✦60+ years of trusted dental care in Gaithersburg, MD
(301) 926-69967 Russell Avenue, Gaithersburg, MD 20877
Old Town Family Dentistry
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Dental Services

Comprehensive Care for Every Stage of Your Smile

Preventive, cosmetic, restorative, same-day crown, root canal, implant, bridge, periodontal, clear-aligner, and emergency dental care in Gaithersburg, Maryland.

We believe treatment recommendations should be clear, individualized, and based on your goals and long-term oral health.

Preventive Care

Your Smile's Best Foundation

Regular checkups and professional cleanings are the simplest way to catch small problems before they become big ones. We focus on preventive care that keeps your teeth healthy and your smile confident. Our gentle approach means even nervous patients feel comfortable in our chairs.

  • Early detection prevents expensive problems
  • Professional cleanings remove buildup brushing alone can't reach
  • Protecting gum health adds years to life of your teeth
  • Fluoride treatments strengthen enamel against decay
  • Comfortable experience in a caring environment
Schedule Your Checkup
Dental model, toothbrush, floss, mirror, and instruments illustrating preventive dental care and professional cleanings

Cosmetic Dentistry

The Smile You’ve Always Wanted

Don't hide your smile—enhance it. From cosmetic bonding to veneers and smile design, Dr. Paul Niesen and Dr. Toral Patel can offer personalized treatments to improve your appearance. See the difference that a more beautiful smile can make in how you feel about yourself.

  • Cosmetic bonding fixes chips and gaps
  • Natural-looking results
  • Customized to your own individual face and jaw
  • Smile you're proud to show off
Schedule Your Smile Consultation
Dental model with veneer shade guide illustrating cosmetic dentistry and personalized smile design

Restorative Dentistry

Repair and Restore Your Smile & Confidence

Damaged, decayed, or broken teeth affect more than your appearance; they affect your eating and speaking ability and have adverse effects on your systemic health. Damaged teeth don’t have to stay that way. Composite fillings, crowns, and bridges repair your teeth and restore your ability to chew your food well and smile confidently. Using advanced materials and techniques, we make your teeth look and function like new.

  • Eat without worry again
  • Beautiful lasting repairs
  • Speak clearly and confidently
  • Durable and strong materials
Restore Your Smile
Tooth-colored restoration in a molar with dental instruments illustrating restorative dentistry

Same-Day Crowns

Your Crown in One Visit

Broken tooth? CEREC technology lets us design, create, and place your crown in a single appointment—no temporary crown, no second visit, no waiting weeks. Walk in with a broken tooth and walk out with a beautiful, permanent restoration.

  • One visit instead of multiple appointments
  • No temporary crown needed
  • Digital 3D scanning (no uncomfortable impressions)
  • Precision digital design
  • Natural-looking permanent results
Schedule Your CEREC Crown
CEREC crown, digital design monitor, and milling machine illustrating same-day crown treatment

Root Canal Therapy (Endodontics)

Save Your Tooth and Get Relief from Pain

Your natural teeth are the best. A root canal treatment removes infection from inside your tooth and stops pain—often within hours. This procedure saves your tooth and eliminates the need for extraction. With modern technology such as rotary endodontics, better materials, and clinical expertise, root canals are comfortable and effective.

  • Pain relief quickly
  • Preserve your natural tooth
  • Prevents extraction
  • Comfortable procedure under local anesthesia
  • Restore normal function
Get Help With Tooth Pain
Cross-section tooth model with endodontic instruments illustrating root canal therapy

Dental Implants

Your Missing Tooth Permanently Replaced

Dental implants are the closest thing to natural teeth. They look, feel, and function like your own teeth—and can last a lifetime with proper care. Unlike partial or complete dentures, implants are stable, secure, and restore your bite strength.

  • No slipping or sliding when you try to eat
  • Eat your favorite foods again: better chewing helps your body absorb nutrients
  • Restores bite strength
  • Protects jawbone
  • Lasting solution
Explore Implant Options
Dental implant model with implant-supported crown illustrating permanent tooth replacement

Dental Bridges

Restore Your Smile and Chewing

Missing teeth leave gaps—both literal and figurative. A dental bridge uses your natural teeth as anchors to hold a replacement tooth in place. You fill the gap, restore your smile, and return to normal eating and speaking.

  • Fills gaps in your smile
  • Prevents teeth shifting into that missing space
  • Restores chewing ability
  • Natural appearance
  • Lasts a long time with proper home care and routine dental visits
Explore Bridge Options
Three-unit dental bridge supported by two prepared teeth on a gum and bone model

Periodontal Care (Gum Disease Treatment)

Healthy Gums Mean a Healthy Body

Periodontal pathogens are proven to have a direct association with cardiovascular and respiratory diseases and countless other illnesses. Periodontal disease is serious—and treatable. Routine preventive care stops disease progression and restores gum health. Early detection and management can prevent tooth loss.

  • Preventive care protects your teeth
  • Early treatment stops disease progression
  • Fresher breath means lower oral pathogens, thus improved systemic health
  • Prevents tooth loss
Schedule a Gum Health Visit
Dental model comparing inflamed gum disease with healthy gum tissue for periodontal care

Smile Alignment (Orthodontics)

Clear Aligners for Improved Alignment and Function

Crooked teeth don't define you—but a straight smile boosts your confidence. Straight teeth are easier to clean, less prone to decay, and less likely to wear unevenly. Orthodontics is an investment in your long-term health.

  • Improved appearance
  • Better bite alignment
  • Easier cleaning (fewer cavities)
  • Less wear and tear
  • Discreet modern option
Explore Clear Aligners
Clear aligners on a dental model with storage case illustrating smile alignment treatment

Emergency Dentistry

Had Pain That Kept You Up at Night?

Dental emergencies are stressful. Whether it's pain, swelling, or an accident on the playing field, we prioritize emergencies by getting you in quickly and treating your pain with expertise and compassion. Call us with your emergency and we'll get you in.

  • Same-day emergency appointments available
  • Quick pain relief
  • Experienced care
  • Prevent complications
  • Compassionate support
  • Antibiotic prescription when indicated
  • Referral to specialists when appropriate
Call for Emergency Care
Cracked tooth model and dental instruments illustrating emergency dentistry

Not sure which service you need?

Start with a conversation. We will help you understand your options.

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