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M94A2646.TXT
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1994-10-25
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Document 2646
DOCN M94A2646
TI Odontologic pediatrics: AIDS most relevant oral lesions.
DT 9412
AU Ronan F; Perez MA; Souza I; Ferreira S; Oliveira R; Teles G; Henriques
M; Dental School/NESC/IPPMG/Brazil.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):257 (abstract no. PB0459). Unique
Identifier : AIDSLINE ICA10/94369929
AB OBJECTIVE: Our main objective is to study the need for dental care as
well as prevalence of oral manifestations in order to derive a case
definition for AIDS to be applied by dentists in developing countries.
METHODS: A case-control study was carried out. After written consent,
all children were submitted to a through questionnaire, aiming signs,
symptoms, oral lesions, past diagnoses and a odontologic exam. Chart
review was performed in order to cover any lapse during interview.
Controls were randomly selected from outpatient clinic, excluding those
with immunosupression. RESULTS: For HIV+ children topic fluoride was
used on only one child-. Although most HIV+ children brushed their
teeth, this was not made on a regular basis (66.6% less than 2 times
daily) nor before bedtime (16.7%). Few children had oral hygiene
guidance (38.5%). Most prevalent oral manifestations included
lymphadenopathy (34.6%), pseudomembranous candidiasis (30%) and parotid
gland enlargement (30%), other lesions included hairy leucoplakia,
eritematous candidiasis and gengivitis. The oral hygiene index (OHI) was
0.89, DMFT was 0.35 for HIV+ children and two of these had nursing
caries. CONCLUSIONS: Albeit based on preliminary results of 60 children,
we hope that our ongoing case-control study helps to derive a case
definition for AIDS that takes in account oral lesions regularly seen in
odontological practice.
DE AIDS-Related Opportunistic Infections/*DIAGNOSIS/EPIDEMIOLOGY
Brazil/EPIDEMIOLOGY Case-Control Studies Child Child, Preschool
Cross-Sectional Studies Dental Care for Chronically Ill *Developing
Countries DMF Index Female Human HIV
Seropositivity/*DIAGNOSIS/EPIDEMIOLOGY Incidence Infant Infant,
Newborn Mouth Diseases/*DIAGNOSIS/EPIDEMIOLOGY Oral Hygiene Pregnancy
Support, Non-U.S. Gov't MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).