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About Dr. Randolph Myerson
Expertise
Please limit your inquiry to questions about orthodontics (braces) and children's dentistry. 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.

You are here: Experts > Health/Fitness > Dentistry > Dentistry > 3 year old - one front tooth and adjacent incisor intruded

Dentistry - 3 year old - one front tooth and adjacent incisor intruded

Expert: Dr. Randolph Myerson - 11/4/2009

Question
Yesterday my son had an accident at school see-saw and hit two teeth which got intruded in the gums. The pediatric dentist took an X-Ray and there is no fracture. (I can scan and send copy of the xray). His initial reaction before xray was removal of the affected teeth, but after seeing the xray he has decided to wait and watch since no damage seems to have done. He has started my son on Amoxycylin 125 mg suspension - 3 times a day and asked to be seen after a week for followup.
There is no discoloration of the affected teeth so far (1 day after) and he is not complaining of pain. Although I see a slight swelling.
Will the intruded tooth reemerge? When can I expect it and how can I tell it did? I did measure the xray difference between the normal front bite tooth and the intruded one and it is 4mm. Should I consult an orthodontist?
Please help!

Answer
The traumatized teeth may require pulp treatment if they begin to abcess. This may happen in the first week, the next month or at any point in the future. Signs to watch are discoloration or darkening of the affected teeth, increase in swelling, drainage from the gums or formation of a gum boil.
As for the intrusion, sometimes these teeth will re-emerge over the next 7-14 days. If not then a decision must be made about extracting the intruded teeth since they may be impinging on the developing permanent teeth and can cause damage to those teeth. A decision would be made on the basis of a follow-up x-ray taken 1-2 weeks following the trauma. Orthodontic intervention is not a useful option at this point.

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