Austria's dental health improves for youth—but adults still lag behind
Dr. Rebecca Mair, dental director of the H4O Dental Life Center in Vienna, explains in an interview with our website.at why proper brushing technique is crucial, which mistakes people commonly make, and how nutrition, prevention, and modern technology contribute to healthy teeth.
Dr. Mair, based on your clinical experience, how would you assess the dental health of Austrians?
Overall, dental health has improved significantly over the past few decades—especially among children and adolescents. However, I still see major differences: while some patients are very consistent with preventive care, others only come in late, when problems have already advanced. Periodontal disease in adults remains particularly common.
What are the most frequent mistakes you encounter in daily dental care?
Scrubbing too hard, incorrect brushing technique, and—above all—neglecting the spaces between teeth. Many people brush regularly but not effectively. Another issue is that toothbrushes are often replaced too infrequently.
Is brushing twice a day enough?
Brushing twice a day is a good baseline—but how you brush matters far more. Thoroughness, proper technique, and cleaning between the teeth are at least as important as frequency.
Dental expert Stefan Fickl argues that dental floss is overrated and that "if teeth are properly aligned and the gums fill the spaces between them, cleaning those areas isn't necessary." Do you agree?
I'd take a more nuanced view. It's true that with very tightly spaced, healthy teeth and inflammation-free gums, the need for interdental cleaning may be lower. But in practice, these ideal conditions are rare. For most patients, cleaning between the teeth—whether with floss or interdental brushes—remains a key part of oral hygiene to prevent inflammation and cavities.
Electric toothbrush, manual toothbrush, sonic technology: what should people consider when choosing a toothbrush?
The type of brush matters less than consistent, proper use. Electric toothbrushes can make brushing easier, especially for those with limited dexterity or poor technique. What's important is a small brush head, soft bristles, and a brush that suits the individual's oral anatomy.
How does nutrition affect dental health, and which "hidden dental threats" surprise many patients?
Nutrition plays a central role. Acidic drinks like fruit juices or smoothies—and even seemingly healthy snacks like dried fruit—are often underestimated. It's not just sugar but frequent acid exposure that damages tooth enamel.
At what age should children start learning dental care, and how can parents avoid daily power struggles?
As soon as the first tooth appears. The key is to make dental care a natural part of daily routine—playful, without pressure. Parents leading by example is crucial. Brushing shouldn't be up for negotiation; it should be a loving, consistent habit.
Many people only visit the dentist when they're in pain. How important are preventive check-ups, and how often do you recommend them?
They're absolutely essential. Pain usually means significant damage has already occurred. Preventive visits allow for early, minimally invasive treatment. I recommend check-ups once or twice a year, depending on individual risk factors.
Gum disease is considered a risk factor for cardiovascular disease. How strong is the connection?
The link is well-documented. Chronic oral inflammation can strain the entire body and is associated with heart disease, diabetes, and even pregnancy complications. Oral health is a vital component of overall health.
Would it make sense for health insurance to cover more dental services?
Yes, especially in prevention. A stronger focus on preventive care could not only save costs in the long run but also improve overall health.
Teeth whitening, veneers, invisible braces—the demand for aesthetic treatments seems to have surged. What makes sense in this context?
The desire for cosmetic dental procedures has indeed grown significantly. In principle, there's nothing wrong with that, as long as oral health remains the top priority. Aesthetic treatments are medically justified when they preserve tooth structure and are carefully planned.
What role do modern technologies and digital diagnostics play today?
A major one. Digital X-rays, 3D imaging, and computer-assisted planning enable more precise diagnoses, gentler treatments, and often shorter procedure times—a clear benefit for both patients and practitioners.
Is there such a thing as the "perfect" oral care routine?
There's no single perfect routine, but there is an ideal one for each individual. It includes regular brushing, cleaning between teeth, using fluoride toothpaste, and scheduling check-ups—all tailored to a person's specific needs and lifestyle.
If you could only give three tips for long-term dental health, what would they be?
First: Attend regular check-ups and have professional cleanings once or twice a year.
Second: Practice daily oral hygiene, including cleaning between your teeth.
Third: Eat and drink mindfully—cut back on sugar and acids, and give your teeth time to recover.
