A couple of weeks ago, I took Zadie and her sister, Beatrix, to the dentist for regular check ups. It had been about a year since Zadie's last dental visit. She was such a cooperative kid for the dentist! Considering how willful (to put it nicely) she can be, it was amusing to hear the dentist and the assistant gush about how great she was. She sat where they wanted her to, opened her mouth when they wanted her, etc. The dentist saw a small cavity, unfortunately. They don't normally take x-rays this young (Zadie will be 4 this month), but the dentist wanted to confirm her belief that the cavity was not very deep. Since it isn't very deep, and since she's so cooperative, they plan on taking care of the cavity using just novocaine. They mentioned using laughing gas, but with her airway issues, it would be best if we could avoid anything like that.
In looking at the x-rays, Dr. Emelie noticed that one of her permanent adult teeth is missing. She said it's possible that it's there, but just isn't showing up, but it looks like it's not there. From what we have heard from other parents on Pierre Robin Sequence groups we're in on Facebook, it seems like a fairly common occurrence. I'm interested to find out just how common it is.
Additionally, one of her teeth is loose already. It's one of the front upper teeth. Last year, she had a bad fall which badly bruised her gum, and that could have contributed to this. Coincidentally (or maybe ironically?) the loose tooth is in the spot where there is no adult tooth.
The dentist office has an orthodontist in the office some days, and Dr. Emelie suggested that Zadie see him at one point, just to have him take a look. He happened to be in the office that day and took a quick look. He said there's nothing to do now, but we'll talk more down the road. Kids with PRS often have lots of dental issues, so I guess we're already starting to see that.
She's going back next week to get the cavity taken care of.