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Dental Surgery with low CD4 Count
Aug 15, 2012

Thank you for all the help that you've provided to me during the first 2 years of my HIV treatment. I'm not sure which section to post this in.. Due to an injury when I was much younger, my front upper two teeth need to be removed and replaced with impants (it's surprising they lasted this long..), so I will need them pulled, have posts put in, etc.. My CD4 percentage is 10 and my count varies from 140 to a little over 200, my HIV doctor would like me to avoid the dental work if I can, and I have a heart valve issue that makes me more prone to endocarditis (mitral value but not exactly mitral valve prolapse). But my teeth are sore and I don't think I can wait until the CD4 cout gets over 300 as my doctor would like. What do you think? How risky is it if I load up on antibiotics first and for the few days after the pulling and post work? thanks for your help

Response from Dr. Young

Hello and thanks for posting.

You do indeed have a low CD4 count/percentage. Yes, it probably is reasonable to defer elective work until your counts are healthy, but that shouldn't deter you from getting needed dental care.

Pre-treatment antibiotics are not an issue at all.

I hope that helps, BY



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