spaces in the body. These holes in the teeth that can and do become infected with dental disease immediately after their eruption into the mouth can serve as reservoirs and a reseeding mechanism for the rest of your life.