HIV感染引起的牙周并发症。

J S Greenspan
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引用次数: 0

摘要

随着获得性免疫缺陷综合症(艾滋病)的流行范围扩大,异性恋成人和儿童的比例越来越大,在旧金山一家诊所,人类免疫缺陷病毒(艾滋病毒)相关牙周疾病的严重程度也发生了变化。HIV相关牙龈炎,现在称为线性牙龈红斑,HIV相关牙周炎(或坏死性溃疡性牙周炎)和坏死性口炎的病例不那么严重,尽管总体HIV病例量有所增加。这一趋势没有明确的基础,但可能的解释包括:有偏见的人群样本,随着疾病成熟免疫抑制增加,使用抗菌治疗,或患者人口统计学的变化。有几项研究未能确定一种致病生物。这篇文章介绍了hiv相关牙周并发症的综述,并指出这种情况可以用局部和全身抗生素治疗,世界各地的牙科专业人员可以预期,在未来几年内,具有特殊临床并发症的hiv感染患者将大幅增加。
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Periodontal complications of HIV infection.

As the scope of the acquired immunodeficiency syndrome (AIDS) epidemic grows to include increasingly larger proportions of heterosexual adults and children, there has also been a change in the severity of human immunodeficiency virus (HIV)-related periodontal conditions at one San Francisco clinic. The cases of HIV-associated gingivitis, now called linear gingival erythema, HIV-associated periodontitis (or necrotizing ulcerative periodontitis), and necrotizing stomatitis have been less severe, despite an increase in overall HIV caseload. No clear basis for this trend has been established, but possible explanations include: biased population samples, increased immunosuppression as the disease matures, use of antimicrobial therapy, or a change in patient demographics. Several studies have failed to identify a single causative organism. This article presents a review of HIV-related periodontal complications and points out that the condition can be treated with local and systemic antibiotics and that dental professionals throughout the world can expect a tremendous increase over the next several years in HIV-infected patients with special clinical complications.

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Implications of periodontal microbiology for the treatment of periodontal infections. Periodontal complications of HIV infection. Enhancing cosmetics through regenerative periodontal procedures. Ridge augmentation in preparation for conventional and implant-supported restorations. Chlorhexidine gluconate in periodontal treatment.
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