Alveolar bone loss is a significant contributor to tooth loss in dentate HIV+ patients: A retrospective study.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Special Care in Dentistry Pub Date : 2024-11-01 Epub Date: 2024-08-21 DOI:10.1111/scd.13054

Houda Tebcherany, Tom Rogers, Ahmed Khocht

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Abstract

Background: The study objectives were to determine tooth loss prevalence and to investigate the relationship between tooth loss and potential risk factors among adult dentate HIV+ patients on newer antiretroviral therapy (ART) regimens.

Methods: Health records of 450 human immunodeficiency virus (HIV)-infected individuals were surveyed. Eighty-eight records of dentate HIV+ individuals with full-mouth periodontal charting and intra-oral periapical radiographs were identified. We collected data on demographics, systemic risk factors, oral health, and HIV disease measures. Caries exposure and alveolar bone loss (ABL) were radiographically assessed.

Results: Eighty-eight percent of patients showed tooth loss. Patients with ABL ≥15% had a higher number of missing teeth (p < .01). Stepwise regression analyses indicated that tooth loss was positively associated with age (β = 0.45, p < .01) and ABL (β = 0.39, p < .01). By contrast number of years on ART was negatively associated with tooth loss (β = -0.28, p < .05).

Conclusions: Tooth loss remains prevalent among HIV+ patients, and periodontal disease is a significant contributor. The number of years on ART seem to improve oral health behavior and reduce tooth loss.

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牙槽骨缺失是导致齿列不齐的 HIV 感染者牙齿脱落的重要原因：一项回顾性研究。

研究背景研究目的是确定牙齿脱落的流行率，并调查接受新型抗逆转录病毒疗法（ART）治疗的成年有牙齿 HIV+ 患者中牙齿脱落与潜在风险因素之间的关系。方法：调查了 450 名人类免疫缺陷病毒（HIV）感染者的健康记录。确定了 88 份具有全口牙周病历和口内根尖周炎 X 光片的牙源性 HIV 感染者的病历。我们收集了有关人口统计学、系统性风险因素、口腔健康和 HIV 疾病测量的数据。对龋齿暴露和牙槽骨损失（ABL）进行了放射学评估：结果：88%的患者牙齿脱落。ABL≥15%的患者缺牙数量较多（p 结论：缺牙在艾滋病患者中仍然普遍存在：牙齿缺失在艾滋病病毒感染者中仍然很普遍，牙周病是一个重要因素。接受抗逆转录病毒疗法的年数似乎可以改善口腔健康行为，减少牙齿脱落。

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来源期刊

Special Care in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.40

自引率

14.30%

发文量

120

期刊介绍： Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.