Category Archives: Preventing Cavities

At Pediatric Dental Associates of Randolph, we have always been at the forefront of providing the most up-to-date care for our patients in a calm, caring environment. With this in mind, we have always been a proponent of sealants for all our patients.

What are Sealants, and do my children benefit from them?

Sealants today are considered an essential part of preventive dental care. They are beneficial in preventing dental caries on premolars and molar teeth on children and adults. A dental sealant is a protective barrier placed in the pits and fissures of teeth by sealing out food and bacteria, which results in cavities. Sealants can reduce the incidence of cavities 86% the first year and up to 58% after four years. 

Does Insurance cover sealants?

Most insurance companies cover sealants at 100% on permanent teeth up to age 14 under preventive care. Always check with your insurance company for the specifics of your individual plan. It is important to note that even if sealants aren’t entirely covered with your insurance, it is still a worthwhile expense as the cost of sealants are still significantly less than the price of dental fillings and much more pleasurable experience.

Common health concerns?

The utility of composite resin materials used in fillings and sealants is well established, while any health risks from their use are not. The exposure to Bisphenol A (BPA) in dental sealants is considered less of a threat than the risk of dental caries. Dental caries is the most common chronic disease of children 6 to 19 years of age four times more common than asthma among adolescents aged 14 to 17 years. Untreated cavities can cause pain, dysfunction, absence from school, poor appearance, and can lead to the spread of infection. These problems significantly affect a child’s quality of life.

Do sealants hurt, who applies dental sealants, and is it a lengthy procedure?

Dental sealants do not hurt and do not impair or prevent children from eating after the procedure. Most appointments for sealant placement are under 20 minutes. In our office, a licensed dental associate will apply dental sealants. We also guarantee our sealants for two years from the initial placement.

If you have any further questions regarding dental sealants, please ask one of our fantastic office staff members, and they will be happy to help you.

At Pediatric Dental Associates of Randolph one of the options, we may recommend for treating cavities in baby teeth is the application of silver diamine fluoride to affected teeth. The great appeal of using silver diamine fluoride on cavities is that it stops both the development and the spread of decay without the need to drill into the tooth. This is especially beneficial for use with young children as early dental experiences truly set the tone for a lifetime of optimal oral care. Anything we can do to create positive dental experiences while maintaining healthy teeth is vitally important. Silver diamine fluoride (SDF) is a relatively new way for dentists in the United States to treat tooth decay. It was approved by the FDA in 2014 as a safe and effective way to treat cavities although it has been used in Japan for more than 80 years now. At Pediatric Dental Associates of Randolph, we often suggest the use of silver diamine fluoride for treating minor cavities in baby teeth as a less expensive and noninvasive option. It is a great choice for treating shallow cavities in young children who would otherwise require sedation or general anesthesia. The only contrary to using silver diamine fluoride is that it discolors the tooth and can cause temporary staining of nearby tissues. Another important advantage of treatment with Silver Diamine Fluoride is that it is a quick and pain-free process. One of our Pediatric Dentists will apply the SDF using a small paintbrush dipped in the SDF liquid and paint it onto the surface of the tooth where the decay is present. Several applications may be needed to arrest the spread of the decay. If you have any questions on the use of silver diamine fluoride or any other oral care concerns please call our office at (973) 989-7970 and one of our experts will be happy to speak with you.

At Pediatric Dental Associates of Randolph, we are passionate about children’s teeth. Aside from our dedication to caring for kids pearly whites, our other passion is to educate both children and their caregivers on all things impacting optimal oral health.

Often adults don’t truly appreciate the important role baby teeth play in a child’s development. Sure those cute little teeth are adorable in photos or when your child smiles up at you but did you know they also play a vital role in many areas crucial for your child’s optimal long-term health?

One of the obvious first jobs of baby teeth is to allow your little one to begin chewing solid foods. As your child approaches their first birthday these first teeth play an important role in speech development. At the same time as your child is first learning to speak, their adult teeth are forming beneath the gum line, directly below the baby teeth. One of the most important jobs these primary teeth have is to act as placeholders for the adult teeth as they grow and form.

For these reasons, it is vitally important to take optimal care of these first teeth. They should never be thought of as “just baby teeth” instead they should be the instrument for teaching proper oral care that will remain with your child throughout their lifetime. Without baby teeth performing their critical job, proper nutrition, speech, jaw growth and development would not be accomplished.

If you have any questions on the importance of baby teeth or anything regarding your child’s oral care, please feel free to call our office at (973) 989-7970 and speak to one of our pediatric oral care experts.

The selection of toothpaste at the grocery store seems to grow weekly. With a little knowledge about what’s best for your little one, you can successfully navigate this isle and make a toothpaste selection that will make you happy and your child eager to brush.

From the time the first teeth begin to erupt until all permanent teeth come in it is especially important for children to use a toothpaste containing fluoride. Fluoride in toothpaste helps to prevent cavities by strengthening teeth. Until a child is capable of spitting out toothpaste when brushing, a rice or pea sized amount should be used at this stage. While you may not love the idea of purchasing separate toothpastes for your kids, toothpastes with whiteners should be avoided as they are too abrasive for baby teeth which are softer than adult teeth.

In order to get your child excited about brushing it is a great idea to allow them input in selecting their toothpaste. Many manufacturers make kid-friendly options that taste appealing to children and are also tooth friendly as well. You may shake your head at why a 3 year old prefers bubble gum flavor over mint, but the important issue at this age is to get your child to be compliant at brushing for 2 minutes twice a day. The right ingredients are much more important than the flavor of the toothpaste.

Some great, kid friendly options available in most grocery stores today are:

Toms Of Maine

Toms of Maine makes toothpastes that contain fluoride as well as those that do not contain fluoride. The only Toms of Maine toothpastes that contain fluoride are the Fruitilicious Children’s Gel and Outrageous Orange Mango Children’s Toothpaste


Kids 2 in 1 Strawberry Smash or Watermellon Toothpaste


Toothpaste featuring Disney and Marvel characters in flavors like sparkle fun, bubble gum and minty breeze

If you have questions about your child’s toothpaste, or any issues related to their oral health, please give our office a call. Our trained professionals are always eager to provide the answers you are seeking.

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