Teenage Teeth: Why Aussie Teens Are Falling Behind on Oral Health

Teen oral health

During our school visits to fit mouthguards for sport, we expect to see a chipped tooth or two, some leftover breakfast perhaps, but what we’re seeing in teenage boys’ mouths is quite concerning: widespread decay, heavy plaque buildup, and clear signs of poor oral hygiene.

And this isn’t just a one-off. It’s a pattern.

As a dental practice, we’re often on the front lines of teen oral health. While our primary role during these visits is to protect teeth from sports injuries, we’re increasingly confronted by what we’re seeing, especially when so much information is available on the importance of good oral care these days. The state of teenage boys’ teeth is causing us concern, and it’s time we talk about it.

The Stats Tell a Troubling Story About Teen Oral Health

The data backs up what we’re seeing:

  • 1 in 3 Australian children aged 5–14 have untreated tooth decay in their permanent teeth.
  • Only 55% of young people aged 15–24 brush their teeth twice a day.
  • Kids from lower-income households are twice as likely to experience dental decay.
  • Dental conditions are the leading cause of preventable hospitalisations among Australian children.
  • The average teen spends more time on social media daily than they do on oral hygiene in an entire week.

(Source: Australia’s Oral Health Tracker – Mitchell Institute)

These numbers aren’t just statistics, – they represent real teen oral health issues, and real long-term consequences.

Teen Dental Crisis

Why Teens Neglect Their Teeth: Understanding the Teen Oral Health Problem

Several factors contribute to the decline in teen oral health:

Developmental Changes

During adolescence, teenagers experience significant hormonal changes that can affect teen oral health. These hormonal fluctuations can increase the risk of conditions like gingivitis (gum inflammation), making good oral hygiene even more crucial during these years.

Nutrition and Lifestyle

The teenage years often bring increased independence in food choices, and unfortunately, many teens opt for:

  • Sugar-laden energy drinks and soft drinks that erode enamel and promote decay
  • Frequent snacking on processed foods high in hidden sugars
  • Irregular eating patterns that disrupt normal saliva production (which helps clean teeth)

The Independence Paradox

Teenagers are in that challenging middle ground, –they want independence but aren’t always ready for the responsibility that comes with it. When parents stop monitoring basic hygiene habits, some teens simply deprioritise them.

Beyond Cavities: The Long-Term Impact

Poor teen oral health isn’t just about cavities. The consequences can be far-reaching:

Social and Psychological Effects

  • Self-confidence issues from discoloured or damaged teeth
  • Social anxiety related to bad breath or visible dental problems
  • Speech difficulties from untreated dental issues

Future Health Concerns

  • Gum disease that can progress into adulthood
  • Tooth loss requiring expensive restorative procedures
  • Potential links to systemic health conditions including heart disease and diabetes

Financial Burden

Preventive dental care is significantly less expensive than restorative treatments. A twice-yearly check-up and clean is a fraction of the cost of root canals, crowns, or implants that might be needed later.

The Technology Factor: Friend or Foe?

The Distraction Element

Many teens are so absorbed in their digital lives that basic self-care routines get pushed aside. The average teenage boy spends just 30-45 seconds brushing, far short of the recommended two minutes.

Leveraging Technology for Good

However, technology can also be part of the solution:

  • Electric toothbrushes can offer higher plaque reduction
  • Oral hygiene apps that gamify the brushing experience

What Parents Can Do: A Comprehensive Approach To Teen Oral Health

Teenagers are at a tricky age. They’re gaining independence, but they’re not always great at self-care, especially when it comes to brushing their teeth. Here are several practical ways parents can help:

Teenager Oral Health

1. Book Regular Check-Ups

Even if your teen isn’t complaining of pain, regular dental visits are essential. Many issues go unnoticed until they become serious. At Dental Fresh, we recommend twice-yearly check-ups to monitor teen oral health and catch any issues early.

Schedule these appointments well in advance and mark them on the family calendar. Consider making them consistent (e.g., every January and July) to establish a routine.

2. Don't Assume They're Brushing Properly

A quick “Did you brush?” isn’t always enough. Talk to them about technique, make sure they’re using high quality toothpaste, and check in regularly. Your dental hygiene visits will reinforce this and teach good technique.

Pro tip: Consider a bathroom restock with:

  • Electric toothbrush (often more appealing to teens)
  • Quality toothpaste designed for sensitive teeth
  • Easy-to-use flossers or water flossers
  • Alcohol-free mouthwash

3. Address Diet and Lifestyle

Soft drinks, sports drinks, and sugary snacks are major culprits. Try to limit these and encourage water as the go-to drink.

Practical steps:

  • Keep the fridge stocked with water bottles
  • Limit sugary drinks to special occasions
  • Provide healthy alternatives for between-meal snacking
  • Discuss the links between nutrition and oral health

4. Use Sport as a Checkpoint

If your child plays sport and needs a mouthguard, use that dental visit as an opportunity to ask how their overall oral health is tracking.

Custom-fitted mouthguards from a dentist provide superior protection compared to over-the-counter options. These professional mouthguards fit more snugly, won’t fall out, and don’t restrict breathing. At Dental Fresh, we make custom mouthguards for various sports and can accommodate braces and growing teeth in children.

5. Lead by Example

Kids notice more than we think. If they see you brushing and flossing regularly, they’re more likely to follow suit.

Consider making oral hygiene a family activity. While it might seem silly, having a family “brush time” before bed can normalise the routine and provide a good opportunity to model proper technique.

6. Connect Oral Health to Things They Care About

For many teens, arguments about long-term health don’t resonate. Instead, connect good teen oral health and hygiene to things they care about:

  • Sports performance: Explain how oral health issues can impact athletic performance through inflammation and pain
  • Appearance: Fresh breath and white teeth for social confidence
  • Financial independence: The cost of fixing dental problems could eat into money for things they want

7. Consider Orthodontic Evaluation

Teenage years are often when orthodontic issues become apparent or more concerning. Invisalign and other orthodontic treatments can address crowded teeth, gaps, overbites, underbites, crossbites, and open bites. Properly aligned teeth are easier to clean, reducing the risk of decay and gum disease.

Special Considerations for Athletes

Teenage athletes face unique teen oral health challenges:

Sports Drinks and Oral Health

Many teens believe sports drinks are healthy, but their high acidity and sugar content can be devastating to dental enamel. Encourage water instead, or at minimum, rinsing with water after consuming sports drinks.

Protecting Teeth During Play

Many teens believe sports drinks are healthy, but their high acidity and sugar content can be devastating to dental enamel. Encourage water instead, or at minimum, rinsing with water after consuming sports drinks.

Getting Teens on Board: Communication Strategies

Make It Their Decision (Sort Of)

Teenagers respond better when they feel they choose for themselves. Present oral health as their choice, but be clear about the consequences of poor decisions.

Use Peer Influence Positively

Share success stories from slightly older peers they admire. A 19-year-old university student or sports star talking about regretting not taking care of their teeth can be more influential than the same message from parents or dentists.

Find the Right Timing

Conversations about hygiene are better received when they’re not framed as criticism. Look for natural openings rather than confrontations about forgotten brushing.

Resources for Parents and Teens

Educational Materials

  • The Australian Dental Association offers free resources specifically designed for teenagers
  • Many dental insurers provide educational content and even apps to track oral health habits

Support Programs

  • School-based dental programs (ask your school administrator)
  • Community dental clinics offering reduced-cost preventive care
  • Dental benefits programs for eligible families

Let’s Start the Conversation for Good Teen Oral Health


✅ Scheduled bi-annual dental check-ups 

✅ Proper brushing technique (two minutes, twice daily) 

✅ Daily flossing 

✅ Healthy diet low in sugary snacks and drinks 

✅ Custom-fitted mouthguard for sports 

✅ Regular conversations about oral health 

✅ Orthodontic evaluation if needed

Remember, the habits formed during these years often carry into adulthood. By helping your teenager establish good oral health practices now, you’re setting them up for a lifetime of healthy smiles.

Book your teenager’s dental check-up today. Call Dental Fresh at (02) 9389 3656 or email [email protected] to schedule an appointment.

Dr Ryan O’Halloran is a General Dental Practitioner at Dental Fresh in Bondi Junction, Sydney, bringing a unique perspective to modern dentistry. A graduate of Charles Sturt University’s Bachelor of Dental Science programme, Dr O’Halloran’s distinctive career path began in dental publishing before transitioning to clinical practice. His diverse experience spans practices in London, regional Orange, and Newcastle, informing his comprehensive approach to dental care. Specialising in preventative dentistry and minimally invasive cosmetic procedures, Dr O’Halloran is known for his calm demeanour and thorough, informative communication style. His background in dental publishing enhances his ability to explain complex procedures in accessible terms, making him particularly effective with anxious patients. At Dental Fresh, he focuses on patient education and preventative care, ensuring each patient understands and feels in control of their dental health journey.

Dr Ryan O’Halloran (BDSc (CSU))

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