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Aust Dent J. 2013 Mar;58(1):18-25. doi: 10.1111/adj.12031. Epub 2013 Jan 30.

Oral conditions and their social impact among HIV dental patients, 18 years on.

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1
Special Needs Unit, Adelaide Dental Hospital, South Australian Dental Service, South Australia. sharon.liberali@health.sa.gov.au

Abstract

BACKGROUND:

A study undertaken in 1992-1993 identified that HIV-infected dental patients were substantially disadvantaged with regard to the social impact of their oral disease. The oral pain experienced by HIV-positive patients prior to the introduction of combination antiretroviral therapy (cART) was attributable to specific features of HIV-related periodontal disease and other oral manifestations of HIV such as candida infections and xerostomia. A repeat of this study in 2009-2010 provided additional information in the post-cART era.

METHODS:

Data were collected from three sources: the 2009-2010 HIV-positive sample, the National Survey of Adult Oral Health (NSAOH) and the original 1992-1993 study. Collation of data was by clinical and radiographic oral examination. Information about the social impact of oral conditions was obtained from the Oral Health Impact Profile.

RESULTS:

The caries experience of the 2009-2010 HIV-positive sample was improved with statistical significance for both mean DMFT and mean DT, while the presence of HIV-related periodontal disease still occurs. Statistically significant improvements were achieved for prevalence and severity of oral health related quality of life.

CONCLUSIONS:

The need for timely access to oral health care with a focus on prevention is essential for HIV-positive individuals whose health is impacted by chronic disease, smoking and salivary hypofunction.

PMID:
23441788
DOI:
10.1111/adj.12031
[Indexed for MEDLINE]
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