AboutDr. Randolph Myerson Expertise I am both an Orthodontist and a Pediatric Dentist, having been trained in both of these dental specialty fields. Orthodontics is the dental specialty that treats problems of tooth, bite and jaw alignment using braces and removable appliances. Pediatric Dentistry is the dental specialty also known as dentistry for children, which deals specifically with the dental problems of this special age group from infants to adolescents. I am also experienced in Forensic Dentistry, the application of dentistry to law enforcement and identification using dental records.
Experience I have been in the private practice of orthodontics and pediatric dentistry for over 20 years. Prior to that I served for three years on the Cleft Palate and Cranio-facial Reconstruction team at Children''s Hospital of Philadelphia and was an Assistant Professor of Dentistry at University of Pennsylvania School of Dental Medicine. I also served as a dentist in the U.S.Air Force, stationed at Andrews AFB in Washington, DC.
Organizations I am a Fellow in the American Academy of Pediatric Dentistry, and a member of the American Association of Orthodontics, as well as a member of the American Dental Association and the Dental Society of the State of New York.
Education/Credentials I received my BA in Biology from Frankin & Marshall College in 1969, and my dental degree from University of Pennsylvania School of Dental Medicine in 1973. In 1978 I received both my Certificate in Orthodontics from University of Pennsylvania School of Dental Medicine, and my Certificate in Pediatric Dentistry from Children''s Hospital of Philadelphia after completing a three year Teaching Fellowship in Orthodontics and Pediatric Dentistry in 1978.
Expert: Dr. Randolph Myerson Date: 7/22/2008 Subject: tooth extraction for a 2 year old
Question My son has extensive decay on the front four teeth and they are absessed and chipped, he has been on penicillian for infection and will have the teeth extracted in a few days. My question is about the sedation, they sais they use a combination of chloral hydrate, meperidine, hydroxyzine, and nitrous oxide which will be administered by a pedodontist and while my two year old son is sedated they will place him in a body restraint, do you think all this is safe and neccessary for the front four teeth extraction?
Answer My experience with chloral hydrate, hydroxyzine and nitrous oxide has been very good. I find it to be a safe method of obtaining the control that is necessary to accomplish treatment on a youngster, especially with the use of a body restraint. The drug combination is usually quite effective, and even when it is only partially effective it provides enough sedation to complete the anticipated treatment. However, I have had no experience with the use of meperidine with this drug combination so I cannot comment on that.
