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Home / Children's dentistry / Sealants and Fluoride
Prevention

Sealants and Fluoride

Both are preventive measures with a good evidence base, and neither is a substitute for brushing and diet. They reduce risk; they do not remove it.

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What each does

Sealants
A thin coating over the grooves of back teeth, where a brush cannot reach into. Most useful soon after those teeth erupt.
Fluoride varnish
Applied in the office; helps strengthen enamel against acid attack.
Fluoride toothpaste
The daily workhorse. Amount matters for small children.
Who benefits most
Children with deep grooves, previous decay, or higher-sugar diets.
What they do not do
Neither fixes existing decay or replaces brushing.

Practical points

Sealants can wear or chip and are checked at routine visits; re-application is normal rather than a failure. For young children, use an age-appropriate amount of fluoride toothpaste and supervise brushing until they can do it well themselves.

If you have questions about fluoride, ask directly — it is a reasonable thing to want explained rather than assumed.

What we can explain here — and what needs an exam

A page can inform you. It cannot examine you.

We can explain online
How sealants and fluoride work
Who benefits most
That neither replaces brushing
Determined after an exam
Whether your child needs sealants now
Whether varnish is indicated
Your child’s individual risk level

What to do next

Ask at the next check-up whether the back teeth are ready for sealants — timing matters.

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Cavities in baby teethChildren's dentistryPreventive dentistryChild's first visit

General information reviewed by Mankirat Gill, DDS · August 2026. Not a substitute for an in-person examination.