Dental Sealants: Benefits, Longevity, and Fluoride Application for Kids - Dentistry

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Pit and fissure sealant


Hello Dr.
Tseng: Thank you for your response.
I have a few more questions to ask you: 1.
Does dental sealant harm the teeth? Once applied, does it provide lifelong protection, or how often does it need to be reapplied? Is it covered by health insurance? Does it increase the risk of cavities? 2.
At what age is it best for children to receive fluoride treatment? Does fluoride really help in preventing cavities? Thank you for your assistance!

Xiao Ru, 30~39 year old female. Ask Date: 2007/12/17

Dr. Zeng Guanghui reply Dentistry


Hello, Miss: Thank you for your inquiry.
I would like to address your question and provide the following advice: Generally speaking, dental sealants are primarily used to prevent food debris from getting trapped in the grooves of the occlusal surfaces of posterior teeth, which can lead to cavities.
A highly fluid resin is applied to cover these grooves in the occlusal surfaces of posterior teeth, thereby preventing the accumulation of food particles that can cause decay.
Currently, this procedure is not covered by health insurance.
If properly maintained, sealants can last approximately one and a half to two years.
They are typically applied to the newly erupted permanent first and second molars, as well as the occlusal fissures of primary molars, and they are effective in preventing cavities.
Lastly, I wish you peace and happiness~~

Reply Date: 2007/12/17

More Info


Hello! Thank you for your questions regarding dental sealants and fluoride application for children. I appreciate your interest in understanding the best practices for maintaining your child's oral health. Let’s break down your questions one by one.

1. Dental Sealants: Benefits and Longevity
Dental sealants are a preventive measure designed to protect the chewing surfaces of the back teeth (molars) from cavities. These sealants are made of a thin plastic coating that is applied to the grooves of the teeth, effectively sealing them off from food particles and bacteria that can lead to decay.
In terms of safety, dental sealants are generally considered safe and do not harm the teeth. They are particularly beneficial for children, as their molars have deep grooves that can trap food and plaque, making them more susceptible to cavities. Sealants do not last forever; typically, they can last anywhere from 5 to 10 years, depending on factors like oral hygiene practices and the wear and tear from chewing. Regular dental check-ups are essential, as your dentist can monitor the condition of the sealants and reapply them if necessary.

Unfortunately, dental sealants are not covered by all insurance plans, including some health insurance in the U.S. However, many dental insurance plans do provide coverage for sealants, especially for children, as they are recognized as an effective preventive measure against cavities.
It’s also important to note that sealants do not increase the risk of cavities; rather, they significantly reduce the likelihood of decay in the sealed areas. However, it is still crucial to maintain good oral hygiene practices, including regular brushing and flossing, to ensure overall dental health.

2. Fluoride Application: Timing and Benefits
Fluoride is a mineral that helps to strengthen tooth enamel and prevent cavities. The best time to start fluoride treatments for children is typically around the age of 2 or when their first molars erupt, which usually occurs between 6 to 12 months of age. Fluoride can be applied in various forms, including toothpaste, mouth rinses, and professional treatments at the dentist's office.

Fluoride treatments are indeed beneficial for preventing cavities. They work by remineralizing the enamel and making it more resistant to acid attacks from plaque bacteria and sugars in the mouth. Regular fluoride use, combined with good oral hygiene practices, can significantly reduce the risk of dental caries in children.

While fluoride is safe when used appropriately, it is essential to monitor the amount of fluoride your child ingests, especially in young children who may swallow toothpaste. The American Dental Association recommends using a pea-sized amount of fluoride toothpaste for children aged 2 to 5 years and supervising their brushing to minimize swallowing.

In conclusion, both dental sealants and fluoride treatments are effective preventive measures that can significantly enhance your child's oral health. Regular dental visits are crucial for monitoring the effectiveness of these treatments and ensuring that your child's teeth remain healthy. If you have any further questions or concerns, feel free to reach out to your dentist for personalized advice tailored to your child's specific needs. Thank you for your inquiry, and I wish you and your child the best in maintaining a healthy smile!

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