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Dental-related problems and oral manifestation of HIV/AIDS patients in Soetomo General Hospital Surabaya

Abstract

Introduction: HIV infection and AIDS have a potential impact on future generations, especially in Indonesia, as a significant contributor to HIV transmission. HIV-infected and AIDS patients are easily contracting possible infections, mainly in the oral cavity, which are decreasing patient’s quality of life due to pain, discomfort, and appetite loss. They also subjected to oral health problems, such as dental caries and gingivitis. However, patients with HIV/AIDS tend to neglect their oral health, as they are more concerned with their systemic conditions. This study reports oral manifestations of HIV/AIDS patients and their dental-related problems to assess the need for holistic management.

Methods: Observational studies performed on stadium 4 AIDS patients admitted in the outpatient facility of the Intermediate Care Unit for Infectious Diseases in Soetomo Hospital Surabaya from 2011-2012. Eighty-seven patients participated in this study. Subjects were interviewed regarding previous dental check-ups and examined for oral diseases. Diagnosis of oral lesions and dental problems were made based on clinical appearance.

Results: Many cases of strongly-related lesions were observed, such as oral pseudomembranous candidiasis, atrophic glossitis, chronic hyperplastic candidiasis, oral hairy leukoplakia, linear gingival erythema, and also other less strongly-related lesions such as aphthous stomatitis, exfoliative cheilitis, and angular cheilitis. Dental problems were observed, including dental caries, chronic marginal gingivitis due to calculi deposit, residual roots, and impacted wisdom teeth. During the survey on previous dental check-ups, subjects revealed that most of the patients had never visited a dentist since they diagnosed with HIV (+), and other patients admitted that they choose to conceal their HIV status to the dentist.

Conclusion: Dentists must be well-equipped with comprehensive knowledge of HIV-related manifestations and dental treatment considerations to provide adequate dental and oral health management as a part of the holistic management of HIV/AIDS.

References

  1. Morineau G, Bollen LJM, Syafitri RI, Nurjannah N, Mustikawati DE, Magnani R. HIV prevalence and risk behaviours among injecting drug users in six indonesian cities implications for future HIV prevention programs. Harm Reduct J [Internet]. 2012;9(1):37. Available from: https://doi.org/10.1186/1477-7517-9-37
  2. Frimpong P, Amponsah EK, Abebrese J, Kim SM. Oral manifestations and their correlation to baseline CD4 count of HIV/AIDS patients in Ghana. J Korean Assoc Oral Maxillofac Surg [Internet]. 2017/02/20. 2017 Feb;43(1):29–36. Available from: https://pubmed.ncbi.nlm.nih.gov/28280707
  3. Bodhade AS, Ganvir SM, Hazarey VK. Oral manifestations of HIV infection and their correlation with CD4 count. J Oral Sci. 2011 Jun;53(2):203–11.
  4. Nanteza M, Tusiime JB, Kalyango J, Kasangaki A. Association between oral candidiasis and low CD4+ count among HIV positive patients in Hoima Regional Referral Hospital. BMC Oral Health [Internet]. 2014;14(1):143. Available from: https://doi.org/10.1186/1472-6831-14-143
  5. Li R, Dong W, He W, Liu Y. Chinese dental students’ knowledge and attitudes toward HIV/AIDS. J Dent Sci. 2016;11(1):72–8.
  6. Khan SA, Liew ML, Omar H. Role of ethical beliefs and attitudes of dental students in providing care for HIV/AIDS patients. Saudi Dent J [Internet]. 2016/12/28. 2017 Jan;29(1):7–14. Available from: https://pubmed.ncbi.nlm.nih.gov/28270704
  7. Pakfetrat A, Falaki F, Delavarian Z, Dalirsani Z, Sanatkhani M, Zabihi Marani M. Oral manifestations of human immunodeficiency virus-infected patients. Iran J Otorhinolaryngol. 2015 Jan;27(78):43–54.
  8. Kumar S, Mishra P, Warhekar S, Airen B, Jain D, Godha S. Oral Health Status and Oromucosal Lesions in Patients Living with HIV/AIDS in India: A Comparative Study. Poli G, editor. AIDS Res Treat [Internet]. 2014;2014:480247. Available from: https://doi.org/10.1155/2014/480247
  9. Rajabiun S, Fox JE, McCluskey A, Guevara E, Verdecias N, Jeanty Y, et al. Patient perspectives on improving oral health-care practices among people living with HIV/AIDS. Public Health Rep [Internet]. 2012 May;127 Suppl(Suppl 2):73–81. Available from: https://pubmed.ncbi.nlm.nih.gov/22547879
  10. AÅ¡kinytÄ— D, MatulionytÄ— R, RimkeviÄius A. Oral manifestations of HIV disease: A review. Stomatologija. 2015;17(1):21–8.
  11. Mathur S, Jani M, Thakkar P, Shah A. Oral Manifestations of HIV Infection. Int J Dent Med Res. 2014;1(4):139–42.
  12. Berberi A, Aoun G. Oral lesions associated with human immunodeficiency virus in 75 adult patients: a clinical study. jkaoms [Internet]. 2017 Dec 26;43(6):388–94. Available from: http://dx.doi.org/10.5125/jkaoms.2017.43.6.388
  13. Akinbami A, Oshinaike O, Adeyemo T, Adediran A, Owolabi D, Mobolaji D, et al. Hematologic Abnormalities in Treatment-Naïve HIV Patients. Infect Dis Res Treat. 2010 Dec 1;3.
  14. Hidayat W, Dewi TS, Wisaksana R. Oral manifestations of anemia in HIV/AIDS patients without ARV treatment. Padjadjaran J Dent. 2017;29(1):44–7.
  15. Abbas A, Lichtman A, Pillai S. Cellular and Molecular Immunology. 6th ed. Philadelphia: Saunders, Elsevier Inc.; 2006. 478–488 p.
  16. Challacombe SJ, Naglik JR. The Effects of HIV Infection on Oral Mucosal Immunity. Adv Dent Res [Internet]. 2006 Apr 1;19(1):29–35. Available from: https://doi.org/10.1177/154407370601900107
  17. Wilson NL, Azuero A, Vance DE, Richman JS, Moneyham LD, Raper JL, et al. Identifying Symptom Patterns in People Living With HIV Disease. J Assoc Nurses AIDS Care [Internet]. 2015/11/30. 2016;27(2):121–32. Available from: https://pubmed.ncbi.nlm.nih.gov/26790340
  18. de Repentigny L, Lewandowski D, Jolicoeur P. Immunopathogenesis of oropharyngeal candidiasis in human immunodeficiency virus infection. Clin Microbiol Rev. 2004 Oct;17(4):729–59, table of contents.
  19. Saccente M. Fungal infections in the patient with human immunodeficiency virus infection. In: Clinical Mycology. 2009.
  20. Alwafi HA, Meer AMT, Shabkah A, Mehdawi FS, El-Haddad H, Bahabri N, et al. Knowledge and attitudes toward HIV/AIDS among the general population of Jeddah, Saudi Arabia. J Infect Public Health. 2018;11(1):80–4.
  21. Gagnon M. Re-thinking HIV-Related Stigma in Health Care Settings: A Qualitative Study. J Assoc Nurses AIDS Care. 2015;26(6):703–19.
  22. Shiboski CH, Cohen M, Weber K, Shansky A, Malvin K, Greenblatt RM. Factors associated with use of dental services among HIV-infected and high-risk uninfected women. J Am Dent Assoc [Internet]. 2005 Sep 1;136(9):1242–55. Available from: https://doi.org/10.14219/jada.archive.2005.0340
  23. Kumar S, Tadakamadla J, Areeshi AYBH, Tobaigy HAWM. Knowledge and attitudes towards HIV/AIDS among dental students of Jazan University, Kingdom Saudi Arabia. Saudi Dent J [Internet]. 2018 Jan;30(1):47—52. Available from: https://europepmc.org/articles/PMC6112364
  24. Donnelly LR, Bailey L, Jessani A, Postnikoff J, Kerston P, Brondani M. Stigma Experiences in Marginalized People Living With HIV Seeking Health Services and Resources in Canada. J Assoc Nurses AIDS Care. 2016;27(6):768–83.
  25. Kim GS, Kim S, Choi JY, Lee JI, Park CG, McCreary LL. Mediators and Moderators of Health-Related Quality of Life in People Living with HIV. J Assoc Nurses AIDS Care. 2018;29(4):580–91.
  26. Davtyan M, Olshansky EF, Brown B, Lakon C. A Grounded Theory Study of HIV-Related Stigma in US . -Based Health Care Settings. J Assoc Nurses AIDS Care. 2017;28(6):907–22.
  27. Ford N, Ball A, Baggaley R, Vitoria M, Low-Beer D, Penazzato M, et al. The WHO public health approach to HIV treatment and care: looking back and looking ahead. Lancet Infect Dis [Internet]. 2018 Mar;18(3):e76—e86. Available from: https://doi.org/10.1016/S1473-3099(17)30482-6

How to Cite

Radithia, D., Soebadi, B., Hendarti, H. T., Surboyo, M. D. C., Ayuningtyas, N. F., & Triyono, E. A. (2020). Dental-related problems and oral manifestation of HIV/AIDS patients in Soetomo General Hospital Surabaya. Bali Medical Journal, 9(2), 537–541. https://doi.org/10.15562/bmj.v9i2.1291

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Desiana Radithia
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Bagus Soebadi
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Hening Tuti Hendarti
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Meircurius Dwi Condro Surboyo
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Nurina Febriyanti Ayuningtyas
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Erwin Astha Triyono
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