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I grew up in a house with well water, no fluoride. I've had a million cavities, and my dentist suggested that was a contributing factor, although certainly diet and genetics are too.
Also, wish I had a link to the article, but I was reading about how whether you "have" a cavity depends on your dentist's interpretation of the x-rays and their philosophy about treatment. Some dentists will see a light area and say "let's fill that before it gets worse" and others will note it and see how things develop. It was actually pretty alarming because sounds like professional standards for dentistry are looser than some other areas of medicine, and the description rang true for some of the dentists I've seen.
This is definitely a thing. I mentioned no cavities, but I have had some "slight decalcification we might want to address before it gets worse" that then got better on their own.
Yeah, I would much prefer if someone framed it that way than "you have decay, let's schedule an appointment for a filling"