Northern Ireland teenagers have the highest level of tooth decay in Europe, a study funded by Queen's University has found.
Teenagers, particularly in deprived areas, were twice as likely to have permanent damage than those elsewhere.
The report said teenagers in affluent areas were having braces fitted and aesthetic treatments.
The British Dental Association said a dental health strategy, published five years ago, must be implemented.
Poor diet, social deprivation and a non-fluoridated water supply all contribute to bad teeth.
As well as highlighting the standard of oral hygiene the report also found that teenagers in poorer areas were more likely to have extractions.
Peter Crooks from the BDA said the current dental contract did not pay dentists to deliver preventive treatments.
He has accused the Department of Health of dragging its feet on the dental health strategy.
"I think it is critical that it is implemented as soon as possible," he said.
"We have been talking with the Department of Health for the past five years and there seems to be very little progress in this and our young people throughout the country need to have better dental health.
"Prevention will do most to help that on its way."
The Department of Health however, disagrees.
It said the regular care payment dentists received for each patient should be enough to cover everything and insisted prevention was spread across the health sector including in schools.
Source: http://www.bbc.co.uk/go/rss/int/news/-/news/uk-northern-ireland-16024428
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