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Dentistry/3 1/2 yr old son losing top 2 teeth


MY 3 1/2 year old fell on Wednesday and hit his mouth both front top 2 teeth are loose and the chances are very slim they will remain there. Obviously he has years to go before his permanent teeth come in. I am very concerned about his speech.Is a partial the way to go for him? Is there any other options?

You are entirely correct in your suggestion that a pedi-partial is the best option for him.  The only other option to my thinking would be to do nothing and that would be a mistake since leaving the space up front could have significant effect on his speech development.  Once those affected primary teeth are gone I would suggest that you consider the pedi-partial option and have his dentist determine if your son could reasonably tolerate the procedure, which is relatively simple, and can tolerate the appliance itself.  In our experience most youngsters tolerate it quite well and it is entirely successful.


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Dr. Randolph Myerson


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.


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.

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.

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.

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