ORAL MANIFESTATIONS OF HIV/AIDS

Dr. Patsy K. Fujimoto

University of Hawaii, Manoa

Department of Dental Hygiene

ORAL MANIFESTATIONS OF HIV/AIDS

• What are the factors affecting the occurrence of oral manifestations?

• What are the oral manifestations of HIV/AIDS?• What effect has HAART had on oral manifestations?• Do oral manifestations indicate seroconversion or

progression to more severe immunosuppression?• Are dental patients with HIV more prone to post

operative complications?• Are dental HCW exposed to aerosols at higher risk of

contracting HIV?• What is the newest HIV test?

KAPOSI’S SARCOMA

KAPOSI’S SARCOMA

LYMPHOMA

LYMPHOMA

LINEAR GINGIVAL ERYTHEMA

LINEAR GINGIVAL ERYTHEMA

NECROTIZING ULCERATIVE PERIODONTITIS

NECROTIZING ULCERATIVE PERIODONTITIS

HERPES SIMPLEX

HERPES ZOSTER (SHINGLES)

HERPES ZOSTER (SHINGLES)

CYTOMEGALOVIRUS/HERPES LESION

HAIRY LEUKOPLAKIA

WART (HPV)

WART (HPV)

PSEUDOMEMBRANOUS CANDIDIASIS

ERYTHEMATOUS CANDIDIASIS

ERYTHEMATOUS CANDIDIASIS

ANGULAR CHEILITIS

APHTHOUS ULCER (MINOR)

APHTHOUS ULCER (MAJOR)

APHTHOUS ULCER (MAJOR)

XEROSTOMIA (CLINICAL)

WHAT EFFECT HAS HAART HAD ON ORAL MANIFESTATIONS?

• Significant reduction –oral hairy leukoplakia, necrotizing ulcerative periodontitis

• No significant reduction –candidiasis, oral ulcers, Kaposi’s sarcoma

• Increase-salivary gland disease, oral warts

• Reduction of oral lesions-47.6% to 37.5%

DO ORAL MANIFESTATIONS INDICATE SEROCONVERSION OR PROGRESSION TO MORE

SEVERE IMMUNOSUPPRESSION?

Kaposi’s sarcoma maybe an indicator of progression to severe

immunosuppression

ARE DENTAL HCW EXPOSED TO AEROSOLS AT HIGHER

RISK OF CONTRACTING HIV?

Transmission via aerosols has not been documented

ARE DENTAL PATIENTS WITH HIV MORE PRONE TO POST

OPERATIVE COMPLICATIONS?

NO

WHAT IS THE NEWEST HIV TEST?

OraQuick rapid HIV test for oral fluid

QUESTIONS?QUESTIONS?

THANK YOU!THANK YOU!