Severe periodontitis is more common in HIV- infected patients

Research output: Contribution to journalArticleAcademicpeer-review

10 Citations (Scopus)
134 Downloads (Pure)

Abstract

Objective: To assess periodontitis prevalence and severity in HIV infected patients as compared to controls. Furthermore, to assess whether HIV infection characteristics are associated with periodontitis.

Design: cross-sectional controlled study.

Methods: We assessed prevalence and severity of periodontitis in 258 HIV-infected patients and 539 historical controls with the Dutch Periodontal Screening Index (DPSI). HIV characteristics were collected from medical charts. Age-related diseases and oral care were assessed with questionnaires.

Results: Severe periodontitis (DPSI 4) was more prevalent in HIV-infected patients than in controls (66% vs. 36%, p =0.002). HIV-infection, increasing age and male sex were significant risk factors for severe periodontitis. In particular, older male HIV patients have a higher risk of severe periodontitis. Clinical, immunological and virologic characteristics, and antiretroviral therapy were not associated with periodontitis prevalence or severity. HIV-infected patients rate the importance of their oral health as high, although many do not disclose their HIV infection to their dentists.

Conclusions: Prevalence and severity of periodontitis are higher in HIV-infected patients compared to controls, particularly in older males. Awareness of the increased prevalence of periodontitis associated with HIV-infection among patients and health-care professionals could significantly improve oral health and quality of life of HIV-infected patients. (C) 2018 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)171-177
Number of pages7
JournalJournal of infection
Volume78
Issue number3
DOIs
Publication statusPublished - Mar-2019

Keywords

  • HIV infection
  • Periodontitis
  • Prevalence
  • ORAL LESIONS
  • ANTIRETROVIRAL THERAPY
  • POSITIVE PATIENTS
  • RISK-FACTORS
  • PREVALENCE
  • DISEASE
  • SMOKING
  • ADULTS
  • CLASSIFICATION
  • INFLAMMATION

Cite this