Your child's back molars have deep grooves and pits in the chewing surface, and that's exactly where about 90% of childhood cavities start. Those grooves can be as narrow as 0.1 mm, which is too tight for a toothbrush bristle to reach. So even a child who brushes every day is leaving those spots exposed. A sealant is a thin coating that flows into those grooves and hardens, creating a smooth surface that's easy to clean and hard for bacteria to settle into. There's no drilling, no numbing, and no sore mouth afterward.
Dr. Woo and the team at NOVA Pediatric Dentistry & Orthodontics have been placing sealants for Ashburn families for twenty years. Most parents come in wondering if their child actually needs them, and the honest answer depends on the tooth, how deep the grooves are, and whether your child has had cavities before. Sealants are part of the routine preventive care in our pediatric dentistry practice, and they're almost always done at the same appointment as a cleaning, so there's no extra trip needed.
Ready to find out if your child's molars are a good candidate? Call us at (703) 729-7005 or send us a message. We'll take a look at the next cleaning and give you a straight answer.

We polish the chewing surface first so the sealant bonds to a clean tooth, with nothing trapped underneath. If we are doing this at a cleaning appointment, this part is already taken care of.
Think of this like a primer. It creates a slightly textured surface on the enamel so the sealant has something to grip onto. It tastes a little sour, but it rinses off quickly, and that is the most your child will feel.
This is actually the most important step. The tooth needs to stay completely dry for the sealant to stick properly. Your child's job here is just to hold their mouth open for a moment while we take care of the rest.
We brush the liquid sealant right into the grooves of the tooth, the same narrow pits that a toothbrush bristle cannot reach. Kids who are curious can actually watch it flow in and fill those spaces.
We hold a blue curing light over the tooth for a few seconds and the sealant sets solid. We do a quick bite check to make sure everything feels right, and that is it. Your child walks out and can eat normally: no waiting, no soreness, nothing to recover from.
The whole thing happens in one visit, no separate appointment, no extra trip. Sealants only take a few minutes per tooth, so we take care of them right alongside the cleaning your child already has scheduled at NOVA Pediatric Dentistry & Orthodontics.
If your child gets anxious at the dentist or has sensory sensitivities, just let us know ahead of time. We will slow things down, walk through each step before we do it, and pace the visit around what works for your child. That is just how we see kids here. It is not something you need to ask for as a special favor.
Here's the honest comparison most parents find helpful: sealing a molar is one short, inexpensive visit. Filling a cavity in that same molar costs more, takes longer, and is harder on your child. That's the whole financial case for sealants in one sentence.
Most dental insurance plans cover sealants as a preventive benefit for kids, meaning they're in the same category as cleanings and fluoride, not a specialty add-on. That said, every plan has its own rules about which teeth qualify and up to what age. Before your child's appointment, we look up your specific coverage and walk you through what's included, so there are no surprises when you check out.
A few things that affect what you'd pay out of pocket:
We accept cash, personal check, Visa, MasterCard, and Discover. If you're managing a larger treatment plan, we also offer CareCredit financing. Just ask and we'll help you figure out what makes sense.

Dr. Woo finished her residency at Children's Hospital Boston and opened NOVA Pediatric Dentistry & Orthodontics in Ashburn in January 2006. A lot has changed since then, but the way we care for kids hasn't.
The best time is right after each set of permanent molars comes in: around age 6 for the first set and age 12 for the second. Newly erupted molars are most at risk because the enamel is still hardening and the grooves are fully exposed. Sealing them early closes that window before bacteria have a chance to settle in.
No. There is no drilling and no numbing shot. The process involves a quick cleaning, a few seconds of a mildly sour conditioning gel, and a small light that hardens the coating. Most kids barely notice it. We walk through each step out loud before we do it, so your child knows exactly what to expect.
Typically several years, though it depends on the tooth and how much wear it gets from chewing. Sealants thin out gradually over time rather than falling off all at once. Dr. Woo checks each one at every routine visit. If a sealant needs a touch-up or replacement, we take care of it right then.
Occasionally, yes. Sealants are most commonly placed on permanent molars, but if a baby molar has especially deep grooves and your child has a higher cavity risk, sealing it can be a smart move. Dr. Woo will tell you exactly which teeth she is recommending and explain her reasoning before anything is scheduled.
Sometimes. If decay is caught very early, meaning a small soft spot that has not reached the deeper layers of the tooth, sealing over it can stop it from progressing. It is not the right approach for every situation.
No. Sealants protect only the chewing surface of the molar. The spaces between teeth and along the gumline are still fully exposed to bacteria. Brushing twice a day and flossing remain just as important after sealants as they were before.
If your child's back molars have come in and you want to get ahead of cavities, we can almost always take care of the sealants right at their next cleaning with no extra trip and no separate appointment needed. If you're new to our practice, we'd love to meet your family first. We always give new kids a chance to look around, get comfortable, and meet the team before anyone sits in a chair. That's just how we do things here.
Give us a call at (703) 729-7005 and our team will help you find a time that works. We are located at 21785 Filigree Court, Suite 208 in Ashburn, and we are open Monday through Friday. You can find our full hours and directions on our contact page. Book the cleaning, and your child could walk out that same day with their molars protected.
Please call (703) 729-7005 or request an appointment online to set up your first visit. We’ll be in touch soon.