Oral health and health-related quality of life in HIV patients

Vieira, Vinícius Da Costa; Lins, Liliane; Sarmento, Viviane Almeida; Netto, Eduardo Martins; Brites, Carlos

doi:10.1186/s12903-018-0605-4

Cited by 27 publications

(26 citation statements)

References 29 publications

(39 reference statements)

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“…In the present research, similar to other studies [ 5 , 8 , 16 , 17 ], no significant difference was found between female and male individuals' OHRQoL. On contrary, in Tomar et al [ 15 ] study, women had worse OHRQoL than men.…”

Section: Discussionsupporting

confidence: 89%

“…However, because of the modern therapeutic measures, the life expectancy of the patients infected with HIV has increased. Nevertheless, because of several health-related outcomes, which lead to chronic comorbidities, HRQoL in HIV-infected patients has been reported as poor [ 5 ]. In addition, many of the patients suffer from oral health problems and experience at least one oral disease during their illness [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Oral health-related quality of life in patients infected with HIV, Iran: a cross-sectional study

2021

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Background The life expectancy of patients with Human Immunodeficiency Virus (HIV) has increased, but its oral manifestations can affect the Oral Health-Related Quality of Life (OHRQoL) of these patients. This study aimed to evaluate OHRQoL in HIV-infected patients and determine its related factors. Methods In this cross-sectional study, 250 HIV-infected patients were randomly selected from Shiraz Voluntary Counseling and Testing center in 2019. OHRQoL was measured using the revised Geriatric Oral Health Assessment Index for HIV patients. The associations between patients’ OHRQoL and demographic characteristics were examined. Results The mean score of the patients' OHRQoL was 24.55 ± 6.27. The lowest and highest scores belonged to the psychosocial and pain categories, respectively. In the univariate analysis, the OHRQoL was significantly associated with patients' age (p = 0.012), duration of the disease (p = 0.009), job (p = 0.006), edentulous status (p = 0.003), and wearing denture (p < 0.001). However, in the multiple linear regression analysis, a significant difference was found only between denture wearing and non-denture wearing patients (p ≤ 0.001). Conclusions The OHRQoL of HIV-infected patients was not optimal since most of the patients were worried about their oral and dental health problems. The OHRQoL was significantly better in denture-wearing patients. This finding highlights the impact of unmet dental needs on OHRQoL in HIV-infected patients. Therefore, dental services coverage for patients with HIV is essential, so that they can have timely access to oral health care. Furthermore, dentures should be considered as an unmet healthcare need among HIV patients in public health policies.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Oral health-related quality of life in patients infected with HIV, Iran: a cross-sectional study

2021

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“…In this study, the pooled DMFT index score was 23.48 (95% CI: 22.34, 24.62), which is higher than reported in other populations. For example, the DMFT index score was 2.37 in adolescent workers in Turkey, 56 6.38 in refugees in Germany, 57 12.4 in HIV‐infected patients in Brazil, 58 and 13.33 in older people in China 59…”

Section: Discussionmentioning

confidence: 99%

Oral health in patients with dementia: A meta‐analysis of comparative and observational studies

Zeng

Zong

et al. 2020

Int J Geriat Psychiatry

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Objective Poor oral health is common in dementia, but findings of epidemiological studies have been inconsistent. This meta‐analysis examined oral health in patients with dementia diagnosed according to standardized diagnostic criteria. Methods Six international databases (PubMed, EMBASE, PsycINFO, Medline, Cochrane Library, and Web of Science) were searched from their commencement date until 8 November 2018. Oral health was measured by the Remaining Teeth (RT) and Decayed, Missing, and Filled Teeth (DMFT) Index. The mean differences (MD) and 95% confidence intervals (CI) of DMFT Index total and component scores were calculated using a random‐effect model. Results Twenty‐four studies were included for analyses. The pooled DMFT Index was 23.48 (95% CI: 22.34, 24.62), while the pooled score for each component was 2.38 (95% CI: 1.56, 3.20) in decayed teeth (DT), 18.39 (95% CI: 15.92, 20.87) in missing teeth (MT), 2.29 (95% CI: 0.62, 3.95) in filled teeth (FT), and 11.59 (95% CI: 9.14, 14.05) in RT. Compared to controls, people with dementia had significantly a higher DMFT Index total score (MD = 3.80, 95% CI: 2.21, 5.39, p < 0.00,001), and significantly lower number of RT (MD = −3.15, 95% CI: −4.23, −2.06, p < 0.00,001). Subgroup analyses revealed that higher DMFT Index score was significantly associated with year of survey (>2010), study design (case‐control study), percentage of females (≤54.3), and the Mini Mental State Examination score (≤18.2). Higher MT score was significantly associated with study design (cross‐sectional study), and lower FT score was significantly associated with year of survey (>2010). Conclusions Oral health was significantly poorer in people with dementia compared with controls. Regular screening and effective treatment should be implemented for this population.

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“…Adequate oral health care and the maintenance of a pleasant smile with esthetic restorations may improve the quality of life in HIV-positive patients [ 16 ]. However, due to progressive immunocompromise, it may be preferable to reduce the number of traumatic clinical procedures in patients diagnosed with HIV.…”

Section: Case Presentationmentioning

confidence: 99%

Correction of Gingival Architecture Using the Biologically Oriented Preparation Technique in Two Patients with Human Immunodeficiency Virus

Casula

Gillone

Musu

2020

Case Reports in Dentistry

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Two female patients positive for human immunodeficiency virus and receiving antiretroviral treatment presented with esthetic concerns due to fixed dental prostheses in the anterior region. The patients had gingival recession and short clinical crowns in the esthetic zone. In both cases, the biologically oriented preparation technique was used to recreate ideal proportions between the teeth and gingivae. Since patients with human immunodeficiency virus experience a progressive deterioration of their immune systems and other significant comorbidities, a reduction in the number of traumatic clinical procedures is recommended. The use of this minimally invasive prosthetic protocol has not been previously reported in patients with human immunodeficiency virus. These cases demonstrate how short clinical crowns and gingival recession in the esthetic zone can be successfully treated with the biologically oriented preparation technique to avoid surgical procedures in patients with human immunodeficiency virus.

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Oral health and health-related quality of life in HIV patients

Cited by 27 publications

References 29 publications

Oral health-related quality of life in patients infected with HIV, Iran: a cross-sectional study

Oral health-related quality of life in patients infected with HIV, Iran: a cross-sectional study

Oral health in patients with dementia: A meta‐analysis of comparative and observational studies

Correction of Gingival Architecture Using the Biologically Oriented Preparation Technique in Two Patients with Human Immunodeficiency Virus

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