Dental Services

Cleft lip/palate and other craniofacial anomalies usually affect a child’s dental development. Teeth in the area of the cleft may be missing or improperly positioned. There may also be extra teeth or malformed teeth. In addition, affected teeth may be more susceptible to tooth decay. For these reasons, care of the teeth should begin as soon as the teeth emerge. Preventive practices with regular visits to the pediatric dentist will help to ensure the best dental outlook for your child.

The Craniofacial Dental Team Specialists

Cleft lip/palate and other craniofacial anomalies usually affect a child’s dental development. Teeth in the area of the cleft may be missing or improperly positioned. There may also be extra teeth or malformed teeth. In addition, affected teeth may be more susceptible to tooth decay. For these reasons, care of the teeth should begin as soon as the teeth emerge. Preventive practices with regular visits to the pediatric dentist will help to ensure the best dental outlook for your child.

  • Dental Implant Reconstruction -  The dental implant reconstruction physician is specially trained to support children who have craniofacial anomalies that may require dental implants, facial reconstruction, or bone grafting. They work together with the plastic surgeon and orthodontist. 
  • Prosthodontics  - Our pediatric prosthodontist specializes in dental appliances and implants.


Oral Maxillofacial Surgeon

The oral maxillofacial surgeon is specially trained to perform reconstructive dental and maxillofacial surgery for children with craniofacial anomalies.


Jason E Portnof, DMD, MD

Primary Office: Boca Raton

Clinical Interests: correction of dentofacial deformities, orthognathic surgery (corrective jaw surgery), maxillofacial reconstructive surgery, oral and maxillofacial pathology, and complex dental implantology.


Pediatric Orthodontists

The pediatric orthodontist is a dentist who is specially trained to straighten and align your child's teeth. Children with craniofacial anomalies usually need to have their teeth straightened as they get older. The orthodontist works closely with the plastic surgeon regarding the use of a presurgical orthopedic device to bring cleft maxillary segments closer together. Sometimes the overall goal requires repositioning of these segments prior to plastic surgery. The orthodontist is also an archivist and record keeper related to your child’s growth and development.


Carmen A Garcia-Paul, DMD

Primary Office: Miami

Clinical Interests: Orthodontics


Derek A. Sanders, DMD

Primary Office: Miami

Clinical Interests: Orthodontics


Elaine S. de Roode, D.D.S.

Primary Office: Miami

Clinical Interests: Orthodontics



Idalia Lastra, D.M.D.

Primary Office: Miami

Additional Office: Key Biscayne

Clinical Interests: Orthodontics


Leonard H. Rothenberg, D.D.S.

Primary Office: Miami

Clinical Interests: Orthodontics


Pediatric Dental Residents

Our dentists will provide comprehensive routine dental care and monitor dental progress. Evaluation of teeth and facial growth will be made during team meetings and dental care will be provided in the Dental Clinic, located at the Nicklaus Children's Doral Outpatient Center.

Cassandra Stewart, DDS

Chief Resident - Class of 2018


Paula Miranda, DMD

Lead Resident - Class of 2019


Michelle Aliotti, DMD

Class of 2019 DL1


Anne Christine Castera, DMD

Class of 2018 DL2


Nicole Erazo, DDS

Class of 2018 DL2


Kaitlyn Purcell, DDS

Class of 2019 DL1


Celia Roman, DDS

Class of 2019 DL1


Landon Sears, DMD

Class of 2019 DL1


Tatiana Toquica, DDS

Class of 2018 DL2


Kimberly Tran, DDS

Class of 2018 DL2

PSA Logo
 Physicians identified with a Pediatric Specialists of America (PSA) logo are employees of PSA, which is part of Nicklaus Children's Health System, and are not employees of Nicklaus Children's Hospital. All other physicians listed on the website are in private medical practices.