Our practice provides a strong commitment towards comprehensive oral health care for infants, children,
adolescents. Our goal is to make patients and their parents feel welcome, informed, and comfortable in our office.
We believe that it is a privilege to treat children, and that we have a unique opportunity to make a difference in their lives. You and your child are vital members of our team. We encourage your ongoing participation in your childs oral care. We respect your unspoken trust in us to be the best we can be, and to that end we will continually strive.
We take different approaches based on our patients age when dealing with their behavior, guiding their dental growth and development, and helping them avoid future dental problems.
This site is designed to further inform and communicate our treatment and practice philosophy and provide answers to commonly asked questions.
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How Your Pediatric Dentist Can Help
There are many things a pediatric dentist can do to help assure your oral health for a lifetime. Preventive dentistry techniques such as tooth cleanings, sealants and fluoride treatments are just as important as ever for you. Tips on flossing and brushing, and ideas on snacking and choosing a healthy diet, are available to you from your pediatric dentist and staff as well.
Your pediatric dentist will be glad to talk to you about how your teeth look. If you feel your teeth are too dark, there are techniques now to whiten them. If you have broken teeth, teeth with defects or spaces between your teeth, there are a number of esthetic dentistry techniques to help you look better.
If you are concerned about your bite, crooked teeth or the appearance of your smile, your pediatric dentist can give you advice about correcting such problems.
During your teen years, your wisdom teeth (third molars) will be developing. Although some third molars come into the mouth normally, others need to be removed because of poor position and lack of space. Your pediatric dentist will make sure the proper treatment is prescribed at the right time.
Dentistry for adolescents and teens is a fundamental part of the advanced training of the pediatric dentist. Your dental health and appearance are as important to you and your pediatric dentist. Let us keep your smile sparkling and healthy
Regular Appointments
The appointment to get your appliances (braces, expanders, etc.) usually takes 1 hour. During this appointment we will give detailed oral hygiene instructions and a braces starter kit. You'll then see us at regular intervals 6 to 8 weeks apart for an adjustment, which takes 20 to 40 minutes. Patients are seen by appointment only. We make every effort to be on time for our patients and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us immediately. Cancel only if it is an emergency. It is difficult to reschedule you since most appointments are made 6 to 8 weeks in advance.
Please take a minute to print and fill out the patient information form before your free initial consultation. Please see our Patient Forms page.
YOUR CHILD'S FIRST VISIT
We try very hard to make your child's treatment physically comfortable and enjoyable. All of our care is based on the behavior management technique Tell-Show-Do. This management technique prepares your child for dental treatment by telling and showing your child what we are going to do before we do it. During all visits, we believe in giving your child lots of praise. We begin the first visit by introducing the office environment and the staff. For children two and above, we recommend an oral examination, a cleaning, the application of fluoride, and any necessary radiographs (x-rays). After a thorough study of our findings, we will prepare and discuss a treatment plan for your child's dental needs. This plan will provide guidance on dental and oral development, fluoride status, non-nutritive oral habits, injury prevention, oral hygiene, and the effects of diet on the dentition. Although no restorative work is performed at this time, emergency needs will be assessed and treated if appropriate.
Please do not be upset if your child cries. Children are often afraid of anything new
and strange, and crying is the normal reaction to that fear. Please permit us the time to develop
rapport with your child. After the first visit, encourage his or her independence and allow us the
privilege of bringing your child from the reception room to the dental chair alone. Most school age
children do better alone with the pediatric dentist, hygienist and assistant than with a parent
present.
INFANT ORAL HEALTH CARE (BIRTH TO TWO YEARS)
The American Academy of Pediatric Dentistry recommends that an initial oral evaluation visit should occur within six months of the eruption of the first primary tooth and no later than twelve months of age. During this important visit we will complete a thorough medical and dental history, complete a thorough oral examination, assess your child's risk of developing oral and dental disease, and determine an appropriate interval for periodic reevaluation.
PREPARING YOUR CHILD (TWO YEARS AND ABOVE)
We encourage you to prepare your child for a visit to the pediatric dentist before the first appointment. For young children, excellent books that describe a visit to the dentist can be found at the library and in bookstores. Discuss the positive aspects of dentistry with your child. Convey good feelings about the dental visit as being a part of growing up. Let your child know they are going to learn lots of new ways to make their teeth sparkle and enjoy a healthy smile.
Morning appointments are recommended for little ones when they are refreshed and more accepting of new experiences. If you expect your child to react well, chances are very good your child will enjoy the first visit to our office. In addition to preparing your child for the important first visit, please provide all information pertinent to your child's dental, medical and social situation on the health forms you will be given by our office. This will enable us to provide the best possible care for your child.
EARLY ORTHODONTICS
Occasionally, a child's facial and dental growth becomes disrupted as a result of genetics or early dental habits such as thumbsucking or mouthbreathing. Pediatric dentists are specialists in the area of growth and development of the face and teeth, and are ideally suited to intervene in these situations. Many times extensive orthodontic treatment may be averted through timely pediatric orthodontic care as the face, jaws, and teeth are developing.
PREVENTIVE DENTISTRY
We hope you share in our belief that regular oral health maintenance is a sound investment in your
child's overall health. To maintain optimum oral health, we recommend that your child be seen every six months for a continuing care appointment that includes an oral examination, a cleaning, the application of fluoride, and any necessary radiographs (x-rays). Preventive care will help prevent tooth decay and periodontal disease. At continuing care time you will be asked to update your child's dental, medical, and social history which may have changed since the last visit. We will examine and treat your child as we did at the first visit and discuss the findings with you.
FINANCIAL POLICY/DENTAL INSURANCE
We believe that our fees are just, equitable, and comparable to the fees charged by most pediatric
dentists. In order to hold down our costs and keep fees affordable, we do request payment at the time services are rendered. Our office accepts a variety of payments: cash, personal check, Visa, MasterCard, Discover. Please be aware that the parent bringing the child to our office is responsible for payment of all charges. We cannot send statements to other persons.
We also accept most dental insurance. Our office keeps abreast of the latest insurance trends to help you maximize your insurance benefits. We will accept assignment of benefits on most major insurance policies and will also prepare and file your claim (Standard service: Typically done out of Courtesy by practices). However, our office has no direct contract with your insurance carrier. Therefore, we ask that you pay your deductible, co-payment, and non-covered portions at the time of your visit. If your insurance company fails to pay our office, then you are responsible for the balance. Interest will be charged on balances greater than 90 days.
Deepak Sonu Kakar, DDS
Dr. Sonu Kakar, founder of our practice, attended the University of Virginia and earned his undergraduate degree in Chemistry in 1997. He received his Dental Degree from the School of Dentistry at the Medical College of Virginia in Richmond. Following dental school, Dr. Kakar completed a Pediatric Dental Training program at the Temple University Hospital in Philadelphia. His training involved treating pediatric patients under Nitrous Sedation, Conscious Sedation, and General Anesthesia in the hospital operating room. Dr. Kakar performs treatment under General Anesthesia at the Prince William Hospital in Manassas, Virginia.
Dr. Kakar is a member of numerous dental organizations, including the American Dental Association and the American Academy of Pediatric Dentistry. He resides in McLean, Virginia and enjoys watching movies, playing tennis, racquetball, and traveling.
Office Protocol
We will provide emergency dental care for all individuals during regular business hours. After hours dental care is provided 24-hours a day, 7-days a week, including holidays; exclusively for patients of record. Unfortunately we are unable to provide after hours emergency care from all of our office locations.
When you call the main office number it will at the end of the message provide you with the after hours emergency phone number and the doctor on call will inform you of the office location where dental emergency can be treated.
During Business Hours Emergencies
Should your child suffer a dental emergency during typical business hours, please immediately contact the office closest to your home and we will promptly triage the injury. Once an attending pediatric dentist is able to review your childs emergency, we will either provide over-the-phone recommendations or will provide you with an appointment depending upon your childs specific symptoms. We truly appreciate your understanding and flexibility when attempting to schedule your childs dental emergency.
Occasionally treating a dental emergency will cause us to run slightly late with our regularly scheduled patients. When this occurs, we apologize to all our patients, request your understanding, and will do our best to keep you informed.
After-Hour Emergencies
Should our office not be open, an on-call pediatric dentist can be reached 24-hours a day by activating the offices emergency number. Should you get a voice message, please leave a detailed message within the emergency mailbox when prompted. We would also appreciate if parents could have their familys pharmacy telephone number available, as the on-call pediatric dentist regularly uses this information to prescribe medications to help with certain symptoms.
Direct Office Numbers
-Tysons Pediatric Dentistry and Family Orthodontics: 703-534-1611
-Manassas Pediatric Dentistry : 703-368-1169
-Fredericksburg Pediatric Dentistry and Orthodontics: 540-786-0051
Management of Common Dental Emergencies
Knowing how to handle a dental emergency can mean the difference between saving and losing your childs tooth. Here are some helpful tips:
Knocked-Out Permanent Tooth. Keep the tooth moist at all times. Hold the tooth by the crown, and if the tooth is dirty, rinse it in water. Do not scrub the tooth or remove any attached tissue fragments. The tooth must not be left outside the mouth to dry. If possible, gently insert and hold the tooth in its socket. If it cannot be replaced in the socket, put it in one of the following: (1.) emergency tooth preservation kit HANKS BALANCED SALT SOLUTION, (2.) milk, (3.) mouth (next to the cheek), (4.) if none of these are available, use water with a pinch of salt.
Bring the patient (and dont forget the tooth!) to the pediatric dental office as soon as possible. If this accident occurred after normal business hours, immediately activate the emergency on-call number to obtain specific instructions. Ideally, this tooth needs to be reimplanted as soon as possible.
Knocked-Out Primary Tooth. Because primary teeth have a poor posts-implantation prognosis, these teeth are not reimplanted into the mouth. Long-term studies have shown that reimplantation of these teeth routinely cause infection and possible damage to the developing permanent tooth. We do, however, recommend that you contact your pediatric dental office to notify them of this injury. Normally a routine visit will be scheduled to x-ray the avulsion site to ensure the entire tooth actually came out.
Cracked or Broken Tooth. Rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. Take your child to see a dentist right away. If possible, take the broken tooth fragment with you. Though this fragment is normally not used to repair the tooth, it can provide some additional information as to the type of injury that was sustained to the tooth.
Possible Jaw Fracture. Immediately apply cold compresses to help control any swelling. Contact or take your child to your pediatric dentist or a hospital emergency department immediately.
Object Caught Between the Teeth. Gently try to remove the object with dental floss. If your not successful, contact your dentist more additional advise. Do not try to remove the object with a sharp or pointed instrument as this can cause additional damage to the teeth and surrounding tissues.
Toothache. Rinse the mouth with warm salt water to clean out any loose debris. Gently use dental floss to remove any food caught between the teeth. Do not put aspirin on the aching tooth or gum tissues. Analgesics such as Tylenol or Motrin can be used to alleviate any pain. Take your child to visit the pediatric dental office during normal business hours. If you require advice call the emergency number, It is important that you have a pharmacy telephone number available, as the pediatric dentist will routinely call in antibiotic.
Bitten Tongue or Lip. Clean the area gently with a moist cloth and put a cold compress on the area to minimize the swelling. If bleeding is excessive or does not stop after a few minutes of pressure, take your child to a hospital emergency room or your pediatric dental office.
Canker and Cold Sores.
Children occasionally experience cold sores around the lips and canker sores inside the mouth. Products are available at your local pharmacy that will help minimize the pain and discomfort. Be sure that the product is approved for use on children. The sores most often take one to two weeks to completely heal. If the sores are occurring frequently or lasting longer than expected, please call. Some diseases can begin as simple sores and may require prescription medications
More information for parents: Also, emergency care information is available through the American Academy of Pediatric Dentistry website at www.EmergencyAnswersaapd.com
Our practices are based on preventive dental care. We are committed in providing quality pediatric dentistry and orthodontic care for children and adults. Our team is dedicated to your complete oral health and comfort in a fun, gentle, and positive environment.
Dental Procedures
Examination: An examination involves more than looking at teeth. The health history reviews the general health of your child and indicates whether there is any need for special dental care. The examination charts health and disease and is used to provide a diagnosis and treatment plan for your child.
Cleaning and Fluoride: Teeth are cleaned to remove plaque (bacteria) and calculus (hard plaque) that can cause gum disease and tooth decay. Topical fluoride is applied to the teeth to make them stronger and more resistant to tooth decay. A thorough cleaning and fluoride treatment every six months has been shown to be an extremely effective way to prevent dental disease.
Oral Hygiene Instructions: Prevention is the most important part of our practice. We will provide you and your child with dental hygiene instructions that will help maintain good oral health at home.
Bitewing Radiographs: Bitewings are used to determine the health of the teeth and bone. Cavities and unusual tooth shape and size are apparent on the bitewings.
Panoramic Radiographs: A panoramic radiograph provides an overall view of your child's mouth and jaws. It reveals missing permanent teeth, extra teeth, abnormal growths, and other problems. A panoramic is normally taken every 3 - 5 years in 3 stages of dental development.
Sealants: The chewing surfaces of children's teeth are the most susceptible to cavities and least benefited by fluorides. Sealants (plastic coatings) are applied to the tops of teeth and are highly effective in preventing tooth decay.
Tooth Colored Fillings: are used to restore front teeth or where cosmetic appearance is important. Tooth colored fillings are used to repair fractured teeth and/or areas of decay. The shade of restorative material is matched as closely as possible to the color of the natural teeth. Tooth colored fillings may also be used for back teeth. Composites requires excellent hygiene following restorations on teeth.
Stainless Steel Crowns: are used to restore back teeth that are too badly decayed to hold silver fillings.
Pulp Treatment: is necessary when decay has spread to the nerve of the tooth. The procedure consists of treating the nerve of the tooth to avoid extracting the tooth.
Extractions: are done only as a last resort. If a primary molar is removed prematurely, a space maintainer will be placed. Teeth may also be extracted for orthodontic reasons.
Space Maintainers: are used when a primary tooth has been prematurely lost to hold space for the permanent tooth. If space is not maintained, teeth on either side of the extraction site can drift into the space and prevent the permanent tooth from erupting.
Nitrous Oxide (Laughing Gas): May be required to relax very apprehensive patients and patients with gag reflexes.
Conscious Sedation: Young children who are very anxious may require in-office sedation. Parents will be given more detailed information.
General Anesthesia: Children with extensive dental needs and special medical conditions may require treatment in the hospital, under general anesthesia. Parents will be given more detailed information.
Interceptive Orthodontics: Correction of minor Orthodontics problems such as a cross bite can be done with simple appliances
Welcome to our gallery. Here you can find some photos of our practices. We try to up-date our equipments with the newest technology. By seeing our photos in our gallery, patient will have an idea how our three offices do their best to provide the best services in the area. Our patient are unique for us and we will give them the highest attention as we could.
your satisfaction is our happiness.
