Tag Archives: dental sealants

Pediatric Sealants Aren’t Working

I don’t know what’s going on. My dentist insists my son’s sealants are on, but I don’t think they’re working. My son’s teeth look horrible. Will the sealants keep whitening from working? His teeth look so brown to me. He brushes. I’ve even started watching him to check, which really annoys him.

Kathy

Dear Kathy,

Four children one behind another smiling

I wanted to go over dental sealants with you because there seems to be a miscommunication somewhere either between you and your pediatric dentist, or possibly I’m not understanding what you’ve written. Sealants are meant to go on children’s back molars. Those have deep grooves in them which are nearly impossible for them to get clean. Because of that, we’ll place sealants on them which keep things from getting down in there. They don’t cover their front teeth in any way.

The makeup of baby and adult teeth are slightly different. With baby teeth, the enamel over the dentin is not translucent which makes their teeth look brighter and whiter. Adult teeth are very translucent which can show more of the dentin underneath. That has a yellowish color. If your comparing the color of his adult teeth to his baby teeth, the newer teeth will look less attractive in comparison.

When Children’s Teeth Look Dark

Children’s bodies and dental health are as varied as their personalities. It sounds like you’ve been monitoring his brushing and he’s doing that fine. Have you noticed if he intakes and staining beverages or foods? While most children don’t drink coffee, I’m often surprised how many of them drink iced tea. That can make someone’s smile brown looking quickly.

There are also certain spices which stain your teeth as well. If you’ve checked all these obvious culprits, the next thing to do is look into medication he may be (or have) taken. For instance, certain vitamins and antibiotics stain teeth. Tetracycline stains are some of the worst teeth stains to deal with. Not even teeth whitening makes much headway with them.

Another possibility is that your son has thin enamel, which will reveal more of the dentin. There are steps that can be taken to help that. Have a good talk with your pediatric dentist to get to the bottom of his coloring. If he or she doesn’t know what to do, try a cosmetic dentist that enjoys treating children.

This blog is brought to you by Drs. Kevin and Hillary Peck.

Dentist wants to do sedation on my child

I’m a little concerned. My daughter has very pitted molars which is causing cavities. My dentist needs to treat the cavities, I understand that, but am concerned that isn’t safe. If it were your daughter, what would you do?

Olivia N. – Destin, FL

Olivia,

First, I want to put your mind at ease. If the dentist is qualified to do sedation, then it is perfectly safe.  If takes a little extra training, so make sure they have it.  The reason for using it is that if the child moves or is uncooperative, then the drill can do serious damage to her. The sedation is to protect her.

I have another question, I’d like to have answered before you continue with this pediatric dentist. If your daughter has pitted molars, why hasn’t he suggested dental sealants. Those little molars can be a bacteria magnet and it’s important to keep them healthy for much longer than the rest of her baby teeth.  It bothers me that this seems to have been overlooked.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.