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Dentistry/Fused tooth/braces

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Question
My daughter has had braces for almost 4 years, her orthodontist recently told us he thinks her right eye tooth may be fused as he cannot get it to turn the way he wants it. He said that's he's only seen this once before and there is really nothing else he can do. He says you cannot see it from a basic x-ray, she will need to get a dental CT scan (I think that's what he called it). Have you ever heard of such a thing and what can we do about it? He is set to remove her braces in a few weeks. Should we seek another opinion before we have them removed?

Answer
Fused teeth can be a problem because they are rarely the proper shape and size of normal teeth.  They can certainly create difficulty in treatment and can require the need to accept compromise in treatment goals.  A second opinion can be helpful in bringing you to a better understanding of the situation and may introduce additional options for your consideration.

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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.

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