First molars usually erupt at about 6 years of age and second molars at about 12 years of age. The sealant is most effective if applied soon after eruption, before the decay process has had time to begin. Give children and adolescents special counseling about dental and oral health problems, such as dental injuries and tobacco-related illnesses, for which they are at increased risk. Advise those involved in contact sports to use appropriate mouth protectors and helmets. When examining the oral cavity, remain alert for signs of oral diseases, such as caries and inflamed or cyanotic gingiva, mucosal changes such as white patches or wrinkling characteristic of spit tobacco, malalignment or crowding of teeth, and mismatching upper and lower dental arches.
Transient bacteremia is common during dental procedures, including cleaning.
How to Prevent It. Baby's Bright Smile. A Guide for Health Care Providers. FDA Office of Consumer Affairs. Selected References American Academy of Pediatrics, Committee on Nutrition.