This case features a 4 year old patient who presented with a dairy intolerance which was supplemented with calcium-enriched orange juice. Both the acidity and frequency of consumption led to widespread decay on the patients primary teeth. On the left is an image of the initial presentation of decay. The middle photo was taken after Dr. Lee completed restorations with the use of nitrous oxide in office. In addition to restorations, the family received dental and dietary counseling. Parent and patient cooperation was excellent. The final photo shows the patient 5 years after our initial meeting. We are so proud of this family's success and thankful to have been entrusted with their dental care.