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Sealants for young children

User Level:
Patient
Posted by: mySuperday  (10 years ago)
Hi Doctor!

I brought my 7 year old son to our family dentist for a routine cleaning and check-up and to have sealants put on his back teeth. However, the dentist refused to do sealants. He said it is not advisable to perform sealants on a primary teeth because it would be difficult to detect cavities on a tooth that had been sealed. He also added that putting sealants on younger children is difficult and does not guarantee success because they have too much saliva. He personally is just leaving his kids without it and will just fill any cavities that may come. I thought sealants are safer and easier than waiting for cavities and have them filled later. He also said they come out really easily but I've read sealants will take 2-4 years on the average to stay in. Should I go and look for a dentist who recommends sealants for children? Please shed some light on this for me.

Thanks a lot.
User Level:
Student
Posted by: mdhola  (10 years ago)
Sealant is preventive measure however not all the kids need it. Basic purpose of sealants is to seal the deep grooves and fissure on your teeth table so food doesn't get stuck in. Sealants are usually placed with the permanent teeth. If your little cutie is 7 years old then he might have his back permanent molars coming out or they will come out within couple of months, on which sealants can be placed.

And sealants are often also recommended with adults having high carious risk because of diet and other factors.

The natural flow of saliva usually keeps the smooth surfaces of teeth clean but does not wash out the grooves and fissures. So the teeth most at risk of decay—and therefore, most in need of sealants— are the six-year and twelve-year molars. Many times the permanent premolars and primary molars will also benefit from sealant coverage. Any tooth, however, with grooves or pits may benefit from the protection of sealants. Talk to your pediatric dentist, as each child’s situation is unique.
User Level:
Student
Posted by: ghnane  (10 years ago)
Dear mySuperday, I do not like your dentists explanation as to why he does not recommend sealants. Sealants are technique specific and when done properly will last a number years. They prevents caries from forming the pits and grooves. Why wait until caries form them drill tooth structure to remove caries and fill the teeth knowing those fillings won't last forever? Also since permanent teeth grow right under primary teeth it is good to keep the primary teeth health until the permanent come out.
User Level:
Patient
Posted by: mySuperday  (10 years ago)
Thank you for answering my question. Your information are very helpful. I will definitely bring my son to a pediatric dentist to have this done. Thanks again:-)
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