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What are teenage teeth issues?

Teenage teeth issues might include:

  • enamel hypomineralisation
  • injuries to the teeth and mouth
  • mouth guards
  • orthodontics
  • teeth-grinding
  • tooth decay.

Enamel hypomineralisation

Enamel hypomineralisation is when the outer surfaces of teeth have fewer minerals than usual. As a result, teeth are weak and might break down.

Teeth with enamel hypomineralisation have white, yellow or brown patches. They might also be sensitive to cold and brushing.

Enamel hypomineralisation is most likely to affect the first adult molar teeth. Baby teeth and front teeth aren’t often affected.

If you think your child has enamel hypomineralisation, it’s important for them to see a dentist as soon as possible. Early treatment can help to stop your child’s teeth from breaking down even more.

Knocking out an adult tooth and other teeth injuries

Injuries to your child’s face and teeth can happen when they’re walking, running, playing sport, skateboarding, riding bikes and so on.

If your child knocks out an adult tooth, there are things you and your child can do that might stop your child from losing the tooth permanently:

  • Find the tooth.
  • Hold the tooth by the top (‘crown’), not the roots.
  • If the tooth is dirty, rinse it in milk for a few seconds. If you don’t have any milk, you can briefly rinse the tooth with water.
  • Don’t let the tooth dry out.
  • Put the tooth back in its socket immediately.
  • Hold the tooth in place with aluminium foil. If you don’t have any aluminium foil handy, your child can bite down gently on a clean cloth – for example, a handkerchief.
  • Take your child to the dentist or a hospital emergency department immediately. Time is critical.

If for some reason you can’t replace the tooth in its socket, put the tooth in milk or saliva and see your dentist or go to an emergency department immediately. You might need to do this if your child is unconscious or distressed, for example.

If your child chips or fractures a tooth, keep the piece of tooth and store it in milk or saliva. See your dentist immediately.

It’s important to take your child to a dentist or a hospital emergency department if your child damages their teeth or face, especially if a tooth is bumped, broken or moved out of its usual position.

Mouth guards

If your child plays sport, check the sport’s rules and recommendations about mouth guards. In many junior sports with a high risk of face contact or head injury, wearing a mouth guard or other protective equipment is compulsory during training sessions and match play.

There are 3 types of mouth guards:

  • ready-made
  • ‘boil and bite’, which mould around your child’s teeth and jawbone
  • customised, which are made by a dental professional.

Customised mouth guards are the most comfortable and provide the best protection because they’re made specially to fit your child’s teeth and jaws.

When choosing a mouth guard, look for one that:

  • is thick enough (4 mm) to provide protection against impact
  • fits snugly and is comfortable
  • is odourless and tasteless
  • allows normal breathing and swallowing
  • allows normal speech.

Here’s what your child should do to keep the mouth guard clean and in good shape:

  • Rinse the mouth guard before each use, and brush it with a non-abrasive toothpaste afterwards.
  • Clean it every now and then in soapy water, making sure to rinse it thoroughly.
  • Carry the mouth guard in a container that has vents.
  • Avoid leaving the mouth guard in the sun or in hot water.

Take the mouth guard to your child’s dental visits to make sure it still fits correctly. Your child might need a new mouth guard when changes happen in their mouth – for example, when adult teeth come through.

Orthodontics

When the teeth and jaws don’t line up properly, it can cause problems including gum damage, abnormal tooth wear and speech difficulties. Teenagers whose teeth and jaws don’t line up might also have trouble getting their teeth clean. Or they might feel self-conscious about the appearance of their teeth.

If you’re concerned about the way your child’s teeth and jaws line up, it’s a good idea to see your dentist. Your dentist might recommend that your child sees an orthodontist for treatment.

If your child has braces or other orthodontic appliances, it’s important for your child to brush their teeth well. They should also use waxed dental floss or an interdental brush to clean between their teeth.

Teeth-grinding

Occasional teeth-grinding or clenching that isn’t causing your child any problems doesn’t need treatment. But if teeth-grinding keeps going, it can lead to headaches and tooth pain or jaw pain or your child’s teeth wearing down. If you notice your child doing it often, it’s important to get advice from your dentist.

Your dentist might recommend an appliance your child can wear at night to protect their teeth from grinding.

Tooth decay in teenagers

Tooth decay is a diet-related disease that damages teeth.

Signs of tooth decay include white patches or brown spots on teeth, holes in teeth or broken teeth.

Your child can prevent tooth decay by taking 3 key steps:

  • Clean their teeth and gums twice a day – in the morning and at night.
  • Eat a healthy, low-sugar diet and maintain healthy eating habits.
  • Care for their dental health by having regular dental check-ups.

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  • Department of Social Services

Raising Children Network is supported by the Australian Government. Member organisations are the Parenting Research Centre and the Murdoch Childrens Research Institute with The Royal Children’s Hospital Centre for Community Child Health.

Member Organisations

  • Parenting Research Centre
  • The Royal Children's Hospital Melbourne
  • Murdoch Children's Research Institute

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