Keywords: AIDS oral
HIV infection HIV to a long time before the onset of AIDS patients (an average of 7 years) may not have any symptoms. During this time, the vast majority of patients I and others did not know that it has been infected, but these patients can still spread the AIDS virus. According to international research and clinical experience suggests that, in the 1 to 4 years before the onset of AIDS, the majority of AIDS patients will first symptoms of oral performance for a variety of oral lesions, which is an important indication of the detection and diagnosis of HIV infection .
Closely related oral lesions associated with HIV infection are the following:
Candida albicans disease is divided erythema pseudomembranous two types. Occurred on the palate and tongue back; sometimes visible white spots or patches in the red area of the lesion. The lesions may also occur in any part of the oral cavity, the performance of white or yellow spots or plaques, plaque can be removed, leaving the red zone and accompanied by bleeding. Many epidemiological investigations show that has a very high prevalence of oral candidiasis in HIV-infected people in the different stages of HIV infection have occurred up to 96%. Oral candidiasis is often the initial manifestations of HIV infection, the most common dental damage; For the vast majority of cases, the early signs of immune suppression in HIV infection and other opportunistic infections may. Some people think that oral candidiasis and hairy leukoplakia as find or predict AIDS indicators. Hairy leukoplakia occurred at the edge of the tongue on both sides of the white or gray lesions, lesions can also be extended to the tongue, abdomen and the back of the tongue, can not erase. Hairy leukoplakia in HIV-infected and AIDS patients, is common after the incidence of candidiasis oral manifestations of HIV-related disease markers, almost only found in the specificity of HIV infection and AIDS population, there are very significant. Therefore, should attach great importance to the emergence of hairy leukoplakia.
Periodontal disease manifested as inflammation of the gums, gums, ulcers, gingival necrosis and loose teeth, and can be symptoms of bleeding gums pain and malignant. It is reported that 19% to 29% of HIV infection or AIDS have periodontitis.
Kaposi’s sarcoma was single or multiple red, light blue, or purple patches or lumps or ulcers, first seen on the palate and gums, Kaposi’s sarcoma in the general population is rare, with the AIDS epidemic, Kaposi’s sarcoma large numbers of people at risk of AIDS.
AIDS patients suffering from Kaposi’s sarcoma in the United States, may be at least 2 times greater than the general population. In the oral manifestations of HIV-infected people and AIDS patients, the prevalence of Kaposi’s sarcoma after candidiasis and hairy leukoplakia, a higher incidence. “Some epidemiological data show that all HIV-positive or AIDS patients, from infants to adults, dental damage can occur. Usually the highest incidence of the crowd for male homosexual patients, heterosexuals, intravenous drug users and other adult With the expansion of the scope of infection, HIV-positive children and HIV-infected persons receiving blood products also appear Oral Manifestations of AIDS patients with oral lesions and HIV infection, AIDS patients have very close ties; often because oral symptoms treatment in dentistry.
Therefore, as a dentist should have this knowledge for early detection and diagnosis of infected persons and patients and to take the necessary treatment measures and means to prevent the spread of AIDS.