8 doctors weighed in:

An eight year old boy has chipped bottom/ front tooth that hurts at gum line. The orthodontist surgeon/dentist said that it should be left like this till he is a teenager. The temporarytopped tooth keeps getting "ground" off. Can you give anyother suggest

8 doctors weighed in
Dr. Johanna Fricke
Pediatrics - Developmental & Behavioral
3 doctors agree

In brief: Do you mean that

He has emotional lability as it wears off or that he is irritable while it's working? If rebound symptoms, change to vyvanse (lisdexamfetamine) (adderall + a protein molecule).
If while med is working, change to a long-acting methylphenidate. Zoloft for anxiety/ depression has a black box warning in kids bec. It increased suicidal ideation. It can " activate" him intunive is a safe adjunct, but change stimulant first.

In brief: Do you mean that

He has emotional lability as it wears off or that he is irritable while it's working? If rebound symptoms, change to vyvanse (lisdexamfetamine) (adderall + a protein molecule).
If while med is working, change to a long-acting methylphenidate. Zoloft for anxiety/ depression has a black box warning in kids bec. It increased suicidal ideation. It can " activate" him intunive is a safe adjunct, but change stimulant first.
Thank
Dr. Arnold Malerman
Dentistry - Orthodontics
1 doctor agrees

In brief: Need more info

Sounds like your son needs to see an Orthodontic Specialist for evaluation, rather than a multipurpose generalist who does a little of everything.

In brief: Need more info

Sounds like your son needs to see an Orthodontic Specialist for evaluation, rather than a multipurpose generalist who does a little of everything.
Thank
Dr. Bassam Amawi
Psychiatry
1 doctor agrees

In brief: Mood swing?

Talk to his prescribing physician for reevaluation

In brief: Mood swing?

Talk to his prescribing physician for reevaluation
Thank
Dr. Loon-tzian Lo
Psychiatry

In brief: It depends.

Due to his emotional rollercoasters as you described, your son may need a thorough psychiatric evaluation to assess if he has any mood disorder, and waht kind of mood disorders if any, before starting psychotropic medications.

In brief: It depends.

Due to his emotional rollercoasters as you described, your son may need a thorough psychiatric evaluation to assess if he has any mood disorder, and waht kind of mood disorders if any, before starting psychotropic medications.
Thank
Dr. Rudolf Brutoco
Pediatrics - Psychiatry

In brief: Yes, but....

Zoloft (sertraline) is a good med for many kids; it can be safely rx'd for children 8 &under - but it needs to be rx'd for the right reason, at the right dose, & needs to be closely monitored.
First, try to make sure that the Adderall dose and timing is optimized. Very often, having the effect extend evenly through the day (often at lower doses) eliminates the "rollercoaster". Re-think but don't rule out zoloft (sertraline).

In brief: Yes, but....

Zoloft (sertraline) is a good med for many kids; it can be safely rx'd for children 8 &under - but it needs to be rx'd for the right reason, at the right dose, & needs to be closely monitored.
First, try to make sure that the Adderall dose and timing is optimized. Very often, having the effect extend evenly through the day (often at lower doses) eliminates the "rollercoaster". Re-think but don't rule out zoloft (sertraline).
Thank
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