As a dentist, the transitions from the teen years to the adult years make for some marked changes in treatment for this age group. There are issues related to growth and development to consider for these grads, such as "wisdom teeth," decay, and periodontal disease.
First, let's consider the erroneously named "wisdom teeth," dubbed by Dr. Obvious in a gray matter synaptic fury as the "18 Year Molars." Why? Because as you may have guessed, they arrive at 18 years of age. But to be truthful, "wisdom teeth" may make their presence known as early as 14 years of age and often cause numerous problems throughout life. If the "wisdom teeth" are to be removed (and most are), early extraction is more desirable than waiting out the inevitable. The teeth continue to develop, getting bigger and bigger with time and making their extraction more difficult. The summer after senior year is the prime time to remove these pesky teeth. At this age, teens are still usually covered by their parent's insurance and may still respond to parental guidance for care. Once they leave for college or jobs, many will neglect their dental health and/or may not have the means to pay for necessary treatment. Without parental influence to set up, pay for, and keep appointments, dental care takes a back seat.
Another issue that arises in early adulthood is decay. Many teens that have never had a problem with decay previously develop cavities for the first time once they head off to college. The availability of unlimited free soda in dorms and at jobs, energy drinks for all night study sessions, and a lack of attention to personal care can be to blame. Parents who have never supplied sugary drinks at home might see their children indulging a bit at college (and you hope that's all they indulge in!) and paying less attention to their personal hygiene.
Younger children are pretty much exempt from periodontal (gum) disease except in rare conditions. Once teens reach adulthood that can change a bit and we begin to take measures of periodontal condition. We record the "pocket" numbers around each tooth to establish a baseline for future years. If numbers change for the worse, more extensive patient education and treatment is initiated. Quite often a lack of attention to personal hygiene, stress, and a poor diet is the cause. This age group tends to burn the candle at both ends (really?) and is under a fair amount of stress which results in some health decline which is first visible in the mouth.
Just as most grads slowly transition to college and jobs, the changes in teen dental care are steady, predictable, and for the most part uneventful. With a little attention to hygiene and a minimum amount of professional intervention, these changes can be made with ease. Relax.
