Cleanings, fluoride and sealants
A checkup and cleaning keeps an eye on new teeth, removes plaque and gives you a plan for brushing at home.
Dr. Chandran advises how often to come, from what she sees in your child's mouth. Many children come about every six months.
At this visit
A look at teeth, gums and bite
A cleaning with a small brush and a flavor your child picks
Fluoride or sealants if she advises them

What happens
- 01
Step 1: A look and a count
The hygienist and Dr. Chandran look at teeth, gums and how the bite fits together.
- 02
Step 2: A cleaning
Plaque comes off with a small brush and polish. Your child picks the flavor and can hold the mirror.
- 03
Step 3: Fluoride or sealants
If she advises them, fluoride goes on in a minute or two. A sealant is a thin coating painted on the grooves of a back tooth.
- 04
Step 4: A brushing talk
Your child shows how they brush, and we suggest small changes for you both.
Comfort, waiting and after-care
Comfort
Cleanings need no numbing. Each tool is shown first, and a raised hand means stop.
If you wait
Plaque left on teeth can lead to cavities and sore gums. Fluoride and sealants are Dr. Chandran’s advice for your child, not a routine, and you can ask why.
Risks and after-care
She explains how much fluoride is right at your child’s age and what to do if a child swallows too much. A sealant can wear down, so we check it at each visit.
How it is billed
Cleanings, fluoride and sealants are billed to your plan if you have one. Without a plan, you get a written estimate first.
How fees work
Questions about cleanings and sealants
How often does my child need a cleaning?
Dr. Chandran decides from your child's mouth and tells you why. Many children come about every six months.
What is a sealant?
A thin coating on the chewing surface of a back tooth, where food collects in the grooves. It takes a few minutes and needs no numbing.
Does my child need fluoride?
She decides with you, from your child's age, teeth and the water at home.
Are X-rays needed at every visit?
No. She takes them only when she needs them and tells you why.
Provided by a pediatric dentist
Dr. Padma Chandran, DDS, pediatric dentist, licensed in Wisconsin. Her training and board are on her profile.