Existing patients call: (301) 216-1781

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Welcome to Our Family

Dr. James Tong

Dr. James Read More

With more than 30 years of clinical dental experience, Dr. James Tong has been practicing pediatric, orthodontic and family dentistry in Montgomery County for more than 20 years now.

Dr. Tong is a leader in his dental field and a respected member of his community. He is an active member of the American Academy of Pediatric Dentists, the American Association of Orthodontics, the American Society of Dentistry for Children and the Maryland Academy of Dentists.

Dr. Tong became interested in dentistry at an early age. His father was a chemistry professor at a medical school and his mother was a periodontist. As a boy, Dr. Tong was an outstanding student, but he developed a life-threatening heart condition that forced him to drop out of school. Nevertheless, he studied hard at home and in 1977, he was admitted to the West China University School of Medical Sciences. There, he earned a Bachelor's degree in Stomology, and later, Master's and Doctoral degrees in Orthodontics.

After relocating to the United States in 1991, Dr. Tong earned a specialty certificate in Pediatric Dentistry from the University of Maryland Dental School. He currently serves as a clinical faculty member in the department of Orthodontics.

In addition to his work and continuing education, Dr. Tong is an accomplished violinist and landscape photographer. He lives in Gaithersburg with his wife and their two children.

Dr. Srotalina N. Khanna

Dr. Srotalina Read More

Dr. Khanna was born Orissa, India, but came to the United States at the early age of 2. Her family has been living here ever since.

Dr. Khanna attended the University of Maryland for both her Bachelors of Science in Biology and her Doctor of Dental Surgery (DDS) in 2010. She has been working in private practice since graduating and have been a part of our dental family since early 2011.

She enjoys spending time with her patients and caring for their oral health. Patient education is important to her as well, and so she spends much of her time with each patient, teaching them how to care for their teeth and gums.

She is an active member of the American General Dentistry, and Maryland State Dental Association. In her spare time, she enjoys spending time with her husband and performing a classical Indian dance called Kathak.

“The staff here is very warm and caring which makes it a wonderful place to work; I strive to achieve excellence with every patient and to establish a relationship and friendship that will continue for years to come” ‑Dr. Srotalina Khanna

Dr. Monica Patel

Dr. Monica Read More

Dr. Monica Patel was born and raised in East Tennessee. She has a BA in Psychology from Emory University, and received her DDS degree from University of Tennessee. She also completed a General Practice Residency at St. Barnabas Hospital in New York. She has been practicing dentistry since 2010.

Dr. Patel’s passion for dentistry, patience, and attention to detail allow her to provide the highest quality of care for her patients.

Dr. Yumna

"Dr. V" received her DDS from the Columbia University College of Dental Medicine in New York City and was awarded the American Academy of Periodontics Award and Quintessence Award for Restorative Dentistry. Passionate about dentistry, Dr. Valiulla prides herself in the highest quality of dental care and excellent patient care. She is committed to staying up to date with technological and procedural advancements in dentistry. In her free time, she loves spending time with her family. She also enjoys cooking, decorating and traveling.

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Healthy Smiles Dental Program

Maryland Healthy Smiles Dental Program is Maryland's Medicaid Dental Program. This program is for children, pregnant women, and adults in the Rare and Expensive Case Management (REM) Program. The program is here to help you stay healthy.

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Personalized Dental Care

Each patient’s treatment is personalized to his or her individual needs. From a child’s first visit, to a teenager’s orthodontic care and to an adult’s healthy care, we are dedicated to providing custom care to each patient.

Services We Offer

Select a service below for more information. Remember, prevention is always better than treatment, so if it’s been a while since your child has seen a dentist, please give us a call or click to request an appointment.

Preventive Care Learn More

Prevention is always better than treatment. Brush your teeth twice daily using any soft-bristled, ADA-approved tooth brush. We also recommend the use of modern electric tooth brushes such as Sonicare and Braun. Floss daily to remove plaque between teeth that you can't reach with regular brushing.

Always rinse thoroughly with water after brushing (or after meals if you are unable to brush.) You may occasionally use a mouthwash to rinse. Children may benefit from the use of ACT fluoride rinse, to help prevent cavities from forming in between the teeth.

Sedation Dentistry Learn More

Some children are given nitrous oxide/oxygen, or what you may know as laughing gas, to relax them for their dental treatment. Nitrous oxide/oxygen is a blend of two gases, oxygen and nitrous oxide. Nitrous oxide/oxygen is given through a small breathing mask which is placed over the child's nose, allowing them to relax, but without putting them to sleep. The American Academy of Pediatric Dentistry, recognizes this technique as a very safe, effective technique to use for treating children's dental needs. The gas is mild, easily taken, then with normal breathing, it is quickly eliminated from the body. It is non-addictive. While inhaling nitrous oxide/oxygen, your child remains fully conscious and keeps all natural reflexes.

Prior to Your Appointment:
Please inform us of any change to your child's health and/or medical condition.

Tell us about any respiratory condition that makes breathing through the nose difficult for your child. It may limit the effectiveness of the nitrous oxide oxygen.

Let us know if your child is taking any medication on the day of the appointment.

Conscious Sedation

Conscious Sedation is recommended for apprehensive children, very young children, and children with special needs. It is used to calm your child and to reduce the anxiety or discomfort associated with dental treatments. Your child may be quite drowsy, and may even fall asleep, but they will not become unconscious.

There are a variety of different medications, which can be used for conscious sedation. The doctor will prescribe the medication best suited for your child's overall health and dental treatment recommendations. We will be happy to answer any questions you might have concerning the specific drugs we plan to give to your child.

Prior to your appointment: Please notify us of any change in your child's health and/or medical condition. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.

You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.

Please dress your child in loose fitting, comfortable clothing.

Please make sure that your child goes to the bathroom immediately prior to arriving at the office.

Your child should not have solid food for at least 6 hours prior to their sedation appointment and only clear liquids for up to 4 hours before the appointment.

The child's parent or legal guardian must remain at the office during the complete procedure.

Please watch your child closely while the medication is taking effect. Hold them in your lap or keep close to you. Do not let them "run around."

Your child will act drowsy and may become slightly excited at first.

After the sedation appointment

Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.

If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.

If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.

Because we use local anesthetic to numb your child's mouth during the procedure, your child may have the tendency to bite or chew their lips, cheeks, and/or tongue and/or rub and scratch their face after treatment. Please observe your child carefully to prevent any injury to these areas.

Please call our office for any questions or concerns that you might have.

Outpatient General Anesthesia

Outpatient General Anesthesia is recommended for apprehensive children, very young children, and children with special needs that would not work well under conscious sedation or I.V. sedation. General anesthesia renders your child completely asleep. This would be the same as if he/she was having their tonsils removed, ear tubes, or hernia repaired. This is performed in a hospital or outpatient setting only. While the assumed risks are greater than that of other treatment options, if this is suggested for your child, the benefits of treatment this way have been deemed to outweigh the risks. Most pediatric medical literature places the risk of a serious reaction in the range of 1 in 25,000 to 1 in 200,000, far better than the assumed risk of even driving a car daily. The inherent risks if this is not chosen are multiple appointments, potential for physical restraint to complete treatment and possible emotional and/or physical injury to your child in order to complete their dental treatment. The risks of NO treatment include tooth pain, infection, swelling, the spread of new decay, damage to their developing adult teeth and possible life threatening hospitalization from a dental infection.

Prior to your appointment:
Please notify us of any change in your child's health. Do not bring your child for treatment with a fever, ear infection or cold. Should your child become ill, contact us to see if it is necessary to postpone the appointment.

You must tell the doctor of any drugs that your child is currently taking and any drug reactions and/or change in medical history.

Please dress your child in loose fitting, comfortable clothing.

Your child should not have milk or solid food after midnight prior to the scheduled procedure and clear liquids ONLY (water, apple juice, Gatorade) for up to 6 hours prior to the appointment.

The child's parent or legal guardian must remain at the hospital or surgical site waiting room during the complete procedure.

After the appointment:
Your child will be drowsy and will need to be monitored very closely. Keep your child away from areas of potential harm.

If your child wants to sleep, place them on their side with their chin up. Wake your child every hour and encourage them to have something to drink in order to prevent dehydration. At first it is best to give your child sips of clear liquids to prevent nausea. The first meal should be light and easily digestible.

If your child vomits, help them bend over and turn their head to the side to insure that they do not inhale the vomit.

Prior to leaving the hospital/outpatient center, you will be given a detailed list of "Post-Op Instructions" and an emergency contact number if needed.

Cleaning & Exams

Cleaning & Exams Learn More

Dental Cleanings (dental prophylaxis) are essential to preventing gum disease and tooth decay. In a professional cleaning your child's dentist, or hygienist, will:

Remove debris that has built up on the teeth called Plaque and above the gum line, called Calculus (Tarter), both of which irritate the gums and cause decay. Plaque is a sticky substance that forms in the mouth from food, saliva and bacteria. Plaque sticks to teeth and causes tooth decay and gum disease. Calculus is a plaque that has hardened on the tooth surface and is difficult to remove. (Calculus below the gum line indicates gum disease and requires a different procedure for removal)

Polish and remove stains from teeth.

Apply fluoride to strengthen teeth and prevent cavities.

Give hygiene instructions to improve your child's brushing and flossing habits during home care.

Crowns

Crowns Learn More

A crown (often called a cap) covers the tooth and restores it to its original shape and size. Decay is removed and cleaned from the tooth and a preformed crown is placed over the tooth. Unlike adult crowns, in which the crown is made to fit the tooth, which requires two appointments, baby crowns are placed in one visit, because the tooth is prepared to fit the crown.

Digital X-Rays

Digital X-Rays Learn More

Dental x-rays or radiographs allow the dentist to see things about your oral health that cannot be seen by the naked eye. These items include cysts, cancerous and non-cancerous tumors, invisible decay that occurs between teeth, and the location of teeth that haven't grown all the way in.

Modern dental x-ray machines are very safe. We use only state-of-the-art, low radiation machines. The amount of radiation exposure your body receives on an airplane flight from Los Angeles to New York exceeds the amount of exposure you will receive from a modern dental x-ray machine. Contrast this minimal exposure with the risk of not finding an illness until it is too late, and you can see why we prescribe regular diagnostic x‑rays.

Space Maintainers

Space Maintainers Learn More

When your child prematurely loses a baby tooth, the use of a space maintainer may be used. A space maintainer - a combination of bands and wires designed to hold the remaining teeth in a position that will allow the future permanent tooth to erupt in the proper location.

Pulpotomy

Pulpotomy Learn More

The Problem:
Decay that has reached the nerve/pulp of the baby tooth.

The Solution:
Like adult root canals, the dentist will access the nerve chamber of the tooth, and remove some of the nerve/pulp of the tooth. Unlike adult root canals, this is a very short procedure, as only part of the pulp needs to be removed, and does not require the time consuming filing of adult root canals.

Advantages:
If the tooth has been symptomatic this procedure will likely alleviate the pain. This allows for the tooth to be preserved until it is ready to fall out naturally.

Disadvantages: Pulpotomies have a 90% success rate. Occasionally, the nerve of the tooth is so badly damaged that it does not respond to pulp therapy, resulting in the need for extraction of the offending tooth. Certain circumstances increase the likelihood of failure with pulpotomies, your dentist will discuss your child's situation with you during diagnosis.

Alternatives:
The only alternative to a pulpotomy is extraction, and placement of a space maintainer. However, if it is possible to save the baby tooth, this is the best alternative because it preserves the appropriate spacing for the adult dentition.

Sealants & Fillings

Sealants & Fillings Learn More

Normal pits and grooves on the chewing surfaces of back teeth can trap food that can't be removed by brushing or washed out by water or saliva. A sealant is a tough, plastic material designed to bond (stick) to tooth enamel.

Composite fillings are more than just attractive. They require minimal tooth preparation, in other words less healthy tooth structure is removed to restore the tooth. Also, a sealant can be placed over the remaining exposed grooves of the tooth to minimize the risk of decay on another area of the tooth.

Home Care

Home Care Learn More

Great home care is essential for your child to maintain a healthy, beautiful smile and prevent extensive treatments in the future. That is why it is important for parents to help your child develop regular great oral habits early in their life.

Brushing
Brush your teeth, twice daily, using a soft-bristled tooth brush. Gently vibrate the brush in a circular fashion at a 45 degree angle to the gum line. Then gently vibrate the brush back and forth on each tooth surface until you have effectively cleaned the entire mouth. You should also brush your tongue to remove the bacteria that causes bad breath.

Your child should brush for approximately 2 minutes to effectively remove the debris that has formed on their teeth. Parents should monitor their child's brushing until the age of six. Your child's hygiene will be evaluated at his/her examination and effectiveness discussed.

Flossing
Flossing daily removes the debris between teeth that you can’t reach with regular brushing. Take 12" to 18" of dental floss and wrap it around the middle finger of each hand. Pull the floss tightly, and then use your thumb and forefingers to slide the floss gently between each set of teeth. Curve the floss around each tooth and move the floss up and down along the tooth, going as low as you can comfortably get under the gum line. Use a fresh section of floss for each tooth until you have flossed the entire mouth. Flossing aids are available to assist children with holding the floss.

Rinsing
Always rinse thoroughly with water after brushing (or after meals if you are unable to brush.) You may occasionally use a mouthwash to rinse. Children may benefit from using fluoridated rinses to help prevent cavities from forming in between the teeth.

Post-Op Care

Post-Op Care Learn More

Extractions

Bleeding:
Most of the bleeding should have subsided by the time you have left the office. It is important to keep pressure on the extraction area for about 30 minutes after extraction. This can be done with the gauze provided when you left the office. If the site begins to bleed again, have the child bite on wet gauze for 10 minutes.

Swelling:
Most likely swelling after an extraction is due to your child biting the area that was anesthetized without realizing it. Place ice bags around the area if it is the day of extraction. Call to make an appointment to evaluate the severity of the swelling. If the swelling is rapidly progressing call us as soon as possible.

Space Maintainers

Becomes Loose:
If the appliance is very loose and can be easily removed from mouth, take appliance out and place in a safe place. If slightly loose, leave in mouth. Call for an appointment to have appliance re-cemented as soon as possible.

Teeth are Coming In:
If the adult teeth are starting to erupt where the prematurely lost baby was please make an appointment to have your child evaluated for the removal of the space maintainer.

Fillings & Crowns

Pain:
It is normal for your child to have some soreness in the area they had treatment done. Children's Tylenol or Motrin should alleviate the pain. If your child is still having difficulties after a day or two, please call the office for a follow up appointment. If the pain is severe, not alleviated by pain medications, or swelling occurs please call as soon as possible to discuss the situation with the doctor.

Swelling:
If your child experiences swelling after treatment, it is likely due to lip biting in the anesthetized area. However, if you do not see teeth marks in the area and the swelling is increasing please call the office as soon as possible.

Sedation (Pre-Care and Post‑Care Information)

Your child should have nothing to eat or drink four hours before the sedation appointment. This is extremely important to the health and safety of your child.

Eating After the Appointment:
Start by giving your child water or apple juice after the appointment when they request it. If your child can tolerate the apple juice, move to soft foods such as yogurt, pudding, etc. Gradually increase to normal foods as they are able to tolerate it.

Sleeping:
Your child will likely go home and take a nap after sedation. This is normal. Place them on their side. Do not leave your child unattended, or place anything (such as gauze) in their mouth while they are sleeping.

Activity:
It is best that your child rest for the remainder of the day. Watching videos at home is an excellent idea. Remember, your child is not as awake as they think they are. Avoid swimming, biking, vigorous activity for the remainder of the day. Your child may resume normal activity the day after their appointment.

Lip Biting After Treatments:
Occasionally children will bite themselves in the area they were anesthetized without realizing it. The area can become quite swollen and painful. Your child will need to remain on a soft diet until the area heals to avoid re-injuring themselves. Give Children's Motrin/Tylenol as needed for the pain.

Children deserve to experience a gentle, caring approach to their dental care. A positive dental experience will help them build confidence and knowledge, setting a great precedent for their future dental health. Your child will always be grateful for the gift of a beautiful, healthy smile.

Welcome to our Fun, Modern Office

Make Yourself at Home

Medicaid only office

Children's Denta Care

803 Russell Ave, Suite 2A
Gaithersburg, MD 20879

Map & directions

Call Us Today! (888) 615-0491

Existing Patients: (301) 216-1781

Request an Appointment

Map of our office's location

Highlands Dental Care

Clarksburg Office

Highlands Dental Care
23206 Brewers Tavern Way
Clarksburg, MD 20871

Visit our website

Call Us Today! (301) 515-5100

Tong Dental Care

Gaithersburg Office

Tong Dental Care
903 Russell Avenue #200
Gaithersburg, MD 20879

Visit our website

Call Us Today! (301) 216-1780

New Patient Forms

If you are a MD Healthy Smiles Program patient you can arrange transportation for your child's dental appointment. For a list of local transportation options that participate in this program please download a pdf by clicking here:

Healthy Smile Program


Adobe Acrobat is required to view our new patient forms. If you have trouble seeing the forms or need accommodation, please contact our office. Click here to download the Acrobat Acrobat® software.