Fissure Sealant (Tooth Vaccine) and Fluoride

Scientific Ways to Prevent Cavities in Children

Preventive practices in pediatric dentistry are based on two main pillars: Fissure Sealants (Tooth Vaccine) prevent cavities by 80% by closing the indented chewing surfaces of the teeth with a physical shield; Fluoride applications make dental enamel resistant to acid by chemically strengthening it. The World Health Organization (WHO) and international pediatric dentistry associations emphasize that both applications, performed by a specialist physician in a clinical setting, are highly safe and necessary for children.

As parents, we want our children’s beautiful smiles never to fade and their teeth never to decay. However, sometimes brushing alone is unfortunately not enough, especially in reaching the deep indentations of our little ones’ back molars. In our clinic, instead of treatments applied after decay has occurred, we always give top priority to Preventive Dentistry applications that allow us to take precautions before those annoying cavities even start.

So, what does science say about tooth vaccines and fluoride, which are frequently discussed among you, dear parents? Let’s sincerely examine this topic together.

Çocuklarda fissür örtücü (diş aşısı) uygulaması ile diş yüzeyinin korunması - Protecting the tooth surface with fissure sealant (tooth vaccine) application in children - Защита поверхности зуба с применением фиссурного герметика (зубной вакцины) у детей"

What is Fissure Sealant (Tooth Vaccine) and How Does It Protect Our Little Ones?

On the chewing surfaces of newly erupted back molars, there are very deep and thin cracks we call “fissures.” These cracks are so narrow that even the bristles of the best toothbrush our children use cannot fully enter them. The residues of the foods our little ones love to eat and bacteria settle in these pits and silently start tooth decay.

Fissure Sealants in Children (known as Tooth Vaccine among you) is the process of filling these deep pits with a fluid, transparent, or tooth-colored special protective material.

  • Mechanism: By smoothing the surface of the tooth, it makes it almost impossible for those tiny bacteria to adhere to the tooth.
  • Application: No abrasion is made from the tooth during the procedure, no needles are used. It is completely painless and only applied in a few minutes while we chat with our children.
  • Effect: It reduces the risk of caries that can start from the chewing surface of the tooth to almost zero.

Science vs. Internet Myths: Is Fluoride Really Harmful?

In recent years, the most confusing topic for you, dear parents, due to information pollution on the internet is unfortunately fluoride applications. Fluoride is actually a mineral found in nature, in water, and in some foods. Combining with calcium and phosphate, the building block of tooth enamel, it forms the “Fluorapatite” layer. This layer dresses the teeth in an almost invisible armor against the acid attacks created by the sugars our little ones consume.

Why is Clinical Fluoride Application Necessary?

Unfortunately, the amount of fluoride in the toothpastes we use at home is not enough on its own to protect our little ones, especially those with a high risk of cavities or experiencing Baby Bottle Tooth Decay problems. Professional fluoride varnishes, which we apply in a clinical setting (usually every 6 months), dry immediately as soon as they are applied to the tooth surface and instantly activate the protective shield.

Is There a Risk of Poisoning or Swallowing?

There is absolutely no risk of swallowing or poisoning from varnish fluoride applications applied by us pediatric dentistry specialists, precisely in accordance with the age and weight of our child, simply by applying it to the tooth. All scientific authorities, especially the American Academy of Pediatric Dentistry (AAPD), confirm that fluoride is the most effective and safest agent in preventing cavities.

Comparison Table: Anatomy of Preventive Methods

FeatureFissure Sealant (Tooth Vaccine)Clinical Fluoride Application (Varnish/Gel)
Mode of ProtectionPhysical Barrier: Closes pits gently.Chemical Strengthening: Hardens and protects enamel.
Application AreaOnly the chewing surfaces of back molars.All surfaces of all primary and permanent teeth.
Frequency of ApplicationUsually done once, renewed if necessary during controls.Repeated every 3-6 months depending on our child’s risk of caries.
When Should It Be Done?When the first primary molars (3 years) and the first permanent molars (6 years) erupt.Lifelong starting from the eruption of the first tooth.
Pain / AcheAbsolutely none (No abrasion and no needles).Absolutely none (Applied only with a tiny brush).

Frequently Asked Questions

Does it harm our children’s teeth when the fissure sealant (tooth vaccine) falls off?

Absolutely no. Fissure sealants may partially wear down or fall off over time due to the chewing force of those little jaws. When it falls, the underside of the tooth returns to its natural state, it does not create an extra risk of decay. We already control the situation and renew it easily in seconds while chatting with our children during our 6-month routine check-ups.

We use fluoride-free toothpaste at home, do we need to come to the clinic and get fluoride?

Yes, even much more necessary. Unfortunately, the tooth enamel of our children using fluoride-free paste at home remains completely defenceless against acids. Professional clinical fluoride application in these little ones is not just an option, it is a medical necessity to protect those beautiful teeth from cavities.

Can we stop brushing teeth after the tooth vaccine is applied?

Please don’t! Tooth vaccination only protects the deep pits on the chewing surface of the teeth. We must continue to instil that beautiful brushing habit in our children and brush with the little ones for the interfaces, front and back of the teeth.

Will our young ones hurt during these procedures, how long does it take?

There is absolutely no pain or ache! Both of our preventive applications are usually completed in a very short time such as 10 to 15 minutes for the whole mouth, depending on our child’s compliance. We don’t use needles, we don’t abrade the teeth. We just make tiny touches on the teeth with our special brushes, like playing a game.

Stop Cavities Before They Start!

Even if we make the best filling after a tooth decays, no material can replace our children’s own natural, healthy, and sparkling tooth enamel. Come and meet our loving and completely painless preventive applications in the light of science.

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Prof.Dr. Behiye Bolgül

Antalya Pediatric Dentist Prof. Dr. Behiye Bolgül graduated from Dicle University Faculty of Dentistry as the top student in 1995. She started her doctorate in the Department of Pedodontics at the same university in 1996 and completed it in 2001, receiving the title of Pedodontist

About Dr. Bolgül

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Antalya Pedodontist

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