Most of your dental care happens at home. The habits below do the heavy lifting, and a check-up is where we look at how they’re working for you.
- Brush twice a day with fluoride toothpaste.
- Clean between your teeth once a day.
- Keep sugary food and drink to mealtimes.
- See your dentist at the gap your own risk suggests. Many experts suggest around every six months (healthdirect, tooth decay).
Which habits have the strongest evidence?
Fluoride toothpaste prevents decay compared with toothpaste without fluoride. That’s the conclusion of a 2019 Cochrane review of 96 studies (Walsh et al., 2019).
The Australian Dental Association recommends brushing twice a day with fluoride toothpaste and cleaning between your teeth every day (healthdirect, tooth decay).
Most Australian tap water contains added fluoride. The NHMRC backs community water fluoridation as a safe, effective way to lower tooth decay (NHMRC, 2017).
Why does how often you eat matter?
Plaque bacteria turn sugar into acid, and acid slowly damages enamel (healthdirect, tooth decay). Each sip or snack starts another round, so how often you have sugar matters as well as how much.
Keeping sugary food and drink to mealtimes gives your teeth longer between acid attacks (healthdirect, tooth decay). The WHO advises keeping free sugars below 10% of daily energy, with extra benefit below 5% (WHO sugars guideline, 2015; Moynihan and Kelly, 2014).
Dry mouth changes the picture. Decay can develop faster with less saliva, so a dry mouth is a reason for more frequent check-ups (ADA, teeth.org.au, dry mouth).
What does a check-up cover?
Your dentist looks for decay and wear, measures your gums, checks the soft tissues and asks about changes in your health and medicines. X-rays are taken when they’ll help answer a question (ADA, teeth.org.au, dental X-rays).
Tell us about new medicines, pregnancy or a diabetes diagnosis. Gum disease and diabetes affect each other, so it changes what your gums need (Sanz et al., 2018).
What changes your own risk?
- Snacking and sipping through the day
- Dry mouth from medicines or other causes (ADA, teeth.org.au, dry mouth)
- Skipped check-ups (healthdirect, tooth decay)
- Pregnancy, diabetes or smoking (healthdirect, gum disease; ADA, teeth.org.au, pregnancy)
If a few of these sound familiar, we’ll look for two or three changes that fit your day. There’s no lecture. Our nutrition and prevention guide shows how that conversation goes.
Sources
- healthdirect (Australian Government). Tooth decay
- Walsh T, et al. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database of Systematic Reviews. 2019. PubMed 30829399
- National Health and Medical Research Council. 2017 Public Statement – Water fluoridation and human health
- World Health Organization. Guideline: sugars intake for adults and children (2015)
- Moynihan PJ, Kelly SAM. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. Journal of Dental Research. 2014. PubMed 24323509
- Australian Dental Association, teeth.org.au. Dry mouth
- Australian Dental Association, teeth.org.au. Dental X-rays
- Sanz M, et al. Scientific evidence on the links between periodontal diseases and diabetes: consensus report of the International Diabetes Federation and European Federation of Periodontology. Journal of Clinical Periodontology. 2018. PubMed 29280174
- healthdirect (Australian Government). Gum disease
- Australian Dental Association, teeth.org.au. Pregnancy and oral health
Where To Read Next
Want more on this topic? This page goes further, and it lists questions to bring to your visit.
Nutrition & Prevention Guide
