### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, my daughter is 14yrs old she has focal dermal hypoplasia. We moved to lakeland fl 5yrs ago since we have been here ive tried so many dermatologist and dentist to help treat her.  They tell me there is nothing that they can do for her and send us home. The dentist is telling me she needs braces that I cannot understand because I think her teeth would just break off since there so fragile.  Before moving here we lived in chicago where we saw amazing drs.  She is having a hard time dealing with this at her age. Pls help

### output:

Hello, This is being a genetic disorder offers an explanation of why she may have certain dental conditions. This makes treatment more difficult and involved. If she has missing teeth, extra teeth, undersized teeth, delayed eruption, an overbite or under bite, these conditions are best treated by an orthodontist. A child has the advantage of the jaw growing and offers the opportunity to guide jaw growth as well as tooth position. As an adult, surgery would have to be considered to realign the jaw if severe overbite or under bite is present. Definitely consider an orthodontic evaluation. Multiple opinions are recommended for involved treatment. Consider visiting a dental school where many specialists and resources are available. Considering this to be a rare genetic condition, you may have a difficult time finding doctors with previous exposure to this disorder. Poor enamel formation, defects and notching may require restorative treatment prior to orthodontics. Bonding or crowns may need to be placed. If teeth are too weak or not suitable for movement, then consideration for other options such as implants, bridges or dentures need to be considered. Sometimes a temporary stage of tooth replacement is necessary. The assistance of other specialist such as an oral surgeon and periodontist most likely should be considered. Often multiple specialist work together. Your general dentist coordinates and communicates between all specialist. Shape of her palate, quality and quantity of her gums and any growths such as papillomas may affect treatment considerations. You will have a greater challenge, but with coordinated car ether will be options to improve your daughters smile. Thank you for your inquiry. Please consider providing additional details and I will be glad to offer suggestions.