Dental Sealants for Children
Despite being the most common chronic childhood disease in the US, tooth decay or cavities are preventable. Early prevention is crucial as cavities in baby teeth can lead to cavities in permanent teeth leading to a lifetime of oral health issues. Parents wanting their children to have strong, healthy teeth may consider the use of dental sealants.
The development of cavities is not an overnight process but more like a slow erosion resulting from the bacteria in our mouths weakening tooth enamel. A thin coating of special plastic that is applied to the grooves, or fissures, of the chewing (occlusal) surfaces of the permanent back teeth (molars and premolars), dental sealants provide a layer of protection beyond the natural tooth enamel. Because the molars and premolars are difficult to reach and clean, and most likely to show signs of decay as a result, using dental sealants to prevent germs and food particles from getting stuck helps reduce the likelihood of decay.
Based on the American Dental Association (ADA) recommendations, dental sealants are usually applied to a child’s first set of permanent molars between the ages of 5 and 14 years old. Once the child’s second set of permanent molars erupt, usually between age 11 and 14, another set of dental sealants can be applied. Having a dentist apply the dental sealant as soon as possible after the molars have erupted is therefore advisable.
The procedure for applying the sealant is generally fast and painless as it does not involve drilling or removal of any tooth structure. The application process begins with the dentist or hygienist cleaning the tooth, drying the surface, and applying a special gel designed to aid in the sealant adhesion. After the tooth has been prepped, the thin layer of sealant is applied to the tooth. For aesthetic purposes, the sealants are white, clear, or slightly tinted in order to match the color of the child’s natural tooth. Because of this, dental sealants are generally not noticed when patients smile, laugh, or talk. Chewing is also unaffected by the sealant allowing children to continue their regular eating habits and diet.
Dental sealants will often last for 5 to 10 years but should be checked by the child’s dentist during regular visits to ensure proper alignment and durability. Once the dental sealant wears down, it is possible to have them reapplied by the dentist or hygienist. To maximize the life of the dental sealants, parents should ensure that their children thoroughly floss and brush their teeth daily in order to remove food particles and plaque from the surfaces of the teeth. Using fluoride is also advisable as it helps prevent decay and protects the surfaces of all the teeth. Healthy eating habits and regular professional cleanings are also beneficial in ensuring the child’s teeth remain healthy and strong throughout their lives.
Just like regular dental exams and fluoride treatments, dental sealants are considered a preventative measure covered 100% by some dental insurance plans. As such, parents who get dental sealants for their children typically incur little or no out-of-pocket costs associated with the treatments. As with any dental procedure for their children, parents should consult with their insurance carrier prior to treatment to verify benefits.
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