
Your child’s first permanent molars can come in before you notice a loose tooth. They grow behind the last baby teeth, where it can be hard for kids to see or reach them with a toothbrush. At our Honolulu office, we can show you where those new molars are coming in and whether dental sealants would help protect them.
Ask us to point out the grooves on your child’s molars. Some are so narrow that toothbrush bristles pass over them, leaving food and bacteria behind. A dental sealant is a thin coating we paint over the chewing surface to close off those grooves and lower the risk of a cavity.
First permanent molars usually appear around age 6, and second molars around age 12. Timing varies, even from one side of the mouth to the other. We look at how much of each tooth has come in, whether we can keep it dry while applying the sealant, and your child’s history of cavities.
If your child is worried about a shot, you can reassure them that placing a sealant on a healthy tooth usually takes just a few minutes and requires no numbing or drilling. Here’s how we describe it to kids.
We clean and dry the tooth, then use a gel to help the coating stick.
We rinse the gel away and dry the tooth again. Your child helps by keeping their mouth open.
We paint the sealant into the grooves and shine a small blue light on it to harden it.
Yes. A sealant protects the grooves it covers. Fluoride helps strengthen enamel across the tooth, including the smooth sides. Keep brushing twice a day with fluoride toothpaste and flossing daily wherever teeth touch. If reaching a new back molar is tricky, bring your child’s toothbrush to the checkup so we can show you an angle that works.
Sealants can last several years. At regular checkups, we look for worn or chipped areas that could expose a groove again. If part of a sealant has come away, we can often repair that spot. You can also ask us to show you which molars already have sealants and which ones we’ll check as your child grows.
To find out which teeth are ready for sealants, call Pediatric Dental Group in Honolulu, HI, at (808) 593-8828 to schedule your child’s next checkup.