CT scans from victims of Pompeii showed most to have perfect teeth.
Roman dental care was fairly rudimental. For instance, they had toothpicks and they also had some sort of brushes, although they were not necessarily widely used. Romans would sometimes use a paste made of charcoal and eggshells ground into dust.
What helped them a lot is that their diets were incredibly low in sugar. So unless you were a Roman noble with an excessive sweet tooth and you dined exclusively on honeyed wine and pastry, chances are your teeth wouldn’t decay… the average Roman consumed next to no sugar, and as a result, would maintain almost perfect teeth.
For certain religious rites and rituals, a Roman was expected to be perfectly clean. This included the expectation of clean teeth. A practical people, Romans kept their teeth healthy and tidy. They were also rather promiscuous so having clean teeth helps when you do a lot of making out.
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