Le SIDA en Afrique subsaharienne (serveur d'exploration)

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Periodontal disease in HIV/AIDS

Identifieur interne : 003763 ( Main/Curation ); précédent : 003762; suivant : 003764

Periodontal disease in HIV/AIDS

Auteurs : Mark I. Ryder ; Wipawee Nittayananta ; Maeve Coogan ; Deborah Greenspan ; John S. Greenspan

Source :

RBID : ISTEX:8AAA26289C20614A1B25B2534723C1394FDCD39F

Descripteurs français

English descriptors

Abstract

Since the early 1990's, the death rate from AIDS among adults has declined in most developed countries, largely because of newer antiretroviral therapies and improved access to these therapies. In addition, from 2006 to 2011, the total number of new cases of HIV infection worldwide has declined somewhat and has remained relatively constant. Nevertheless, because of the large numbers of existing and new cases of HIV infection, the dental practitioner and other healthcare practitioners will still be required to treat oral and periodontal conditions unique to HIV/AIDS as well as conventional periodontal diseases in HIV‐infected adults and children. The oral and periodontal conditions most closely associated with HIV infection include oral candidiasis, oral hairy leukoplakia, Kaposi’s sarcoma, salivary gland diseases, oral warts, other oral viral infections, linear gingival erythema and necrotizing gingival and periodontal diseases. While the incidence and prevalence of these oral lesions and conditions appear to be declining, in part because of antiretroviral therapy, dental and healthcare practitioners will need to continue to diagnose and treat the more conventional periodontal diseases in these HIV‐infected populations. Finding low‐cost and easily accessible and acceptable diagnostic and treatment approaches for both the microbiological and the inflammatory aspects of periodontal diseases in these populations are of particular importance, as the systemic spread of the local microbiota and inflammatory products of periodontal diseases may have adverse effects on both the progression of HIV infection and the effectiveness of antiretroviral therapy approaches. Developing and assessing low‐cost and accessible diagnostic and treatment approaches to periodontal diseases, particularly in developing countries, will require an internationally coordinated effort to design and conduct standardized clinical trials.

Url:
DOI: 10.1111/j.1600-0757.2012.00445.x

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ISTEX:8AAA26289C20614A1B25B2534723C1394FDCD39F

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<term>Active antiretroviral therapy</term>
<term>Aids epidemic</term>
<term>Aids patients</term>
<term>Alveolar bone</term>
<term>Antibiotic</term>
<term>Antifungal</term>
<term>Antifungal agents</term>
<term>Antimicrobial</term>
<term>Antiretroviral</term>
<term>Antiretroviral therapies</term>
<term>Antiretroviral therapy</term>
<term>Antiretroviral therapy haart</term>
<term>Attachment loss</term>
<term>Atypical</term>
<term>Bone loss</term>
<term>Candida</term>
<term>Candida infection</term>
<term>Candida invasion</term>
<term>Candida species</term>
<term>Candidiasis</term>
<term>Cell count</term>
<term>Cell counts</term>
<term>Central asia</term>
<term>Chronic periodontitis</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Cohort</term>
<term>Current antiretroviral therapy</term>
<term>Debridement</term>
<term>Dendritic cells</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental caries</term>
<term>Dental practitioner</term>
<term>Endod</term>
<term>Epithelial</term>
<term>Epithelium</term>
<term>Erythema</term>
<term>Gentian</term>
<term>Gentian violet</term>
<term>Gingiva</term>
<term>Gingival</term>
<term>Gingival crevice</term>
<term>Gingival crevicular</term>
<term>Gingival recession</term>
<term>Gingivitis</term>
<term>Greenspan</term>
<term>Haart</term>
<term>Hairy leukoplakia</term>
<term>High prevalence</term>
<term>Hivinfected</term>
<term>Hivinfected patients</term>
<term>Host response</term>
<term>Human virus</term>
<term>Human virus infection</term>
<term>Immune</term>
<term>Immune status</term>
<term>Immunol</term>
<term>Infection</term>
<term>Lemon juice</term>
<term>Lesion</term>
<term>Leukoplakia</term>
<term>Life expectancy</term>
<term>Linear gingival erythema</term>
<term>Longitudinal evaluation</term>
<term>Microbiol</term>
<term>Microbiol immunol</term>
<term>Microbiota</term>
<term>Monocytes macrophages</term>
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<term>Necrotic</term>
<term>Necrotic lesions</term>
<term>Necrotizing</term>
<term>Necrotizing gingivitis</term>
<term>Necrotizing periodontitis</term>
<term>Necrotizing stomatitis</term>
<term>Opportunistic</term>
<term>Opportunistic infections</term>
<term>Oral</term>
<term>Oral candidiasis</term>
<term>Oral cavity</term>
<term>Oral diseases</term>
<term>Oral epithelial cells</term>
<term>Oral gingival epithelium</term>
<term>Oral lesions</term>
<term>Oral manifestations</term>
<term>Oral microbiol immunol</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Oral warts</term>
<term>Other studies</term>
<term>Particular importance</term>
<term>Pathogen</term>
<term>Pathogenesis</term>
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<term>Periodontal</term>
<term>Periodontal breakdown</term>
<term>Periodontal conditions</term>
<term>Periodontal disease</term>
<term>Periodontal diseases</term>
<term>Periodontal lesions</term>
<term>Periodontal pathogens</term>
<term>Periodontal pockets</term>
<term>Periodontal status</term>
<term>Periodontal tissues</term>
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<term>Plaque</term>
<term>Porphyromonas gingivalis</term>
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<term>Progression</term>
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<term>Radiol endod</term>
<term>Recent studies</term>
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<term>Salivary</term>
<term>Salivary gland disease</term>
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<term>Schenck</term>
<term>Stomatitis</term>
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<term>Surg</term>
<term>Therapy</term>
<term>Tooth loss</term>
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<term>Winkler</term>
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<term>Active antiretroviral therapy</term>
<term>Aids epidemic</term>
<term>Aids patients</term>
<term>Alveolar bone</term>
<term>Antibiotic</term>
<term>Antifungal</term>
<term>Antifungal agents</term>
<term>Antimicrobial</term>
<term>Antiretroviral</term>
<term>Antiretroviral therapies</term>
<term>Antiretroviral therapy</term>
<term>Antiretroviral therapy haart</term>
<term>Attachment loss</term>
<term>Atypical</term>
<term>Bone loss</term>
<term>Candida</term>
<term>Candida infection</term>
<term>Candida invasion</term>
<term>Candida species</term>
<term>Candidiasis</term>
<term>Cell count</term>
<term>Cell counts</term>
<term>Central asia</term>
<term>Chronic periodontitis</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Cohort</term>
<term>Current antiretroviral therapy</term>
<term>Debridement</term>
<term>Dendritic cells</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental caries</term>
<term>Dental practitioner</term>
<term>Endod</term>
<term>Epithelial</term>
<term>Epithelium</term>
<term>Erythema</term>
<term>Gentian</term>
<term>Gentian violet</term>
<term>Gingiva</term>
<term>Gingival</term>
<term>Gingival crevice</term>
<term>Gingival crevicular</term>
<term>Gingival recession</term>
<term>Gingivitis</term>
<term>Greenspan</term>
<term>Haart</term>
<term>Hairy leukoplakia</term>
<term>High prevalence</term>
<term>Hivinfected</term>
<term>Hivinfected patients</term>
<term>Host response</term>
<term>Human virus</term>
<term>Human virus infection</term>
<term>Immune</term>
<term>Immune status</term>
<term>Immunol</term>
<term>Infection</term>
<term>Lemon juice</term>
<term>Lesion</term>
<term>Leukoplakia</term>
<term>Life expectancy</term>
<term>Linear gingival erythema</term>
<term>Longitudinal evaluation</term>
<term>Microbiol</term>
<term>Microbiol immunol</term>
<term>Microbiota</term>
<term>Monocytes macrophages</term>
<term>Neck cancer</term>
<term>Necrotic</term>
<term>Necrotic lesions</term>
<term>Necrotizing</term>
<term>Necrotizing gingivitis</term>
<term>Necrotizing periodontitis</term>
<term>Necrotizing stomatitis</term>
<term>Opportunistic</term>
<term>Opportunistic infections</term>
<term>Oral</term>
<term>Oral candidiasis</term>
<term>Oral cavity</term>
<term>Oral diseases</term>
<term>Oral epithelial cells</term>
<term>Oral gingival epithelium</term>
<term>Oral lesions</term>
<term>Oral manifestations</term>
<term>Oral microbiol immunol</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Oral warts</term>
<term>Other studies</term>
<term>Particular importance</term>
<term>Pathogen</term>
<term>Pathogenesis</term>
<term>Pathol</term>
<term>Periodontal</term>
<term>Periodontal breakdown</term>
<term>Periodontal conditions</term>
<term>Periodontal disease</term>
<term>Periodontal diseases</term>
<term>Periodontal lesions</term>
<term>Periodontal pathogens</term>
<term>Periodontal pockets</term>
<term>Periodontal status</term>
<term>Periodontal tissues</term>
<term>Periodontal treatment</term>
<term>Periodontitis</term>
<term>Periodontol</term>
<term>Phelan</term>
<term>Plaque</term>
<term>Porphyromonas gingivalis</term>
<term>Postantiretroviral therapy</term>
<term>Prevalence</term>
<term>Progression</term>
<term>Radiol</term>
<term>Radiol endod</term>
<term>Recent studies</term>
<term>Ryder</term>
<term>Salivary</term>
<term>Salivary gland disease</term>
<term>Sarcoma</term>
<term>Schenck</term>
<term>Stomatitis</term>
<term>Subgingival</term>
<term>Surg</term>
<term>Therapy</term>
<term>Tooth loss</term>
<term>Viral</term>
<term>Viral load</term>
<term>Winkler</term>
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<div type="abstract" xml:lang="en">Since the early 1990's, the death rate from AIDS among adults has declined in most developed countries, largely because of newer antiretroviral therapies and improved access to these therapies. In addition, from 2006 to 2011, the total number of new cases of HIV infection worldwide has declined somewhat and has remained relatively constant. Nevertheless, because of the large numbers of existing and new cases of HIV infection, the dental practitioner and other healthcare practitioners will still be required to treat oral and periodontal conditions unique to HIV/AIDS as well as conventional periodontal diseases in HIV‐infected adults and children. The oral and periodontal conditions most closely associated with HIV infection include oral candidiasis, oral hairy leukoplakia, Kaposi’s sarcoma, salivary gland diseases, oral warts, other oral viral infections, linear gingival erythema and necrotizing gingival and periodontal diseases. While the incidence and prevalence of these oral lesions and conditions appear to be declining, in part because of antiretroviral therapy, dental and healthcare practitioners will need to continue to diagnose and treat the more conventional periodontal diseases in these HIV‐infected populations. Finding low‐cost and easily accessible and acceptable diagnostic and treatment approaches for both the microbiological and the inflammatory aspects of periodontal diseases in these populations are of particular importance, as the systemic spread of the local microbiota and inflammatory products of periodontal diseases may have adverse effects on both the progression of HIV infection and the effectiveness of antiretroviral therapy approaches. Developing and assessing low‐cost and accessible diagnostic and treatment approaches to periodontal diseases, particularly in developing countries, will require an internationally coordinated effort to design and conduct standardized clinical trials.</div>
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