Mother and Daughter
Mother and Daughter

Children’s Dental Care – Gaithersburg, Maryland
Sedation Dentistry

Sedation dentistry is perfectly safe for patients of all ages. At Children’s Dental Care, we will guide you to the best options for your child.

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Dr. Tong is a Board-Certified Pediatric Sedation Dentist

Sedation dentistry with Dr. Tong allows his little patients to relax while undergoing a dental procedure. Dental sedation enables patients to overcome anxiety from discomfort all the way up to phobia about even visiting the dentist. Plus, sedation allows you to group various procedures into a single office visit, making it a better use of your family’s time.

If you have an unpleasant memory of visiting the dentist from your childhood, a mishap during a previous restoration, or you may be somewhat embarrassed that you haven’t been keeping up with your regular check-ups. We don’t judge and want to put you at ease.

Experienced and compassionate sedation dentists like Dr. James Tong understand your concerns. Dr. Tong strives to make your child’s dental visit completely relaxing and fear-free with the use of sedation dentistry options like IV sedation and conscious sedation.

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Who is a good candidate?

Patients can confuse sedation with pain relief. Our patients don’t feel a thing during any procedures due to our anesthetics. Dr. Tong offers sedation, not for pain, but to help patients deal with strong feelings of fear and anxiety that arise when they visit the dentist. After receiving sedation and successfully completing their treatments, patients often experience a change in the entire way they view dental appointments going forward.

Have difficulty overcoming anxiety about the dentist
Have a low pain threshold
Have very sensitive teeth
Have a very strong gag reflex
Need a large amount of work done

Sedation Services in Gaithersburg


Dr. James Tong would like to invite you to visit our office for a full complement of services in one location. We offer IV sedation or nitrous oxide for nervous guests, dental implants to replace missing teeth or secure dentures or for full arch replacement, and oral surgery which includes things like tooth extractions, wisdom teeth, or in preparation for implants.

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Nervous About Dentistry?

IV Sedation

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.

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Relax During Treatment

Oral 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.

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Available To All Patients

Nitrous Oxide

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.

How Sedation Dentistry for Children Works

Prior to Your Child’s 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.

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After Your Child’s 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 ensure 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.

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We’re 100% Committed
To Your Safety

Each member of our team is 100 percent committed to making you feel comfortable, providing gentle and stress-free care, and creating the relaxed environment necessary for positive dental visits. Dr. Tong is trained and certified to administer IV sedation and monitors patient safety throughout the entire procedure. He can help you choose the right level of sedation to vanquish any fears, however minor or severe. To ensure complete comfort during dental treatment in our Gaithersburg, MD, practice, we are pleased to offer complimentary nitrous oxide to all patients!

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Frequently Asked Questions
About Dental Sedation

Dr. James Tong is Gaithersburg, MD’s sedation dentistry expert and will happily guide you to choose the best option for your child at a Free Sedation Consultation. We offer 3 effective types of sedation, all of which are good options depending on your child’s specific needs or anxiety levels.

IV Sedation: With IV sedation, Dr. Tong will set up an IV drip which will keep your child continuously sedated during treatment. Your child will be asleep during the entire procedure and will retain all normal reflexes and breathing throughout the treatment.

Oral Sedation: With oral sedation, your child will be given a small pill to take 1 hour before arriving at the appointment. Your child will be feeling very drowsy by the time you arrive.

Nitrous: With Nitrous Oxide, or laughing gas, a mask is placed over your child’s face which allows them to breathe a mixture of oxygen and gas, which relaxes them for the procedure. These effects generally wear off quickly.
Dr. James Tong and his staff at Children’s Dental Care of Gaithersburg take your child’s comfort and safety very seriously and closely monitor the dosages and sedation of our patients, before, during, and after our treatment. Your child’s comfort is paramount and sedation dentistry is completely safe, especially in the skilled hands of Dr. Tong and his team.
Dr. James Tong offers 3 types of sedation at Children’s Dental Care of Clarksburg, IV Sedation, Oral Sedation, and Nitrous Oxide (laughing gas) sedation. Depending on your child’s anxiety level or type of treatment being performed, a different type of sedation might be recommended by Dr. Tong. We offer nitrous oxide (laughing gas) complimentary to all patients. Both oral and IV sedation delivers a similar relaxation and a twilight sleep experience where your child is awake but totally relaxed. It is very common for patients to experiences an amnesia effect afterward where they don’t remember much about their appointment.
Oral sedation is a perfect option for young patients who don’t like needles. Before the start of the procedure, Dr. Tong will give your child a relaxation pill to help put them at ease. Patients will become very drowsy, but will still be awake and will be able to respond to directions from Dr. Tong. It is possible to increase the dosage for patients who necessitate more sedation.
For most patients, the effects of oral sedation when getting treatment from Dr. Tong will last from 2-4 hours after the appointment.
Dr. Tong is a certified sedation expert and will make sure your child is safe and comfortable the whole time. Oral sedation has an effect like amnesia. While technically this is a side-effect most patients see this as a benefit because they can’t remember the dental appointment. Oral medications can cause headaches, dizziness, dry mouth, and occasionally nausea but these typically pass quickly.
IV Sedation is delivered intravenously rather than with a pill as in Oral Sedation. With IV sedation Dr. Tong can closely monitor your child’s sedation levels and can adjust the levels to give your child the optimal level of sedation. For some patients, sedation may wear off almost immediately, but others can feel its effects for several hours afterward.
Patients think they’re “under” as they are when they’re in the hospital during traditional surgery, but with both Oral and IV sedation your child will be awake but sedated and totally relaxed.
Dr. Tong can provide sedation for any procedure the patient is uncomfortable proceeding with from standard dental cleaning to restorative care. Simply ask for sedation and our team will make you and your child feel comfortable and relaxed.
Dr. Tong can provide sedation for any procedure the patient is uncomfortable proceeding with from standard dental cleaning to restorative care. Simply ask for sedation and our team will make you feel comfortable and relaxed.
While sedation provides benefits for many children, it’s not right for everyone. Depending on your child’s medical history or needs, Dr. Tong may not recommend sedation. Some chronic conditions may make sedation risky or if medications that the patient takes conflict with the sedation effects, it will not be recommended. Request your Free Sedation Consultation with Dr. Tong to learn how sedation at Children’s Dental Care at Gaithersburg is your child’s best choice for pain-free dentistry.

Dental Emergency


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!

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Phone number 301-216-1781

803 Russell Avenue #2A
Gaithersburg, MD 20879

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