The first adult molar teeth do not replace any baby teeth but grow in behind them at the back of the mouth. Many people do not realise that they are permanent teeth and so do not look after them properly, which can lead to problems with decay. At this stage your child MUST be seen regularly for check ups so any problems can be caught at an early stage.

Fluoride applications will be offered at each examination appointment to help strengthen the enamel against acid attack which leads to cavities forming. Children deemed to have a higher risk of cavities forming will be offered fissure sealants. The sealants work by filling in the small ‘fissures’ or gaps on the biting surface of the teeth, this means that food cannot be trapped in these spaces and the teeth are easier to clean. They are simply painted onto the surface of the cleaned teeth and are quick and pain free to apply.

Braces are a big feature in this age group as this is the time that all adult teeth are now present and any crowding can be dealt with. As always, it is vital that the teeth are kept clean, especially if braces are placed as poor oral hygiene can lead to unsightly white patches developing caused by enamel demineralisation (see white spot lesion).