How does Leukocyte adhesion deficiency affect dental management?
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How does Leukocyte adhesion deficiency affect dental management?
Coordinate promptly: immunology, hematology, and periodontics.
Plan infection treatment and procedural prophylaxis: a high circulating neutrophil count does not indicate effective tissue defense; plan with the medical team.
Periodontal care: individualized caregiver-supported plaque control and maintenance; chlorhexidine may be an adjunct when delivery is safe.
Treatment limit: severe disease may remain refractory to debridement and antibiotics because the immune defect persists.
Rehabilitation: Extraction of hopeless teeth; prosthetic replacement