Identifying and treating HIV-related oral conditions: a clinical grand rounds approach

Article Abstract:

Aids education programs that combine traditional instruction with hands-on patient experience may help dental practitioners diagnose and treat HIV-related oral lesions. Researchers surveyed 133 dentists and dental hygienists and 4 patients who participated in a one-day AIDS education program. The program included instruction, hands-on experience interviewing and examining 7 patients with HIV-related oral manifestations, and videotape-augmented case discussions. All of the dental providers felt that the course was useful or extremely useful and most would recommend it to their colleagues. The hands-on approach was extremely valuable to the majority. The course increased providers' confidence in diagnosing and treating HIV-related oral infections and in handling sensitive HIV-related issues with patients and staff. All of the patients were very pleased or happy with their participation and would participate again.

Education, Study and teaching, Dental personnel

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Role of dentinal carious lesions in the pathogenesis of oral candidiasis in HIV infection

Article Abstract:

HIV-infected people may be at higher risk for yeast colonization of dentinal tubules in tooth cavities, a potential factor in oral candidiasis. Candidal yeast infection in the mouth is common in people infected with HIV. Researchers tested decayed teeth extracted from 30 HIV-infected patients and 30 healthy dental patients. Seventy-seven percent of HIV patients and only 17% of healthy patients had candidal colonization of the dentinal tubules in the decayed teeth. Dentinal tubules may provide a reservoir for Candida which could be eliminated by restoring or extracting decayed teeth.

Complications and side effects, Risk factors, Diseases, HIV patients, Thrush (Mouth disease), Oral candidiasis

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Avoiding malpractice for nondental conditions: the example of human immunodeficiency virus

Article Abstract:

Dentists should learn to recognize the oral manifestations of most common diseases, including HIV infection. A review of the legal literature shows dentists can be held liable for failing to recognize these signs and referring the patient to a doctor.

Prevention, Dentists, Malpractice

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