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Periodontal disease associated with HIV infection.
Oral Surg Oral Med Oral Pathol. 1992 Feb; 73(2):145-50.OS

Abstract

Patients with severe immunosuppression as a consequence of infection by human immunodeficiency virus (HIV) are at risk for a number of severe periodontal diseases. HIV-associated gingivitis and HIV-associated periodontitis (HIV-P) are seen exclusively in HIV-infected persons. In some cases HIV-P may extend into adjacent soft tissue and bone, resulting in necrotizing stomatitis of periodontal origin. In addition, acute necrotizing ulcerative gingivitis has also been reported to have an increased prevalence in HIV-infected patients. The clinical and microbiologic features of HIV-associated gingivitis and HIV-P suggest that these diseases are early and later stages of the same lesion, that results in severe gingival erythema, extensive soft tissue necrosis, and destruction of alveolar bone. Although acute necrotizing gingivitis and the initial stages of HIV-P share a number of clinical signs current evidence indicates that they are distinct pathologic processes. Treatment of these lesions requires debridement, local antimicrobial therapy, immediate follow-up care, and long-term maintenance. In addition, patients with systemic involvement or extensive and rapidly progressing lesions may require systemic antibiotics appropriate to the organisms that dominate the lesion.

Authors+Show Affiliations

Department of Stomatology, University of California, San Francisco.No affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.
Review

Language

eng

PubMed ID

1532235

Citation

Winkler, J R., and P B. Robertson. "Periodontal Disease Associated With HIV Infection." Oral Surgery, Oral Medicine, and Oral Pathology, vol. 73, no. 2, 1992, pp. 145-50.
Winkler JR, Robertson PB. Periodontal disease associated with HIV infection. Oral Surg Oral Med Oral Pathol. 1992;73(2):145-50.
Winkler, J. R., & Robertson, P. B. (1992). Periodontal disease associated with HIV infection. Oral Surgery, Oral Medicine, and Oral Pathology, 73(2), 145-50.
Winkler JR, Robertson PB. Periodontal Disease Associated With HIV Infection. Oral Surg Oral Med Oral Pathol. 1992;73(2):145-50. PubMed PMID: 1532235.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Periodontal disease associated with HIV infection. AU - Winkler,J R, AU - Robertson,P B, PY - 1992/2/1/pubmed PY - 1992/2/1/medline PY - 1992/2/1/entrez SP - 145 EP - 50 JF - Oral surgery, oral medicine, and oral pathology JO - Oral Surg Oral Med Oral Pathol VL - 73 IS - 2 N2 - Patients with severe immunosuppression as a consequence of infection by human immunodeficiency virus (HIV) are at risk for a number of severe periodontal diseases. HIV-associated gingivitis and HIV-associated periodontitis (HIV-P) are seen exclusively in HIV-infected persons. In some cases HIV-P may extend into adjacent soft tissue and bone, resulting in necrotizing stomatitis of periodontal origin. In addition, acute necrotizing ulcerative gingivitis has also been reported to have an increased prevalence in HIV-infected patients. The clinical and microbiologic features of HIV-associated gingivitis and HIV-P suggest that these diseases are early and later stages of the same lesion, that results in severe gingival erythema, extensive soft tissue necrosis, and destruction of alveolar bone. Although acute necrotizing gingivitis and the initial stages of HIV-P share a number of clinical signs current evidence indicates that they are distinct pathologic processes. Treatment of these lesions requires debridement, local antimicrobial therapy, immediate follow-up care, and long-term maintenance. In addition, patients with systemic involvement or extensive and rapidly progressing lesions may require systemic antibiotics appropriate to the organisms that dominate the lesion. SN - 0030-4220 UR - https://www.unboundmedicine.com/medline/citation/1532235/Periodontal_disease_associated_with_HIV_infection_ L2 - https://www.diseaseinfosearch.org/result/9735 DB - PRIME DP - Unbound Medicine ER -