Pit-and-fissure sealants on newly erupted permanent molars and professional fluoride applications are two of the most evidence-based preventive measures in pediatric dentistry. At Clinica Crocetta in Milan, both are offered as part of a structured prevention programme, in English on request.
What sealants are and how they work
A pit-and-fissure sealant is a thin protective resin coating applied to the chewing surface of permanent molars, where deep grooves are very hard to clean and most cavities start. Application is painless, takes a few minutes per tooth and requires no anaesthesia. Sealants significantly reduce caries risk on the treated surfaces.
When to apply sealants
On the first permanent molars when they erupt (around age 6) and on the second permanent molars (around age 12). Sometimes on premolars or baby molars in children at higher caries risk. The dentist checks sealants at every recall and reapplies if needed.
Professional fluoride
Topical fluoride applied by the dentist (gel or varnish) strengthens enamel and reduces cavity risk, especially in children at higher risk. The dose is much higher than toothpaste fluoride but applied for a few minutes and rinsed/spit out, in safety. International guidelines support routine professional fluoride for children at moderate to high caries risk.
At home: the basics that matter most
Sealants and professional fluoride do not replace daily care: brushing twice a day with fluoride toothpaste appropriate for age, parental supervision until at least age 7–8, limiting sugary drinks and snacks between meals, water as the main beverage.
Tailored prevention programme
At the visit, the dentist assesses each child’s caries risk (high/moderate/low) and tailors the prevention plan accordingly: recall frequency, sealants, fluoride, dietary advice. The goal is to keep children cavity-free through childhood and adolescence.
What international and Italian patients say about Pediatric Dentistry
Reviews translated from Italian. Original verified reviews available on our Google Business profile (4.9★ · 287 reviews).
Matteo Segala · Invisalign · complex case · ★★★★★
I completed my entire Invisalign treatment at the Crocetta studio with Dr. Piasente, who from the start was very direct in telling me that, starting from a rather complex situation, maximum cooperation on my part would be needed. Honestly it wasn’t even complicated — it was enough to follow to the letter all the indications I was given at each check-up appointment, and the final result was achieved. No pain, very few discomforts and limited to the first day when I changed aligners — which practically no one ever noticed I was wearing. I add that both the doctor and his collaborator were always very kind and willing to answer my every doubt or concern. An excellent experience — I’m absolutely satisfied.
Serena Vallati · Advanced periodontitis treatment · ★★★★★
Periodontitis can be treated and Dr. Piasente with the hygienists specialised in periodontology saved me. I was literally in crisis because some of my teeth, in particular the incisor, were moving and I had a terrible fear of losing them all. My periodontitis was at an advanced stage and the first thing Dr. Piasente said to me was: ‘we need to work on the problem together, step by step.’ Together because he put all his knowledge into it and worked from the medical side, while I had to change some habits that were harmful for periodontitis. I stopped smoking and started having a more consistent and accurate oral hygiene. I was followed by his whole staff, starting from the waiting room (waiting times always short, I would add). All extremely professional and kind — I felt at home, safe.
Giampaolo Alexander Louis Brusa · Invisalign · 14 aligners · 4 months · ★★★★★
Dr. Piasente did excellent work. A polite and friendly person, as well as a skilled professional. He solved a problem that had given me complexes since adolescence — my smile is shining again with just 14 Invisalign aligners. With a manageable daily commitment, after only 4 months of treatment I could smile without hesitation. I had been to various studios, but I understood that with Invisalign the difference is made by the dentist, who predicts and corrects all tooth movements through software. Many dentists leave the automatic Invisalign positioning, without correcting each individual tooth, which lengthens the treatment by many months and the result is not perfect. Thanks again.
Rosa M. · Periodontitis treatment · ★★★★★
Periodontitis can be treated and at Crocetta they saved my teeth. My incisors were moving and I was afraid of losing them all. With a targeted programme and the specialised hygienists, I stopped the disease. I felt looked after and safe — always short waiting times. An excellent practice for periodontology in Milan.
Frequently asked questions
Are sealants safe for children?
Yes, they are well-established and recommended by international pediatric dental associations.
Does applying sealants hurt?
No, application is painless and requires no anaesthesia.
How long do sealants last?
Several years; the dentist checks them at every recall and reapplies as needed.
Is professional fluoride safe?
Yes when applied by a dentist with the right dose and technique; it strengthens enamel and reduces cavity risk.
How often should my child see the dentist?
Every 6 months in most cases; more frequently for high caries risk, as advised by the dentist.
Looking for an English-speaking dentist in Milan?
The first visit at Clinica Crocetta is complimentary and includes diagnosis, digital scan and a personalised treatment plan in a single appointment. Learn more on our dedicated page: Clinica Crocetta Milano.
? Book on WhatsApp · +39 373 853 9107 — Largo della Crocetta 1, Milan · Metro M3 Crocetta
Information for educational purposes, not a substitute for a clinical examination. Clinica Crocetta, Largo della Crocetta 1, Milan.