Dr. James Tong has been improving children’s oral health and happiness for over 30 years
A Lifetime of Smiles
Dr. Tong is a Board-Certified Pediatric Dentist with over 30 years experience.
At Children’s Dental Care Pediatric, your children’s smiles are important to us! We keep kids happy and healthy by focusing on providing exceptional service to promote bigger, brighter smiles. Our goal is to provide a pleasant and positive experience for both you and your children while focusing on your specific needs.
We use only the latest evidence-based procedures to achieve long-lasting results, and we encourage parents to participate in promoting a positive attitude towards dentistry and healthy dental habits for the whole family!
Specializing in Children
Dr. James Tong specializes in children, in fact, he spent an additional two years after becoming a dentist to specialize in pediatric care. Pediatric dentistry is a dental specialty focused on the prevention, diagnosis, and treatment of oral health problems in children. Pediatric dentists have specific training that qualifies them to provide care for children’s teeth and gums as they change throughout childhood. Pediatric dentists provide comprehensive care, from preventative treatment like cleanings and sealants to treatment for oral disease and injuries. A pediatric dentist will also counsel parents about a child’s nutritional and hygienic habits
Your Child’s Cleaning & Exams
Dental Cleanings (dental prophylaxis) are essential to preventing gum disease and tooth decay. In a professional cleaning Dr. Tong, or his hygienist, will:
Remove debris that has built up on the teeth called Plaque and above the gum line, called Calculus (Tartar), 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.
Sealants and Fillings
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, a 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.
Sedation Dentistry for Children
We understand that for some patients, a dental visit can make them nervous, that is why we offer conscious sedation and nitrous oxide to our patients. With the help of prescription medication, our patients are calmed of their anxieties, making the visit comfortable and carefree.
Not everyone likes to get numb. Not even the doctors. Laser and air abrasion dentistry is the newest and most effective technique that offers more flexibility, comfort, and precision than traditional drills. We utilize this technique in numerous treatments and its pinpoint accuracy provides better care by our skilled team.
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.
(Baby Root Canal)
Decay that has reached the nerve/pulp of the baby tooth.
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.
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.
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.
The only alternative to a pulpotomy is extraction, and placement of a space maintainer. However, if it is possible to save the baby’s tooth, this is the best alternative because it preserves the appropriate spacing for the adult dentition.
There’s little that’s as painful as a tooth or jaw ache, so call us any time to schedule an emergency appointment. Our doctors and team love our patients and want what’s best for you, so call us today for an emergency appointment!
Frequently Asked Questions
About Pediatric Dentistry
Phone number (888) 615-0491
803 Russell Avenue #2A
Gaithersburg, MD 20879
8:00 am – 3:00 pm
8:00 am – 3:00 pm
8:00 am – 2:00 pm
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