The periodontal health of homosexual men with HIV infection: a controlled study

Oral Diseases
P G RobinsonJ M Zakrzewska

Abstract

Identify types, prevalence and severity of periodontal changes associated with HIV infection. Cross-sectional controlled blinded study. Open access genito-urinary medicine clinic. Convenience sample of 794 homosexual men aged 18-65. Prevalence, extent and severity of probing attachment loss (PAL), pocketing, gingival ulceration, gingivitis, bleeding on probing (BOP), gingival red bands and diffuse and punctate erythema of the attached gingiva (selected a priori). Prevalences in men with (n = 312) and without HIV (n = 260) were: PAL (> or = 1 site > or = 4mm), 59.6% and 28.5% respectively (P < 0.001, chi 2); pocketing (> or = 1 site > or = 4mm) 51.0% and 31.9% (P < 0.001); BOP, 96.5% and 92.3% (P = 0.038); gingival ulceration, 3.2% and 1.0% (P = 0.031), red banding, 12.2% and 10.0% (P = 0.410); diffuse erythema, 12.5% and 3.1% (P < 0.001) and punctate erythema, 9.6% and 1.1% (P < 0.001). Decreased CD4 lymphocyte counts predicted the presence, extent and severity of PAL (P = 0.023, 0.027 and 0.060) but not pocketing. Oral candidiasis predicted the extent and severity of gingivitis and the presence of diffuse and punctate erythema. (P = 0.037, 0.011, 0.002 and < 0.001). Destruction of periodontal attachment is associated with prog...Continue Reading

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Citations

May 1, 1997·Oral Diseases·P G RobinsonJ M Zakrzewska
May 1, 1997·Oral Diseases·P G Robinson
May 30, 1998·Journal of Clinical Periodontology·P G Robinson
May 1, 1997·Oral Diseases·P G RobinsonJ M Zakrzewska
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