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1994-08-27
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Document 0777
DOCN M9480777
TI Periodontal complications of HIV infection.
DT 9410
AU Greenspan JS; Department of Stomatology, School of Dentistry, University
of; California at San Francisco.
SO Compendium. 1994;Suppl 18:S694-8; quiz S714-7. Unique Identifier :
AIDSLINE MED/94313640
AB As the scope of the acquired immunodeficiency syndrome (AIDS) epidemic
grows to include increasingly larger proportions of heterosexual adults
and children, there has also been a change in the severity of human
immunodeficiency virus (HIV)-related periodontal conditions at one San
Francisco clinic. The cases of HIV-associated gingivitis, now called
linear gingival erythema, HIV-associated periodontitis (or necrotizing
ulcerative periodontitis), and necrotizing stomatitis have been less
severe, despite an increase in overall HIV caseload. No clear basis for
this trend has been established, but possible explanations include:
biased population samples, increased immunosuppression as the disease
matures, use of antimicrobial therapy, or a change in patient
demographics. Several studies have failed to identify a single causative
organism. This article presents a review of HIV-related periodontal
complications and points out that the condition can be treated with
local and systemic antibiotics and that dental professionals throughout
the world can expect a tremendous increase over the next several years
in HIV-infected patients with special clinical complications.
DE Gingivitis, Necrotizing Ulcerative/*ETIOLOGY Human HIV
Infections/*COMPLICATIONS Incidence Periodontitis/*ETIOLOGY
Prevalence Support, Non-U.S. Gov't JOURNAL ARTICLE REVIEW REVIEW,
TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).