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Teething


Question

Does teething occur differently for children with CdLS?

Answer of our experts

Teething can certainly be difficult. There is nothing within the signs or symptoms of the syndrome that would be of a causative nature, predisposing the child to excessive teething problems. The teething process can be only treated symptomatically. Teething rings, anesthetic gels and a lot of TLC can help. If the teeth are not able to come through the gum tissues because of an excessive thickness of the gums, then opening a channel for the teeth to erupt through is very appropriate. Doing this at the same time as the ophthalmologic surgery would be the best way to go. Limiting the number of general anesthetic experiences is wonderful. Making good use of the time in the operating room is very smart.

RM/ TK 7-13-10

SEE ALSO: Teeth Grinding 1
Teeth Grinding 2
Teeth Growth
Teeth Exfoliation

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Recommendation(s)

Feeding and Dental Difficulties

R12
In every CdLS individual with prolonged and marked feeding difficulties, the multidisciplinary assessment (from healthcare workers across many disciplines) should consider (temporary) placement of a gastrostomy (surgical opening through the abdomen into the stomach) as a supplement to oral feeding.
R13
In individuals with CdLS who have recurrent respiratory infections, reflux and/or aspiration (breathing foreign objects into airways) should be ruled out.
R14
The palate should be closely examined at diagnosis. In case of symptoms of a (submucous) cleft palate, referral for specialist assessment is indicated.
R15
Dental assessment and cleaning should take place regularly; a more thorough dental examination or treatment under anaesthesia may be necessary.

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