Adolescence is a time of particular vulnerability to mental health struggles.

Depression, anxiety, OCD and eating disorders commonly develop during the teen years. Dr Neupauer points out that while an oral health professional is not expected to “solve” their patient's mental health struggles, they are in a unique position to spot early signs: 

  • Enamel erosion could be a sign of too many sugary drinks, but it can also be caused by frequent vomiting as a symptom of bulimia.
  • A sudden change in oral health might be a rebellion against established rules, but it can also be a sign of depression. 

The mouth tells a story, but remember that context matters. 

“Gentle encouragement, realistic goal setting, such as focusing on one small habit at a time, and showing empathy can make a huge difference.”

— Dr Zuzana Neupauer


Neurodiversity adds unique challenges

Teens on the spectrum or with sensory sensitivities may struggle with textures, tastes and sounds that make a visit to the dental office even more of a challenge. Dr Neupauer suggests adapting tools, pacing, and communication styles to help build trust and make oral care more accessible.

The golden rule: Every teenager is unique

There is no one-size-fits-all approach. By listening, adapting, and respecting their individuality, you build trust. This is the foundation of motivating teens to take ownership of their oral health.


Up next: Exercise 1: Through their eyes