On behalf of the VCU iCubed Oral Health Core in Childhood and Adolescence, we appreciate and support the Interdisciplinary Approaches to Promote Adolescents' Oral Health and Reduce Disparities.
As providers for adolescents, we recognize the multi-strata approach in addressing the various concerns of adolescent oral health as an invaluable resource. Thus, we contribute the following comments:
As numerous practitioners have witnessed, the decreased intake and distrust of tap water along with an increased popularity of sport and energy drinks has taken a toll on the dentition of adolescents.
The importance of the HPV vaccine recommendation for the prevention of oral pharyngeal cancer
The adolescent levels of anxiety and depression which often coincides with substance abuse in this susceptible group impact oral health.
The increased use of e-cigarettes vaping is a critical concern for adolescents oral health, addiction potential, and overall health.
In agreement with other comments, family structure and home life, and community social determinants play an important role in proper oral care as well as access to dental services.