We are excited to announce!

Our Newest Doctor: Stephanie Yang, DDS - Pediatric Doctor

Stanwood Pediatric Office - Opened September 30, 2016
Location: 7104 265th Street NW. #110 Stanwood, WA 98292
Office Hours: Friday 8am to 5pm

Dental Services
In Marysville, Monroe, Lake Stevens and Stanwood, WA

We provide all aspects of dental care for children from infants to young adults in the Puget Sound area of Washington. Our dentists emphasize preventive care for all our patients. Total care begins with regular hygiene visits, regular checkups and continued home oral health routines. Dental care relies on home hygiene diligence and a good parental example.

Read more about our services below.

First Time
Visits ◢
Dental Care ◢
Dentistry ◢
Emergencies ◢

First Time Visits
Child who loves her dentist in Marysville, WA For new parents, knowing when to bring your little one in for their first visit can be a bit of a mystery. At Puget Sound Pediatric Dentistry, we take pride in keeping our parents educated. The American Academy of Pediatric Dentistry recommends that children begin routine dental visits by age one. That way, problems may be diagnosed and treated early, or avoided completely. Regular dental care is an important part of your developing child's total health. Establishing us as your child's "Dental Home" provides us the opportunity to implement preventative dental habitspreventative dental habits that can keep a child free from dental/oral disease. We want to protect your child's smile now and in the future. Our dentistry for children is incredibly compassionate with the most gentle touch possible.

We provide state-of-the-art dentistry for children. Our four pediatric locations specialize in pediatric dentistry, which is for infants, children and adolescents. Giving kids a fun, comfortable, and friendly experience will establish confidence and trust that empowers your child to feel good about visiting the dentist and provides them life-long education in taking care of their teeth.

Happy visits to the dental office promote the establishment of trust and confidence in your child that will last a lifetime. Our goalOur goal is to help all your children feel good about visiting the dentist and teach them how to care for their teeth. From our choice of movies at each chair, the child-sized door, and the play table in the waiting room, to the positive reinforcement of our "Famous Treasure Tower," parents have a hard time getting kids to go home!

The best way to learn more about our office is to contact one of our dentists:
•  Chris Lugo, DMD
•  Jenny-Lee Kramer, BDS
•  Stephan Sadler, DDS
•  Kendra E. Farmer, DDS
At one of our four pediatric dentistry locations:


(360) 659-8100


(360) 863-8700

Lake Stevens

(425) 367-4149


(360) 339-8000

We want to help you succeed in starting your child on the right path for their dental care.
Children's Dental Care
Children interested in dental health. Why are baby teeth so important? They're just going to lose them in a few years right? True and false! Baby teeth are vital to your children's health. They help maintain good nutrition by permitting your child to chew properly. Your child's first set of teeth help in their speech development. Baby teeth are important "place holders" for permanent teeth, they help by forming a path that the permanent teeth can follow when they are ready to erupt. With our Washington pediatric dentists, kids dental care begins by keeping baby teeth healthy, paving the way for strong permanent teeth.

Primary molars remain in your child's mouth until the age of 11-13 years old. Research has shown that children with dental cavities and oral infections have a higher tendency to become sick, lose concentration, and miss more school days due to pain and an increased need for dental visits. Finally, cavities that are left untreated can potentially lead to severe infections!

We've provided a list of things you can do at home to help care for your children's dental health:

Birth to 1 Year
•  After each feeding, wipe your baby's gums and teeth with a damp washcloth or gauze, especially before they sleep
•  Avoid nursing children to sleep or putting anything other than water in their bedtime bottle
•  Never sweeten a pacifier with honey or other sweet substances
•  Take care to clean all surfaces or your child's teeth
•  Lead by example! Take care of your own dental health. Research shows that parents can pass on cavity causing bacteria

1 year to 3 years
•  As your baby reaches their first birthday, encourage drinking from a cup
•  Brush 2 to 3 times a day, start flossing once their teeth are touching

After the age of 3 years
•  Use a pea-sized amount of fluoride toothpaste
•  Use only a soft bristle toothbrush and brush in small circular motions taking care to clean all surfaces of the teeth
•  Brush your child's tongue lightly to remove bacteria and bad breath
•  Have your child rinse with water after brushing
•  Young children have not developed the dexterity to brush on their own effectively and need adult assistance until around the ages of 8 or 9
•  Avoid frequent snacking, and if brushing is not possible after snacking, rinse with water several times
•  Encourage drinking water between meals, try to save juice or milk for mealtimes
•  Healthy snacks! Fresh fruits, vegetables, cheeses and meats, popcorn
•  Avoid sticky foods such as raisins, fruit chews or roll-ups, dried fruits, cookies, chips or lollipops

Please contact us if you have any questionsPlease contact us if you have any questions about your child's dental care.
Sedation Dentistry
Really cute girl with good teeth. When it comes to sedation, we, at Puget Sound Pediatric Dentistry, believe in giving a child the minimum sedation necessary while maintaining their comfort. This can be a very helpful tool in dentistry, sedation allows our young patients to get dental treatments performed with minimal to no anxiety.

What is Sedation

Using varying medicine, we are able to relieve pain, numb, and relax your child, helping them be more comfortable during dental treatment.

When is Sedation used?

Sedation is used for:
•  larger or more extensive procedures like fillings, root canals, crowns, extractions and periodontal treatments
•  patients who have dental phobias, low pain tolerance, physical handicaps, are not at an age to understand what we are doing, or who have a strong gag reflex
•  patients that find it difficult to sit still

Sedation is a recommended process by the American Dental Association as an effective way to help patients feel more comfortable during their dental visit. Please inform us of any and all medical concerns, medications, or treatments before using a sedative or anesthetic. Our dentists, Dr. Lugo, Dr. Kramar, Dr. Sadler, and Dr. Farmer will talk to you about the process of sedation and pre- and post-sedation instructions.

We offer varying types of sedation, including nitrous oxide, commonly known as laughing gas, oral sedatives, general anesthetic, and IV sedation.

"Laughing Gas" (Nitrous Oxide)

Nitrous oxide, more commonly known as laughing gas, is often used as a conscious sedative during a dental visit. The gas is administered with a mixture of oxygen and has a calming effect that helps phobic or anxious patients relax during their dental treatment. Because it is a mild sedative, patients are still conscious and can talk to their dentist during their
Marysville, Lake Stevens, Monroe and Stanwood, WA
Marysville, Lake Stevens, Monroe and Stanwood, WA
WA sedation dentistry visit. After treatment, the nitrous is turned off and oxygen is administered for 5 to 10 minutes to help flush any remaining gas. The effects wear off almost immediately. Nitrous oxide rarely has side effects, although some patients may experience minor nausea and constipation. Your dentist will provide you with pre- and post-sedation instructions.

Oral Sedatives

An oral medication that is drunk by the patients, mixed with a juice. This sedation requires no needles, which is often preferred by our young patients. The reaction to this sedation varies, and we never know how a child will react. Some children fall asleep, some don't.

General Anesthetic

Often known for its needle, this is the most typical sedative we use. It numbs the area, the child feels little to no discomfort, and the effects wear off within 1-2 hours following the procedure.

IV Sedation

Done in a hospital setting, this sedation guarantees the child to sleep through the entire process. We are able to do all work needed and they experiece no discomfort.

For more information on Sedation Dentistry, and how we can help your child get the work they need done and not feel pain, contact one of our dentists:
•  Chris Lugo, DMD
•  Jenny-Lee Kramer, BDS
•  Stephan Sadler, DDS
•  Kendra E. Farmer, DDS
At one of our four pediatric dentistry locations:


(360) 659-8100


(360) 863-8700

Lake Stevens

(425) 367-4149


(360) 339-8000
Dr. Lugo working on a little girls teeth. When emergencies arise, we do our best to see your child immediately. The staff at Pugent Sound Pediatriccall our officeis here to help you and your child. Some common emergencies we see and what you can do are listed below.


Toothaches may be miserable for a young child. There are some tips you can try at home before calling our office. Start with brushing the tooth and the surrounding area. Floss that area well for any food particles that may be irritating the gums. Temporary relief can be found with an over the counter pain medicine such as acetaminophen. If the pain is not relieved following these steps, contact us for more advice or to schedule an appointment.

Cold or Canker Sores

Using an over the counter pain reliever can be used while waiting for a canker or cold sore to heal. If the sore seems unusual in any way, contact our office for more information.

Bleeding When a Baby Tooth Falls Out

Bleeding in your mouth from losing a tooth will stop. If you want, you can apply a guaze to the area and apply light pressure. If the bleeding seems unusual or continues significantly longer than normal, contact our office.

Bitten Tongue, Lips or Cheek

This has happened to all of us at some point, and what an awful location, we can't place a band aid there! Parents can hold a cloth in place until the bleeding stops. If the damages appears severe, or if the bleeding does not seem to be stopping, contact a doctor's assistance.

Broken Tooth

If a tooth breaks, we can help. This can be a painful problem. What you can do is first rinse the area using warm water. Afterwards an ice pack may bring your child some relief. Next, recover any broken pieces of tooth don't clean them, and place them in a small cup of milk, contact our office immediately, we are able to restore the tooth.

Knocked Out Permanent Tooth

If your child loses a permanent tooth, first recover the tooth. Try to not touch the root area of the tooth, pick it up by the crown or tip of the tooth. It's ok to rinse but do not clean or scrub the tooth, even if you see tissue on the tooth. If you think the child will not swallow it, go ahead and reinsert the tooth into the socket and hold it in place using a clean piece of gauze or cloth. If reinserting is not an option, place the tooth into a cup of milk or water. Contact our office immediately, time is essential to save the tooth.

Broken Dental Braces and Wires

If the device or wire can come out easily, go ahead and remove it, we don't want it to damage the child's mouth. If the wire or device can not be pulled out, place a cotton ball or cloth in the area to help prevent damage. It is important that you do not remove any wire that is caught in the gums, cheek or tongue; we want you to see a dentist immediately.

Injured or Possibly Broken Jaw

With an injured jaw, keep the mouth closed and even tie a towel or handkerchief around the jaw to keep it closed. Immediately take the patient to the Emergency Room.

For more tips and information on Emergency practices, Contact one of our dentists:
•  Chris Lugo, DMD
•  Jenny-Lee Kramer, BDS
•  Stephan Sadler, DDS
•  Kendra E. Farmer, DDS
At one of our three pediatric dentistry locations, Marysville (360) 659-8100, Monroe (360) 863-8700, Lake Stevens, WA (425) 367-4149 and Stanwood, WA (360) 339-8000. We are here to assist your child in Emergency care, we do not want them to be in pain or discomfort.


919 State Ave #104,
Marysville, WA 98270
Phone: (360) 659-8100

14090 Fryelands Blvd SE, Suite 348,
Monroe, WA 98272
Phone: (360) 863-8700

Lake Stevens
9421 N Davies Road, Suite A,
Lake Stevens, WA 98258
Phone: (425) 367-4149

Grand Opening - September 30, 2016

7104 265th Street NW. #110
Stanwood, WA 98292
Phone: (360) 339-8000
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