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CD4/ VL and Oral service
Nov 18, 2006

I am a student dentist working with lots PLWHAs. Sometime if the pt's CD4 and VL doesn't match it is really hard to decide if I can do extraction or not. Do we need to pay more attention on CD4 or VL? is there a certain number under which no extraction could be done?

Response from Dr. Holodniy

CD4 counts in general are more important. That said, even patients with advance AIDS recover well from tooth extractions, with little infectious complications. In fact it is more important to do extractions in these patients, particularly if these are abcessed teeth, because infectious complications resulting from retention of infected teeth are a greater problem than the extraction.



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