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Severe periodontitis is more common in HIV- infected patients

Groenewegen, H., Bierman, W. F. W., Delli, K., Dijkstra, P. U., Nesse, W., Vissink, A. & Spijkervet, F. K. L., Mar-2019, In : Journal of infection. 78, 3, p. 171-177 7 p.

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  • Revised manuscript periodontitis

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  • Severe periodontitis is more common in HIV- infected patients

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DOI

Objective: To assess periodontitis prevalence and severity in HIV infected patients as compared to controls. Furthermore, to assess whether HIV infection characteristics are associated with periodontitis.

Design: cross-sectional controlled study.

Methods: We assessed prevalence and severity of periodontitis in 258 HIV-infected patients and 539 historical controls with the Dutch Periodontal Screening Index (DPSI). HIV characteristics were collected from medical charts. Age-related diseases and oral care were assessed with questionnaires.

Results: Severe periodontitis (DPSI 4) was more prevalent in HIV-infected patients than in controls (66% vs. 36%, p =0.002). HIV-infection, increasing age and male sex were significant risk factors for severe periodontitis. In particular, older male HIV patients have a higher risk of severe periodontitis. Clinical, immunological and virologic characteristics, and antiretroviral therapy were not associated with periodontitis prevalence or severity. HIV-infected patients rate the importance of their oral health as high, although many do not disclose their HIV infection to their dentists.

Conclusions: Prevalence and severity of periodontitis are higher in HIV-infected patients compared to controls, particularly in older males. Awareness of the increased prevalence of periodontitis associated with HIV-infection among patients and health-care professionals could significantly improve oral health and quality of life of HIV-infected patients. (C) 2018 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)171-177
Number of pages7
JournalJournal of infection
Volume78
Issue number3
Publication statusPublished - Mar-2019

    Keywords

  • HIV infection, Periodontitis, Prevalence, ORAL LESIONS, ANTIRETROVIRAL THERAPY, POSITIVE PATIENTS, RISK-FACTORS, PREVALENCE, DISEASE, SMOKING, ADULTS, CLASSIFICATION, INFLAMMATION

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