The differences between providing oral health care to HIV-infected children and HIV-infected adults: A general dentist's guide

Cara B. Gonzales, Stacey Smith, Alicia Galvan, Jeffrey Mabry

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Early treatment of HIV infection is necessary to reduce the prevalence of the oral manifestations associated with the disease and its progression to AIDS. The dentist and physician must coordinate the patient's dental care. A medical consult requesting current laboratory results and the patient's clinical and immunological categoties is essential before the start of dental treatment; in addition, new laboratory tests should be requested every three months to monitor the patient's immune status, liver function, and potential for bleeding. Importantly, sugar-free HIV drugs should be prescribed when possible to reduce the patient's caries risk. Children with HIV must have access to dental services at the earliest possible stage following their diagnosis to prevent and treat dental disease. Both parents and children must understand the relationship between HIV infection and oral health. HIV-infecred children should receive a periodic dental examination every three to six months so that dental diseases can be monitored and treated. Depending on the patient's current liver function tests and his or het immunological and clinical categorization, antibiotic prophylaxis may be necessary, even for routine dental care. Dental prophylaxis and oral hygiene instruction must be provided every three to six months and the regular use of fluoride gels should be implemented.

Original languageEnglish (US)
Pages (from-to)424-432
Number of pages9
JournalGeneral dentistry
Volume58
Issue number5
StatePublished - Sep 2010

ASJC Scopus subject areas

  • Dentistry(all)

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