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Who Should Get Sealants? Ideal Candidates Explained

Sealants
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  • June 21, 2025

Dental sealants are one of the most effective and affordable ways to prevent cavities—especially in children and teens. But many patients and parents still ask, “Who exactly should get sealants?” and “Are they only for kids?”

In this article, we’ll explain what dental sealants are, how they work, and who makes the ideal candidate for this simple, yet powerful, preventive dental treatment.

What Are Dental Sealants?

Dental sealants are thin, protective coatings made of resin or plastic that are applied to the chewing surfaces of the back teeth—primarily molars and premolars. These areas are full of grooves and pits where food particles and bacteria easily collect, making them prone to cavities.

Sealants create a smooth barrier over these grooves, making it easier to clean and harder for plaque to settle in.

Ideal Candidates for Dental Sealants

🧒 Children (Ages 6–14)

Children are the #1 recommended group for dental sealants.

Why?

Their newly erupted first molars (around age 6) and second molars (around age 12) have deep grooves that are hard to clean.

Kids are more prone to cavities due to developing brushing habits and sugar intake.

Applying sealants early prevents decay before it starts.

Best practice: Sealants should be applied as soon as permanent molars erupt.

👧 Teens with Deep Grooves or History of Cavities

Teenagers with:

Deep pits and grooves on their molars

Past or recurring cavities

Orthodontic appliances that make brushing harder

can benefit greatly from sealants, especially if they’re at high risk for decay.

👨‍🦰 Adults at High Risk for Cavities

Yes—adults can get sealants too!

You may be a good candidate if:

You have no fillings or decay in your molars

Your molars have deep grooves or fissures

You’ve had frequent cavities in the past

You struggle with maintaining oral hygiene (e.g., due to disability or chronic illness)

Note: Sealants can’t be placed over existing fillings or decayed teeth, but they can help preserve healthy ones.

🧑‍🦼 People with Special Healthcare Needs

Patients who have difficulty brushing due to physical or cognitive limitations may benefit from sealants as a preventive measure.

This includes:

Individuals with developmental disabilities

Elderly patients with reduced mobility or dexterity

People undergoing radiation or chemotherapy, which can increase cavity risk

Who Should Not Get Sealants?

Sealants are not typically recommended for:

Teeth that already have cavities or large fillings

Teeth with shallow grooves that are easy to clean

Baby teeth that are close to falling out (unless cavity risk is very high)

Your dentist will examine each case individually before recommending sealants.

Benefits of Dental Sealants

Prevents up to 80% of cavities in molars

Quick and painless procedure (no drilling or anesthesia)

Lasts up to 5–10 years with proper care

Safe and effective for both children and adults

Cost-effective, especially compared to fillings or crowns

The Sealant Procedure: What to Expect

  1. Cleaning: The tooth is cleaned and dried
  2. Etching: A solution is applied to roughen the surface for bonding
  3. Rinsing and Drying: Tooth is rinsed again and dried
  4. Application: The sealant is painted onto the tooth
  5. Curing: A special light hardens the sealant in seconds

Total time? Just a few minutes per tooth. No discomfort, no downtime.

Conclusion: Sealants Are Simple, Safe, and Smart

Whether you’re a parent looking to protect your child’s new molars or an adult who wants to avoid future dental work, sealants offer powerful protection against decay. Talk to your dentist to see if you—or your child—are a good candidate.