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Teeth Exfoliation

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Question

Is early loss of baby teeth something to be concerned about, indicative of a bigger problem, or related to CdLS?

Answer of our experts

It is normal for children, especially girls, to lose their lower two front teeth from 4.5 years old to 5.5 years old. 4.5 years is early, but can be considered normal. There seems to be quite a variety of times when children with CdLS find themselves loosing their primary or baby teeth. Children with CdLS can have their primary teeth fall out either early or, more often, late. If the child is four years old and there are no other underlying medical complications, such as, hypothyroidism, hypophosphatsia, etc., then I would not be too concerned about losing the teeth. If there were many teeth, including molars that are getting loose, then further investigations would be indicated.

DM/ TK 7-13-10

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

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Find other pages that share the same topic as this page Feeding and Dental Difficulties1 Feeding and Dental Difficulties48

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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