Oral manifestations and dental status in paediatric HIV infection

International Journal of Paediatric Dentistry
F J Ramos-GomezJ S Greenspan

Abstract

To describe the incidence and prevalence of oral manifestations of HIV infection in a population of perinatally infected children. Retrospective and prospective study of a cohort of perinatally HIV-infected children. Community hospital and community-based paediatric clinic. Forty perinatally HIV-infected children with a median age of 12 months were eligible and selected for the study, which included a medical chart review from birth and prospective follow-up. Each child was examined quarterly for oral manifestations, tooth eruption, and for 27 children, caries and periodontal status. The incidence of pseudomembranous candidiasis was 43% (95% CI, 27-58%) within 6 months of birth. Oral candidiasis (defined as pseudomembranous or erythematous) was positively associated with low CD4 counts and the occurrence of plaque. Children with low CD4 counts were also found to have fewer teeth than children with high CD4 counts, after adjusting for age. Oral manifestations are common in paediatric HIV infection and are possible predictors of HIV disease progression. Primary care of HIV-infected children should include periodic oral examinations to monitor their HIV disease progression and to alleviate symptoms associated with oral opportunist...Continue Reading

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Citations

Apr 4, 2008·International Journal of Paediatric Dentistry·Carina Silva-BoghossianAna Paula V Colombo
Nov 26, 2005·Brazilian Oral Research·Rejane Maria HolderbaumAngela Fernandes
Sep 19, 2009·Journal of Dentistry·Luciana PomaricoLucianne Cople Maia
Jul 21, 2009·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·Raquel dos Santos PinheiroGloria Fernanda Castro
Jul 14, 2010·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·Maristela B PortelaRosangela M A Soares
Nov 3, 2005·Community Dentistry and Oral Epidemiology·Michele GiulianiUNKNOWN BSAHOD study group
Feb 13, 2007·British Dental Journal·M Kamboj
Jul 25, 2008·Medical Mycology·Nadja R MeloMarluce S Vilela
Nov 24, 2005·The Journal of Clinical Pediatric Dentistry·Taiwo Olufemi Olaniyi, Pam Sunday
Mar 20, 2010·The Journal of Clinical Pediatric Dentistry·Meenu Mittal
Aug 21, 2012·The Journal of Clinical Pediatric Dentistry·Meenu Mittal
Jan 17, 2019·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Fadi Titinchi, Nashreen Behardien
Jun 27, 2003·Primary Care·Peter T Frame

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