How does Langerhans cell histiocytosis affect dental management?
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How does Langerhans cell histiocytosis affect dental management?
Diagnosis and staging: Biopsy of lesional tissue; refer to oncology for staging
Supportive care: Gentle home care; manage pain; retain teeth while lesions resolve where possible
After tooth loss: Plan space maintenance or prosthetic replacement after tooth loss
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Floating teeth and gingival ulceration suggest a differential including LCH. Obtain lesional diagnosis and oncology staging; local versus systemic therapy depends on disease extent, and tooth extraction alone does not treat LCH.
Floating teeth and gingival ulceration suggest a differential including LCH. Obtain lesional diagnosis and oncology staging; local versus systemic therapy depends on disease extent, and tooth extraction alone does not treat LCH.