Brazilian HIV-Infected Population: Assessment of the Needs of Endodontic Treatment in the Post–Highly Active Antiretroviral Therapy Era

Brito, Luciana Carla Neves de; Rosa, Marco Aurélio Camargo da; Lopes, Vinicius Salomão; Ferreira, Efigênia Ferreira e; Vieira, Leda Quércia; Sobrinho, Antônio Paulino Ribeiro

doi:10.1016/j.joen.2009.05.004

Cited by 7 publications

(13 citation statements)

References 30 publications

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“…Rates varying from 1.8% to 13% were published for adolescents in Lithuania and Manhattan (USA), respectively. 32,33 The rates found in the present study are also somewhat higher than those obtained for individuals with sickle cell anemia (10.2%) 14 and HIV-seropositivity under HAART (14%), 13 which is fully consistent with the severe degree of immunosuppression exhibited by patients subjected to HSCT. Although HSCT is crucial for the improvement and survival of patients, infection after transplantation is a relevant cause of morbidity and mortality.…”

Section: Discussionsupporting

confidence: 81%

“…This finding disagrees with findings corresponding to individuals infected with human immunodeficiency virus (HIV) and subjected to highly active antiretroviral therapy (HAART) and patients with aplastic anemia, most of whom are female (57.2% and 56.5%, respectively). 13,14 The median time from diagnosis to transplantation was rather long, approximately 12 months. In one retrospective study conducted in Porto Alegre, Rio Grande do Sul (RS), Brazil, in 2013, 15 the time to transplantation was less than 12 months for the majority (62.9%) of patients (n = 278) subjected to allogeneic HSCT.…”

Section: Discussionmentioning

confidence: 99%

“…Analyses of the need for endodontic treatment of a given population are difficult to find in the international literature; 13,14 the same applies to cases of patients subjected to or to being subjected to HSCT. In the present study, 23.2% of the patients required endodontic intervention.…”

Section: Discussionmentioning

confidence: 99%

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The need for endodontic treatment and systemic characteristics of hematopoietic stem cell transplantation patients

et al. 2017

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The aim of this study is to investigate the relationship between the epidemiological and clinical profiles of patients before and after hematopoietic stem cell transplantation (HSCT) and the need for endodontic treatment. The subjects included 188 individuals enrolled in the dental care program for transplanted patients of the School of Dentistry, Federal University of Minas Gerais (Faculdade de Odontologia da Universidade Federal de Minas Gerais, FO-UFMG) from March 2011 through March 2016. The patients were subjected to an HSCT conditioning dental regimen based on a thorough clinical and radiographic evaluation. Intraoral periapical and bite-wing X-rays were obtained, and after evaluation, specific dental treatment was planned and performed. The following demographic and clinical data were collected from the patients' medical records: age, gender, transplantation stage, primary disease, transplant type, medication used, complete blood count at the time of visit, and need for endodontic treatment. The Kolmogorov-Smirnov and the chi-square tests were used. Leukemia (31.3%) and multiple myeloma (17.9%) were the most prevalent primary diseases. Most patients were subjected to allogeneic-related transplantation (83.6%). Most patients exhibited platelet counts and hemoglobin concentrations below the reference values in the pre-transplantation stage, while the neutrophil and platelet counts and the hemoglobin levels were within the reference ranges in the post-transplantation stage. The proportions of individuals requiring endodontic treatment were similar between the pre-and post-transplantation groups: 24.3% and 24.7%, respectively. The systemic conditions of the patients referred for dental treatment were compromised.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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The need for endodontic treatment and systemic characteristics of hematopoietic stem cell transplantation patients

et al. 2017

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“…23 This study reported a rate of 14.5% of HIV-infected patients requiring endodontic treatment. 23 A previous study analyzed the Pulp sensitivity in a SCA Turkey population in an area with high prevalence of heterozygote patients with SCA. Overall, pulp necrosis occurred with pathoses in 6% of those teeth.…”

Section: Discussionmentioning

confidence: 77%

Sickle cell anemia in Brazil: personal, medical and endodontic patterns

et al. 2016

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Sickle cell anemia (SCA) is the most prevalent genetic disease worldwide. Recurrent vaso-occlusive infarcts predispose SCA patients to infections, which are the primary causes of morbidly and mortality. This study aimed to evaluate the relationship between SCA and endodontic diseases. Personal information, medical data (hematological indices, virologic testing, blood transfusions, medications received, splenectomy) and information on the need for endodontic treatment were obtained from SCA patients who were registered and followed up by the Fundação Hemominas, Minas Gerais, Brazil.These data were compared with the need for root canal treatment in SCA patients. One hundred eight patients comprised the studied population, and the rate of the need for endodontic therapy was 10.2%. Among the medical data, a significant difference was observed for eosinophil (p = 0.045) counts and atypical lymphocyte counts (p = 0.036) when the groups (with and without the need for endodontic treatment) were compared. Statistical relevance was observed when comparing the patients with and without the need for root canal therapy concerned eosinophil counts and atypical lymphocyte counts. The differences in statistical medical data, observed between the groups suggest that both parameters are naturally connected to the stimulation of the immune system that can occur in the presence of root canal infections and that can be harmful to SCA individuals.

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“…Studies that have evaluated the need for endodontic treatment in different communities have found values that are much less expressive than those observed here. These values were 14%, 10.2%, and 23.2% in HIV-positive patients, 4 in patients with sickle cell disease, 5 and in patients undergoing bone marrow transplantation, 6 respectively. In this study, the Sateré-Mawé ethnic group presented a higher prevalence of endodontic treatment compared to the Tikuna ethnic group, which can be explained by the great difficulty of access to dental health services and the absence of educational and preventive actions to promote oral health.…”

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confidence: 89%

Epidemiological analysis and need for endodontic treatment among the indigenous Sateré-Mawé and Tikuna

et al. 2018

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The objective of this study was to analyze the epidemiological profile of oral health of Sateré-Mawé indigenous people living in Barreirinha, Amazonas (AM), Brazil, and the Tikuna indigenous people living in the urban area of Manaus (AM), in addition to characterizing the need for endodontic treatment between the two ethnic groups. A total of 138 individuals participated in the study, of whom 98 were Tikuna and 40 were Sateré-Mawé; they were distributed in age groups ranging from seven to 75 years. A very high prevalence of caries was observed in both ethnic groups. For the Sateré-Mawé in the 7-12 age group, the decayed, missing, and filled teeth (DMFT) index presented a mean value of 3.17. Comparing the DMFT index and the need for endodontic treatment in each of the ethnicities, these variables were found to be correlated, because as the DMFT index increases, the chances of needing endodontic treatment increase. The Sateré-Mawé presented a higher prevalence of need for endodontic treatment compared to the Tikuna. The association of comorbidities and the need for endodontic treatment were demonstrated only in the Tikuna, and there was only a correlation of this necessity with the presence of diabetes mellitus (DM) in one case. The need to expand access to oral health in these communities is emphasized, taking into account geographical access and technological, environmental, linguistic, and cultural barriers.

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Brazilian HIV-Infected Population: Assessment of the Needs of Endodontic Treatment in the Post–Highly Active Antiretroviral Therapy Era

Cited by 7 publications

References 30 publications

The need for endodontic treatment and systemic characteristics of hematopoietic stem cell transplantation patients

The need for endodontic treatment and systemic characteristics of hematopoietic stem cell transplantation patients

Sickle cell anemia in Brazil: personal, medical and endodontic patterns

Epidemiological analysis and need for endodontic treatment among the indigenous Sateré-Mawé and Tikuna

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