Oral health in Australian HIV patients since the advent of combination antiretroviral therapy

Freeman, AD; Liberali, SA; Coates, E. O.; Logan, RM

doi:10.1111/adj.12005

Cited by 7 publications

(9 citation statements)

References 17 publications

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“…The study groups in 20 studies were mainly heterosexual, and most of these were conducted in Africa and Asia. Only three studies in America and Europe used a population of mainly MSM …”

Section: Resultsmentioning

confidence: 99%

“…However, our review revealed that LGE, a lesion classified in the ECC criteria as strongly associated with HIV, was not commonly encountered or reported in the literature. acute necrotizing ulcerative gingivitis and acute necrotizing ulcerative periodontitis were more predominant in Africa, as they are associated with poor oral hygiene and less accessibility to the oral care system . The reporting of periodontitis in HIV patients increased over the decades, and its prevalence was highest in studies where participants were on ART.…”

Section: Discussionmentioning

confidence: 99%

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Systematic review of the changing pattern of the oral manifestations ofHIV

Howati

Tappuni

2018

J of Invest & Clin Dent

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The purpose of the present study paper was to review the reported prevalence of the oral manifestations of HIV (OM-HIV) worldwide since 1980, and to determine the global variation in its prevalence over time. PubMed, Scopus, Embase and Google Scholar were searched. The filter "English" was used. The timeframe searched was 1980- 2015. The PRISMA flow chart was used. Data were extracted using the Joanna Briggs Institute standardized data extraction form and transferred to SPSS version 22 for analysis. The systematic review of 97 studies (70 low bias risk) showed that the prevalence of OM-HIV continue to be significant in developing countries. Globally and through all the decades, oral candidiasis remained the most commonly encountered OM-HIV, including among patients on antiretroviral therapy (ART) (26.2%). Hairy leukoplakia was more prevalent in Europe and America compared with Africa and Asia. Oral warts were reported more often in studies on patients receiving ART. Interestingly, salivary gland disease decreased in the developed world and increased in developing countries over time. Despite the changing pattern of these conditions over time, there is no evidence that the OM-HIV have become of less significance globally. Maintaining the drive for high-quality research in the subject will have an impact on less developed countries to help address oral health inequalities.

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“…The study groups in 20 studies were mainly heterosexual, and most of these were conducted in Africa and Asia. Only three studies in America and Europe used a population of mainly MSM …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Systematic review of the changing pattern of the oral manifestations ofHIV

Howati

Tappuni

2018

J of Invest & Clin Dent

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“…In addition, it appears that some HIV‐periodontal diseases may recur even if good viral control is achieved, with co‐factors such as stress and smoking appearing to have a role in HIV‐periodontal disease exacerbation. A preliminary retrospective analysis which looked at the oral health and treatment needs of HIV‐positive patients identified that patients on cART still had significant oral health issues including HIV‐related periodontal disease, oral candidiasis, angular cheilitis, HPV papillomas, traumatic ulcerations and xerostomia.…”

Section: Introductionmentioning

confidence: 99%

Oral conditions and their social impact among HIV dental patients, 18 years on

Liberali¹,

Coates²,

Freeman³

et al. 2013

Australian Dental Journal

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Background A study undertaken in 1992–1993 identified that HIV‐infected dental patients were substantially disadvantaged with regard to the social impact of their oral disease. The oral pain experienced by HIV‐positive patients prior to the introduction of combination antiretroviral therapy (cART) was attributable to specific features of HIV‐related periodontal disease and other oral manifestations of HIV such as candida infections and xerostomia. A repeat of this study in 2009–2010 provided additional information in the post‐cART era. Methods Data were collected from three sources: the 2009–2010 HIV‐positive sample, the National Survey of Adult Oral Health (NSAOH) and the original 1992–1993 study. Collation of data was by clinical and radiographic oral examination. Information about the social impact of oral conditions was obtained from the Oral Health Impact Profile. Results The caries experience of the 2009–2010 HIV‐positive sample was improved with statistical significance for both mean DMFT and mean DT, while the presence of HIV‐related periodontal disease still occurs. Statistically significant improvements were achieved for prevalence and severity of oral health related quality of life. Conclusions The need for timely access to oral health care with a focus on prevention is essential for HIV‐positive individuals whose health is impacted by chronic disease, smoking and salivary hypofunction.

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“…Interestingly, a recent retrospective study performed in Adelaide Dental Hospital analysing the oral lesions of HIV patients on HAART noted that combined anti-retroviral therapy may have increased LGE of patients compared to mono-HAART therapy (Freeman et al 2012 ). Oral candidiasis was the second most common oral lesion amongst the cohort.…”

Section: Prevalence Of Lge In Hiv-infected Patientsmentioning

confidence: 97%

Association of Candida with Linear Gingival Erythema in HIV-Infected Subjects

Seneviratne

Jayasinghe

2015

Oral Candidosis

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Linear gingival erythema (LGE) in HIV patients has a contentious association with Candida infection. Although now it is widely accepted that Candida contributes to the occurrence of LGE, still some controversy exists in the nature of its association as an aetiological agent. We will briefl y discuss the clinical picture of LGE. This will be followed by an update on insight of microbial association with the lesion, prevalence of LGE, diagnosis and treatment. The current hypothesis and proposed mechanism of the LGE are then discussed.

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Oral health in Australian HIV patients since the advent of combination antiretroviral therapy

Cited by 7 publications

References 17 publications

Systematic review of the changing pattern of the oral manifestations ofHIV

Systematic review of the changing pattern of the oral manifestations ofHIV

Oral conditions and their social impact among HIV dental patients, 18 years on

Association of Candida with Linear Gingival Erythema in HIV-Infected Subjects

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