Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
I’ve been in this business a long time and I’ve seen it all. But nothing is more important than what happens inside your mouth during your teenage years. These years are a turning point. The choices you make from age 13 to 19 will echo for the rest of your life. They can lead to a future of confident smiles and healthy gums or a lifetime of painful procedures and expensive bills. This isn’t a scare tactic. It’s a fact. This article is your simple roadmap. It will show you exactly why these years matter so much and what you can do right now to build a great dental future. Don’t skip this because your smile’s future depends on it.
Let me tell you a story. I once met a man in his forties who needed a ton of dental work. I’m talking crowns, root canals, the works. He looked at me and said “I wish I could go back to being a teenager. I’d do everything differently.” He told me he lived on junk food and soda and never thought twice about his teeth. He thought he was invincible. We all do at that age. The problem is your teen years are when your dental foundation is set. All of your permanent teeth are in place. Your jaw is finishing its growth. The habits you form now—good or bad—become the habits you’ll likely have for life.
Think of it like building a house. In your teens you are pouring the concrete foundation. If you mix the concrete correctly and let it set properly the house will stand strong for a hundred years. But if you use cheap materials or cut corners the foundation will crack. The whole house will be unstable. That’s exactly what happens with your teeth. Small problems you ignore as a teen like a little cavity or bleeding gums don’t just go away. They grow. They fester. That tiny cavity can become a massive infection that requires a root canal. Those bleeding gums can turn into serious gum disease that makes your teeth fall out. These are the years to build a strong foundation or you’ll be paying for repairs forever.
So what’s the solution? It’s not about being perfect. It’s about being smart. It’s about understanding that your body is giving you one last great opportunity to get things right. Your enamel is still hardening and your bones are still settling. This is the most receptive time for things like orthodontics and for establishing routines that stick. A little bit of effort now pays huge dividends later. It’s your last call before the dental “concrete” hardens for good.
Yes. It’s not even a fair fight. Let me put it this way. Imagine soaking a shiny new car in a bucket of acid every day. What would happen to the paint? It would bubble peel and rust away to nothing. That’s exactly what you do to your teeth when you sip on soda or sports drinks all day. These drinks are a double-whammy of disaster. First they are loaded with sugar which is the favorite food of cavity-causing bacteria. These bacteria eat the sugar and produce acid as a waste product.
This brings us to the second part of the attack. Many of these drinks are already incredibly acidic on their own. We’re talking about phosphoric acid citric acid and carbonic acid. So your teeth get hit with acid from the drink itself and then more acid from the bacteria feasting on the sugar. This constant acid bath dissolves your tooth enamel which is the hard outer layer that protects your teeth. Once the enamel is gone it’s gone for good. This leads to cavities sensitivity yellow teeth and a smile that looks much older than it is. The damage is real and it happens faster than you think.
The fix is simple but it takes discipline. The best thing you can drink is water. It’s free and it’s fantastic for your teeth. If you must have a soda or sports drink don’t sip it for hours. Drink it quickly with a meal. After you finish rinse your mouth with water to wash away the sugar and acid. Using a straw can also help bypass your front teeth a little bit. These small changes can make a huge difference. You’re trying to win a war against acid and water is your greatest ally.
I know I know. You hear it from your parents and your dentist all the time. “Did you brush your teeth? Did you floss?” It can feel like a nag. But let’s get real for a second. Brushing and flossing is the single most effective way to prevent the two biggest dental problems on the planet: cavities and gum disease. It’s that simple. It’s the frontline defense for your mouth.
Here’s the problem. When you eat food tiny particles and sugars get stuck on and between your teeth. This creates a sticky film called plaque. Plaque is not just gunk. It’s a living colony of bacteria. Millions of them. As I said before these bacteria eat the sugar and produce acid. Brushing scrubs this plaque and the food debris off the surfaces of your teeth. But a toothbrush can’t reach everywhere. The spaces between your teeth are a safe harbor for plaque. That’s where flossing comes in. Flossing is the only way to clean those tight spaces. If you don’t floss you’re leaving about 35% of your tooth surfaces dirty. Would you only wash 65% of your body in the shower? Of course not.
The solution is to make it a non-negotiable part of your day just like getting dressed. Two minutes twice a day. That’s it. Brush for a full two minutes. Set a timer on your phone if you have to. Use a soft-bristled brush and fluoride toothpaste. And floss once a day. It doesn’t matter when you do it. Just do it. If you find flossing difficult try floss picks. The key is to disrupt those bacteria colonies every single day so they can’t organize and start their destructive work. It’s a tiny investment of time for a massive payoff in health.
Many teens think braces or clear aligners are just about looking good in photos. And yes a straight smile is a huge confidence booster. I see it every day. A shy kid who used to hide their mouth suddenly can’t stop smiling after their braces come off. That’s a wonderful thing. But the real benefits of orthodontics go much deeper than just looks. It’s about function and long-term health.
The problem with crooked or crowded teeth is that they are very hard to clean. When teeth overlap and twist they create all sorts of nooks and crannies where plaque can hide. Your toothbrush can’t reach these spots and even flossing can be difficult or impossible. These hard-to-clean areas become hotspots for cavities and gum disease. A bad bite also causes problems. If your top and bottom teeth don’t meet correctly it can cause uneven wear on your enamel. This can lead to chipped teeth jaw pain headaches and even TMJ disorders down the road.
So the solution is to see orthodontics as a health investment not just a cosmetic one. Straight teeth are easier to brush and floss. This means less risk of decay and gum disease for the rest of your life. A proper bite distributes chewing forces evenly protecting your teeth from unnatural wear and tear. The teen years are the absolute best time for this treatment. Your jaw and facial bones are still growing so it’s easier to guide the teeth into their proper positions. It’s faster and often more effective than waiting until you’re an adult. A straight smile is a healthy smile.
This is a fact that surprises a lot of people. You might have reached your full height but your jaw and facial bones continue to grow and mature well into your late teens. This presents both a huge opportunity and a significant risk. It’s a critical period of development that we can use to our advantage or we can ignore at our peril.
The agitation comes from what can go wrong during this growth phase. This is when bite problems like overbites or underbites can become more pronounced. It’s also when wisdom teeth start to make their move which can crowd other teeth and throw a perfectly good smile out of alignment. Habits like thumb sucking or tongue thrusting which might have been harmless as a kid can now have a serious impact on the final shape of your jaw and the position of your teeth. It’s a dynamic time. The dental landscape is actively changing and if you’re not paying attention things can shift in the wrong direction very quickly.
This growth is also the solution. Because your jaw is still malleable it’s the ideal time for orthodontic work to have the greatest impact. We can guide growth and correct issues in ways that are much more difficult and invasive in adults. This period of growth is also why it’s so important to address any missing teeth. If a permanent tooth is lost and not replaced the bone in that area can shrink and the surrounding teeth can drift into the empty space. This messes up your bite and the overall structure of your mouth. Think of your teen years as the final sculpting phase for your face and jaw. It’s your chance to guide that process toward a healthy and stable outcome.
If you play any kind of sport—basketball soccer football hockey even skateboarding—a mouthguard should be as essential as your shoes. I’ve seen too many teens come into my office with a busted tooth after a stray elbow or a bad fall. It’s a heartbreaking and completely preventable injury. A single knocked-out tooth can end up costing thousands of dollars over a lifetime to fix. It can lead to a cascade of problems including bone loss and shifting teeth.
The agitation is in the “what if.” What if you took that hit to the mouth without protection? You could chip a tooth which is bad enough. You could crack a tooth which might require a crown. Or you could knock a tooth out completely. This is a true dental emergency. You also risk biting through your lip or tongue. It’s a bloody painful mess. Many teens think “it won’t happen to me” but accidents happen in a split second. A single moment of bad luck can lead to a lifetime of dental appointments and expenses.
The solution is so simple: wear a mouthguard. But not all mouthguards are created equal. The cheap boil-and-bite ones you get at the store are better than nothing but they often fit poorly are uncomfortable and can make it hard to breathe or talk. The best option is a custom-fitted mouthguard made by a dental professional. Your dentist takes a precise impression of your teeth and a specialized night guard dental lab fabricates a guard that fits perfectly. It’s more comfortable more protective and you’re more likely to actually wear it. It’s a small investment that protects you from a massive potential loss. The same goes for teeth grinding at night a custom guard from a lab can prevent you from wearing your enamel down to nothing while you sleep.
The teen years are a time of experimentation but some common habits can absolutely destroy a smile. And often teens have no idea how much damage they’re doing until it’s too late. The biggest culprits are smoking and vaping. We all know smoking stains teeth yellow and causes bad breath but the damage goes much deeper. It restricts blood flow to your gums making them more susceptible to infection and slowing down healing. This dramatically increases your risk for severe gum disease and even oral cancer.
Vaping is often seen as a “safe” alternative but it’s not. The aerosols in e-cigarettes contain chemicals that can damage gum tissue and the sweet flavorings can promote cavity-causing bacteria. Another hidden danger is oral piercings like tongue or lip rings. These can cause constant clicking and rubbing against your teeth which can chip or crack them over time. They also can cause your gums to recede which exposes the sensitive root of the tooth. An infection from a piercing can also be very serious. Even seemingly harmless habits like chewing on ice chewing on pens or using your teeth to open packages can create tiny fractures in your enamel that grow over time.
The solution is awareness and honesty. You need to be honest with yourself and your dentist about your habits. Don’t be embarrassed. Your dentist is there to help you not to judge you. They can give you specific advice and resources to help you quit smoking or vaping. They can explain the very real risks of that lip ring. And they can help you break nervous habits like chewing on ice. Kicking these habits now is one of the kindest things you can do for your future self. Your 40-year-old self will thank you for having a full set of strong healthy teeth.
Ah wisdom teeth. These third molars are famous for being troublemakers. They are the last teeth to arrive usually showing up between the ages of 17 and 25. The main problem is that for many people there just isn’t enough room in the jaw for them to come in properly. Our modern jaws are often smaller than our ancestors’ jaws so these latecomers get stuck.
This is where the trouble starts. A wisdom tooth that can’t erupt fully is called “impacted.” An impacted tooth can grow in sideways into the roots of the neighboring tooth. It can come in at an angle or it can stay trapped completely within the jawbone. This can cause a lot of problems. Impacted teeth can be very painful. They can cause crowding pushing your other teeth out of alignment and undoing years of expensive orthodontic work. They are also very difficult to clean which makes them a breeding ground for infection and cysts that can damage the jawbone and other teeth.
The solution starts with monitoring. Your dentist will use X-rays to keep an eye on how your wisdom teeth are developing. They can see the position and angle of the teeth long before they cause any pain. If it looks like they are going to be a problem the best course of action is often to have them removed. Removing wisdom teeth during the late teen years is often easier than waiting. The roots of the teeth are not fully formed and the bone is less dense so healing is typically faster and there are fewer complications. It’s a proactive step to prevent a whole lot of future pain and damage.
Losing a permanent tooth as a teen whether from an injury or severe decay is a much bigger deal than you might think. It’s not like losing a baby tooth where another one is waiting to take its place. This is it. That space is now empty forever unless you take action. The problem is what happens to your mouth when that space is left empty.
The consequences are like a slow-motion chain reaction. The teeth next to the gap will start to drift and tilt into the empty space. The tooth in the opposing jaw will start to grow down or up into the gap because it has nothing to bite against. This throws your entire bite out of whack. It can lead to chewing problems jaw pain and excessive wear on your remaining teeth. What’s worse is that the jawbone where the tooth used to be starts to shrink and deteriorate from lack of use. This bone loss can weaken the support for the adjacent teeth and can even change the shape of your face over time making you look older.
Fixing a missing tooth is a serious process but it’s essential for your long-term health. The best solution today is often a dental implant. This is where a titanium post is surgically placed into the jawbone to act like a new tooth root. After it heals a custom-made crown is attached to the post. This process is complex and requires incredible precision. The final crown is crafted in a specialized implant dental laboratory to match your other teeth perfectly. An implant is the closest thing we have to a natural tooth. It stops bone loss and prevents other teeth from shifting. Dealing with a lost tooth in your teens or early twenties sets you up for a stable healthy bite for the rest of your life. Ignoring it is a recipe for disaster.
Let’s say you do everything right during your teen years. You brush you floss you avoid soda and you get your wisdom teeth sorted out. You’ve built a fantastic healthy foundation. That’s a huge accomplishment. But maybe when you’re an adult you decide you want to take your smile from “good” to “great.” You might want it to be a little brighter or more perfectly shaped. The good news is that the solid foundation you built makes this all possible.
The problems come when people with poor dental health try to jump straight to cosmetic fixes. You can’t put a beautiful new roof on a house with a crumbling foundation. If you have active gum disease or untreated cavities cosmetic procedures are not an option. You have to get your mouth healthy first. Trying to put veneers on unhealthy teeth is like putting a fresh coat of paint over rotting wood. It won’t work and it will fail spectacularl
Because you took care of your teeth as a teen your options as an adult are wide open. You have a healthy base to work from. Professional teeth whitening can safely and effectively brighten your smile. If you have minor chips or want to change the shape of your teeth porcelain veneers might be a great choice. These are ultra-thin shells of ceramic that are bonded to the front of your teeth. They look incredibly natural and are custom-designed for you in a high-tech veneer lab. The key is that these are finishing touches. They are the beautiful furniture you put in a well-built house. By acing your dental health in your teen years you give yourself the freedom and the option to perfect your smile later on if you choose to. You’ve earned it.