PERIODONTAL DISEASES IN HIV-INFECTED PATIENTS: PREVALENCE AND PECULIARITIES OF CLINICAL MANIFESTATIONS DEPENDING ON ADHERENCE TO ANTIRETROVIRAL THERAPY

O S Gileva; V A Sadilova

doi:10.17816/pmj30234-42

Perm Medical Journal ›› 2013, Vol. 30 ›› Issue (2) :34 -42. DOI: 10.17816/pmj30234-42

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PERIODONTAL DISEASES IN HIV-INFECTED PATIENTS: PREVALENCE AND PECULIARITIES OF CLINICAL MANIFESTATIONS DEPENDING ON ADHERENCE TO ANTIRETROVIRAL THERAPY

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Abstract

Aim. To study the prevalence and clinical structure of periodontal diseases in HIV-infected patients depending on adherence to antiretroviral therapy (ART). Materials and methods. The study was based on the results of complex dental examination of 222 HIV-infected patients of “Perm Regional AIDS Center” over the period from 2009 to 2011. Results. Prevalence of classical inflammatory periodontal diseases in HIV-infected patients was 69,7% and that of specific HIV-associated periodontal diseases 27,0%. Patients who underwent antiretroviral therapy had reliably lower prevalence of HIV-associated periodontal diseases and less severe course of classical gingivitis and periodontitis. Conclusion. Dental status of HIV-infected patients is characterized by higher prevalence and intensity of periodontal diseases. Periodontal diseases in HIV-infected patients are characterized by polymorphism, they can be specific and nonspecific, conditioned by typical periodontopathogenic flora. Periodontologic status of HIV-infected patients not adherent to ART is compromised to a greater extent than in subjects receiving the corresponding antiviral therapy.

Keywords

HIV-associated periodontal diseases / linear gingival erythema / ulcerous-necrotic gingivitis / ulcerous-necrotic periodontitis / antiretroviral therapy

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O S Gileva, V A Sadilova. PERIODONTAL DISEASES IN HIV-INFECTED PATIENTS: PREVALENCE AND PECULIARITIES OF CLINICAL MANIFESTATIONS DEPENDING ON ADHERENCE TO ANTIRETROVIRAL THERAPY. Perm Medical Journal, 2013, 30(2): 34-42 DOI:10.17816/pmj30234-42

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