Three tips on handling sensitive topics with care

1. Touching on lifestyle habits

If you want to speak with a teenager about habits that are impacting their oral health, such as vaping or a high intake of sugary drinks, always lead with open questions:

By leading with a non-judgmental tone, you can create space for a conversation about the effects of, e.g., vaping or sugary drinks. As you talk, always keep in mind that teens want to make their own choices.

2. Mental health issues

Some mental health issues, like depression or eating disorders, can show up in a teen patient's oral health:

• Enamel erosion, sensitivity, or dry mouth can be signs of an eating disorder, while sudden changes in hygiene, missed appointments, and a flat mood can be indicators of depression.

Dr Neupauer highlights that your role as their oral health professional is not to “solve” underlying mental health conditions. But if you see a teen in need of help, you can choose to privately bring it up. Let them know about possibilities for referral to mental health professionals, or when needed, inform the parents of your concern.

3. For teens on the spectrum

Be aware of sensory sensitivities (to light, sound, texture, taste) that can make dental visits overwhelming. When possible, ask the patient or their parents what they need in advance of the appointment. If they are anxious, take it slow and offer clear step-by-step explanations of what you will be doing before you do it. Check in as you go, and offer choices that give them a sense of control. 

Accept that progress may need to be gradual. Praise effort and build trust over multiple visits.

“Across all these scenarios, the same principles apply: What works best with teens is building trust.“ 

— Dr Zuzana Neupauer