Patient Info

Our office strives to provide quality dental care in a gentle, child-oriented environment. We believe all of our patients including infants, children and adolescents are to be treated with respect and compassion. We believe that using patience and perseverance, most children are capable of dental treatment without the use of sedatives or general anesthesia. Our teams hope to make our dentistry enriching and fun for kids.

Read more in the links below.

Payments &
Financing ◢
Tooth Decay
Prevention ◢
Technology ◢
Care ◢
Update ◢

Payments & Financing

Our goal at Form-550 is to provide affordable, quality children's dental care to Marysville, Monroe, Lake Stevens and Stanwood families.

Dentists and Staff of Puget Sound Pediatric Dentistry, Pediatric Dentists service the Marysville, Lake Stevens, Monroe & Stanwood, WA Communities.As a courtesy, we at Form-550, are able to forward claims to your insurance carrier. We do require that your estimated co-payments be due at the time of treatment. Our staff is happy to answer any questions;Our staff is happy to answer any questions; we want you to understand your financing as well as your child's treatment.

Your insurance company provides benefits according to your particular policy. It is in your best interest to understand your own insurance plan and any limitations it may have. In this regard we would like to offer you a few tips:
•  Please provide us with your insurance card or information prior to your visit. If your plan pays by a fee schedule, you must provide us with that schedule, as some insurance companies will not release this information to us.
•  If you are seeking a pre-treatment estimate, we will gladly submit that for you upon request. This allows your insurer to notify you in advance the amount they will cover.
•  Commonly, most plans only pay a portion of your treatment costs, regardless of any financial estimates we provide you with. We cannot guarantee what your insurance will pay until we submit the claim itself. You, the financially responsible party, are accountable in full for any amount not paid by your insurance.
•  We are considered an in-network provider with most Regence, Premera, Aetna, MetLife, Cigna, Lifewise, as well as Delta Dental/Washington Dental Service PPO and Premier Plans. We also accept DSHS. (Provider One).
•  Insurance claims not paid within 60 days may become your responsibility.
•  If you wish, you may use Visa or MasterCard. Our office does offer monthly payments plans through and outside lender, CareCredit. Please inquire with our office staff for more information.

Preventing Tooth Decay

Tooth decay is a daily battle. Our mouths are exposed to a lot of bacteria, including bacteria that forms naturally. At Puget Sound Pediatrics, we can educate, demonstrate, and help your children care for their teeth.

How are cavities made?

When we eat sugar, it creates a reaction with the bacteria that is already in our mouths, causing it to produce acids. These acids break down the hard minerals of our teeth, forming holes also known as cavities. The problem is escalated by the fact that decay is a progressive disease. The problem will continue to worsen if not taken care of. One of our dentists, Dr. Lugo, Dr. Kramar, Dr. Farmer, and Dr. Johannsen can remove the decay and fill the tooth, preventing further damage. Using a variety of filling options, we restore the tooth to a healthier state.

How do we protect our child from cavities?

At Puget Sound Pediatrics, we can help your child avoid cavities. More and more, we are seeing children reach adulthood without ever experiencing a cavity, and we attribute this to education and some techniques that we can provide.

Ways you can prevent tooth decay include:
•  The first, and most important step to protecting your child's teeth is to set up a strict daily dental hygiene regimen: we ask parents to assist their children in brushing and flossing twice a day, they need your help until at least 8 years of age
•  Schedule regular dental cleanings, this is when our hygienist can show your child tips
•  Schedule regular dental checkups, this allow us to check their teeth, and it also allows us to develop a good relationship with the child, promoting positive dentistry for their future
•  Control your child's diet, if they eat sugar, have them drink water or brush to clear away the sugar
•  Inquire abut fluoride, is it in your water? in your toothpaste?
•  Ask us about dental sealants, sealing your child's teeth from decay will make a significant difference
•  Be aware of what non-food items your child puts in their mouths, thumbs, pacifiers, toys, bottle nipples, and more all have bacteria

By practicing good hygiene habits, you can help your child avoid unhealthy teeth and costly treatment. Our dentists care about the health of your children's teeth. We know how important it is for your children to want to come to the dentist, we provide an environment for them that they will ask you when they can come back. With three easily accessible locations, we are always in your neighborhood.
Contact our dentists, Chris Lugo, DMD, Jenny-Lee Kramar, BDS, Kendra E. Farmer, DDS and Chad Slaven, DDS, MDS, at one of our pediatric dentistry locations:


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


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

Lake Stevens

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


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

We are here to help your child be comfortable and above all, healthy.

Dental Technology

Kids are completely honest and our dentists hear them. If they don't like something, kids will let you know how they feel! The dental team at Puget Sound Pediatric Dentistry has taken measures, including fun décor and advanced dental technology, to help put your child at ease. This dental technology makes the visit more pleasant for kids! Our practice is designed with state-of-the-art technology including:

Kids enjoy our dental office waiting room.
  • Digital x-rays (80% less radiation) offer enhanced diagnostic capabilities.
  • Tooth colored composite fillings.
  • Open treatment environment.
  • Decay-preventative sealants.
  • Oral SedationOral Sedation
  • Nitrous Oxide
  • Sleep Visits
  • Individual Audio/Video
  • Treatment techniques to restore broken down teeth.
  • Orthodontic appliances to eliminate thumb sucking and reduce crowding.
  • Sports Mouth Guards

Post Operative Care

Care of the Mouth after Local Anesthetic

Your child has had local anesthetic for their dental procedure. As experts in pediatric dentistry we want to provide you with some information about caring for your child's mouth after local anesthesia. Here are some common things that can occur after the visit.

Lower jaw treatment: lower lips, teeth, cheek, and tongue may be "numb" or fat feeling. Upper jaw treatment: upper lip, teeth, cheek and roof of the mouth may feel "numb" or fat feeling.

Children do not understand the effects of local anesthesia, and often report "pain." That can be the fat feeling or tingling after the numbness is wearing off. Often children may chew, scratch, suck, or play with the numb lip, tongue, or cheek. These actions can cause minor irritations or severe tissue damage that can lead to swelling and pain. In most cases, even with severe tissue damage, the patient will heal normally over the next couple of days. Please monitor your child closely for approximately two hours following the appointment. It is often wise to keep your child on a liquid or soft diet until the anesthetic has worn off.

Care of the Mouth after Extraction

It is important to have your child not scratch, suck, chew, or rub the lips, tongue, or cheek while they are numb. Your child should be watched closely so they do not injure his/her lip, tongue, or cheek before the anesthesia wears off.

•  Keep their fingers and tongue away from the extraction area.
•  Do not rinse their mouth for several hours.
•  Do not let them spit excessively.
•  Do not give them a carbonated beverage (Coke, Sprite, etc.) for the remainder of the day.
•  Do not let them drink through a straw, it can pull out the clot.
•  Watch for excessive bleeding.

Some bleeding can be expected. If unusual bleeding occurs, place cotton gauze, wet paper towel, or wash cloth firmly over the extraction area and bite down or hold in place for fifteen minutes. A tea bag can also aid in clotting. Repeat if necessary.

Maintain a soft diet for a day or two, or until your child feels comfortable eating normally again.

Avoid strenuous sports or physical activity for several hours after the extraction.

Post-Op Pain

The pain from extraction is due to the breakage of bone. Most children's bones are not affected by an extraction procedure, so the pain is generally minimal after the tooth is removed. We recommend for mild to moderate discomfort using Children's Tylenol, Advil, or Motrin as directed for the age of the child. If a medicine was prescribed, follow the directions on the bottle.

Care of Sealants

Sealants are a thin protective coating placed in grooves of teeth. They are placed where patients have difficulty brushing and prevent plaque and food from sticking into the grooves which decrease the risk of decay. Since, the covering is only in the groves of the biting surface, the rest of the tooth is still vulnerable to decay. Good oral hygiene is still very important in preventing decay because sealants will only protect the most vulnerable part of the tooth.

Your child should not eat ice or hard candy, which can fracture the sealant. Regular dental appointments are recommended in order to be certain the sealants remain in place.

Sealants have an important role in the prevention of tooth decay. They can successfully protect the chewing surfaces of your child's teeth when maintained correctly. A total oral health program includes regular visits to the dentist, the use of fluoride, daily brushing and flossing, and limiting sugary snacks. If these steps are followed and sealants are used on the child's teeth, the risk of decay can be reduced or may even be eliminated!

Care after a Stainless Steel Crown

Children often complain about a crown feeling tight for the first couple of days. Please avoid eating anything for 1 hour after your crown placing appointment for the cement to setup.

WARNING– Foods that are sticky can loosen crowns and even make them come off! Examples of foods to avoid are: Fruit snacks, fruit leather, tootsie rolls, gum, jolly ranchers, laffy taffy, licorice etc.

In the event your child's crown come off please give our office a call and make an appointment within one week. If at all possible, please bring the crown to the appointment. If they swallow it, please do not retrieve it from the bathroom. Remember to properly brush and floss the crown as you would any of your child's other teeth.

WARNING: Floss crowns by pulling out from the side, not by pulling upward along the side of the tooth!

Oral Discomfort after a Cleaning

Dental Prophylaxis or "dental cleaning" can cause some bleeding and swelling causing mild discomfort. This is not due to a "rough cleaning" but, to tender and inflamed gums from less than perfect home oral hygiene. If there is mild discomfort after your child's cleaning with our specialists in pediatric dentistry in we recommend:

1.) A warm salt water rinse 2 – 3 times per day (1 teaspoon of salt in 8 oz of warm water)

2.) Over the counter Children's Tylenol, Advil (ibuprofen) as directed for the age of the child.

Puget Sound Children's Dentistry provides pediatric dentistry and serves young patients from the areas of Marysville, Monroe, Lake Stevens and Stanwood.

Our Locations

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

14090 Fryelands Blvd SE, Suite 348,
Monroe, WA 98272
Phone: (360) 863-8700
Open Tuesday-Friday 8:00am-5:00pm

Lake Stevens
9421 N Davies Road, Suite A,
Lake Stevens, WA 98258
Phone: (425) 367-4149
Open Monday-Thursday 8:00am-4:30pm

7104 265th Street NW. #110
Stanwood, WA 98292
Phone: (360) 339-8000
Open Tuesday-Friday 8:00am-5:00pm
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