A method and system is provided for charting tooth decay to assist in caries management. Specifically, the invention provides a computer system, a Graphical User Interface(GUI), a method, and associated computer code for presenting an interactive tooth chart comprising selectable, anatomically correct tooth icons corresponding to a dental patient's teeth. The invention allows a user to select regions of each individual tooth icon to record the condition of the selected region. According to the invention, a dental patient is selected from a patient data base, the patent's teeth are examined, and the condition of each tooth region is recorded using selectable icons. The invention further provides automatic characterization of dental conditions based on standard values and previously recorded conditions to indicate progression of disease. In an alternative embodiment, the invention provides a recommended course of clinical management based on the information recorded. In another embodiment the invention automatically classifies patients into risk categories and provides suggested x-ray exam intervals. Thus, particular advantages of the current invention include ease of recording dental conditions, more accurate dental charting, and automatic analysis of recorded dental data, advantageously resulting in better patient care and more efficient use of a dental care provider's time.