How does DiGeorge syndrome affect dental management?
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How does DiGeorge syndrome affect dental management?
Cardiology: name the lesion and repair status; endocarditis prophylaxis only for qualifying lesions
Immunology: confirm the degree of immune deficiency, infection history, and any prescribed antimicrobial precautions. If transfusion is anticipated, the immunology/transfusion team determines requirements for irradiated and infection-safe blood products.
Before GA: Check calcium control before GA; hypocalcemia can cause seizures and arrhythmias
Prevention and palate: Intensive prevention for hypoplastic enamel; coordinate palatal and speech surgery with the cleft team
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System
Clarify before care
Cardiac
Exact defect, repair/residual disease, and independent qualifying valve/conduit or IE history.
Immune
Degree of deficiency, infection history, and procedure-specific antimicrobial precautions.
Calcium
Control of hypocalcemia before GA; seizures and arrhythmias are possible.
Palate/enamel
Team timing, speech needs, and intensified prevention for structural defects.