What a checkup includes

- A cleaning by our hygienist, with a flavor your child picks.
- An exam of each tooth, the bite and the gums.
- Fluoride varnish when it helps.
- X-rays only when needed, and we tell you why first.
How sealants work

Back teeth have deep grooves where food gets stuck. A sealant is a thin coating painted into those grooves. It takes minutes, with no needle and no drilling.
We usually seal the first adult molars around age six and the second molars around age twelve.
Between visits

Brush twice a day with fluoride toothpaste. Help your child brush until they can tie their own shoes. Floss where teeth touch, and offer water between meals.
Questions about checkups, cleanings and sealants
How long do sealants last?
Often several years. We check them at each visit and touch them up when part wears away.
Why does my child need fluoride if our water has it?
Bottled water often has little fluoride, and well water varies. We ask what your family drinks and recommend varnish only when it helps.
Reviewed by Dr. Annika Ferrante, DMD, October 7, 2026
