Relationship between human immunodeficiency virus infection and periodontal disease; diagnosis and management strategy

Park,  Jung-Chul; Um,  Yoo-Jung; Jung,  Ui-Won; Kim,  Chang-Sung; Cho,  Kyoo-Sung; Chai,  Jung-Kiu; Kim,  Chong-Kwan; Choi,  Seong-Ho

doi:2009.47.8.522

J Korean Dent Assoc > Volume 47(8); 2009 > Article

Journal of Korean Dental Association 2009;47(8):522-533.
DOI: https://doi.org/10.22974/jkda.2009.47.8.006 Published online August 31, 2009.

Human immunodeficiency virus 감염과 치주 질환의 상관관계, 진단 및 처치에 관한 문헌 고찰

박정철¹, 엄유정², 정의원³, 김창성⁴, 조규성⁵, 채중규⁶, 김종관⁷, 최성호⁸

^¹연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^²연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^³연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^⁴연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^⁵연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^⁶연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^⁷연세대학교 치과대학 치주과학교실, 치주조직재생연구소
^⁸연세대학교 치과대학 치주과학교실, 치주조직재생연구소

Relationship between human immunodeficiency virus infection and periodontal disease; diagnosis and management strategy

Jung-Chul Park¹, Yoo-Jung Um², Ui-Won Jung³, Chang-Sung Kim⁴, Kyoo-Sung Cho⁵, Jung-Kiu Chai⁶, Chong-Kwan Kim⁷, Seong-Ho Choi⁸

¹Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University
²Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University
³Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University
⁴Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University
⁵Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University
⁶Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University
⁷Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University
⁸Department of Periodontology, Research institute of periodontal regeneration, College of Dentistry, Yonsei University

Abstract

Purpose
Infection with HIV-1 virus has become a critical worldwide public health problem. The oral complications of HIV infection with its progression of impairment of the host response to combat infection present unique challenges to the periodontists. Material and Methods : Medline research was carried out to find relationship of the progression of HIV infection to the occurrence of oral lesions including the HIV-related periodontal diseases. Results: The linear gingival erythema, necrotizing ulcerative periodontitis, necrotizing ulcerative gingivitis and oral candidiasis are common lesions in HIV-infected individuals. The linear gingival erythema and necrotizing ulcerative periodontitis lesions in HIV-infected subjects were found to have a similar microbiological profile. There are several general considerations in the periodontal management of the HIV-infected patient with or without periodontal disease. The altered immunity and host response in patients with HIV infection may also affect the incidence and severity of other common forms of periodontal disease not associated with HIV infection. Conclusion: Periodontal diseases in HIV-infected individuals present unique challenges in diagnosis, monitoring, treatment and maintenance. Therefore exact HIV staging, geographic location, antiviral and antimicrobial therapies and oral habits should be taken into consideration when treating HIV-infected patients.

Key Words: HIV;AIDS;periodontal disease;