Dental care for HIV‐positive patients

Barr, Charles; Rua-Dobles, Ana; Puig, Nilda

doi:10.1111/j.1754-4505.1989.tb01186.x

Cited by 11 publications

(4 citation statements)

References 6 publications

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“…Different dentists adopt different attitudes, such as those willing to provide treatment for patients with early HIV but not those suffering from full‐blown AIDS; furthermore, some practitioners seem to be worried that, if it becomes known that they are willing to treat HIV‐infected individuals or even non‐infected homosexual males, then they may end up losing non‐HIV‐infected patients (Barr et al , 1989).…”

Section: Discussionmentioning

confidence: 99%

Willingness of dentists in Jordan to treat HIV‐infected patients

El-Maaytah¹,

Kayed²,

Qudah³

et al. 2005

Oral Diseases

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Section: Discussionmentioning

confidence: 99%

Willingness of dentists in Jordan to treat HIV‐infected patients

El-Maaytah¹,

Kayed²,

Qudah³

et al. 2005

Oral Diseases

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“…Within the resource-stressed setting of a developing country such as South Africa, however, this training and continuing education is not universal. Some dentists consider it their right to refuse treatment to people living with HIV, especially when the risks are high (Barr et al, 1989;Manz et al, 1994;Lapidus and Sandler, 1997), however, refusal to treat a patient after the patient has disclosed their HIV status is discrimination (Chikte and Naidoo, 2000). Current scientific evidence indicates that knowledge of the HIV status of the patient does not provide additional protection to oral health care workers (Naidoo and Govan, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…The second most common fear was their personal risk for contracting HIV infection, thereafter it was the potential risk of losing other patients from the practice and financial concerns related to treating HIV infected people considering the extra time needed to provide appropriate care for people living with HIV (Crossley, 2004). Some dentists might consider it their right to refuse treatment to people living with HIV, especially when the risks are high (Barr et al, 1989;Swartz and Roux, 2004;Lapidus and Sandler, 1997), however, refusal to treat a patient after the patient has disclosed their HIV status is discrimination (Terry et al, 1994;Chikte and Naidoo, 2000).…”

Section: Introductionmentioning

confidence: 99%

Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

Turton

Naidoo

2014

Ethnicity and Inequalities in Health and Social Care

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Purpose – The purpose of this paper is to determine the oral health care experiences of people living with HIV in Kwazulu-Natal (KZN) and the Western Cape (WC) and also to identify the role of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC. Design/methodology/approach – This study was a survey among HIV-positive people attending selected Community Health Centres and regional hospitals, HIV clinics in KZN and WC provinces in South Africa. The sample consisted of people living with HIV that were 18 years or older and who had given written, informed consent. A cross-sectional study structure has been employed using a standardized format using a semi-structured interview and an administered questionnaire to collect data. The study classified participants as living in metropolitan or non-metropolitan areas. Findings – Apprehension of loss of confidentiality, stigma and discrimination were the barriers that deterred participants from seeking care. Respondents stated that they feared what the dentist and staff would think of them being HIV positive and feared being discriminated against by the dentist and staff. In some instances there appears to be a difference between policy and practice regarding the oral health care needs of and services rendered to people living with HIV in public health facilities as there are still patients who do not obtain care and for whom the attitudes of the health care provider constitutes the major barrier to accessing that care. Research limitations/implications – The results are specific to KZN and WC and have to be extrapolated with caution to the rest of South Africa. Additionally, this study did not have a control group of HIV-negative people which would have enabled one to determine whether certain barriers were unique to people living with HIV. Practical implications – To make recommendations with respect to addressing the issue of stigma and discrimination in the oral health care experiences for people living with HIV in KZN and the WC as there is a definite need for the government to address the resource needs of rural areas and less developed areas of South Africa. Health care is a much-needed resource in these high prevalence areas and governments must ensure that all their HIV/AIDS projects and policies should have a rural component built into them. Social implications – This study emphasizes the importance of embracing people that are being discriminated and marginalized by society such as people living with HIV to ensure that they feel a franchised member of society who can take the initiative to be in control of their own health and, with the necessary aid from public resources and societal support, join forces to reduce the public health burden and its impact on the socio-economic milieu. Originality/value – To the best of the author's knowledge, there is no other study that has compared differences in the use of oral health care services by people with HIV in South Africa and these results serve as an indication of some the important issues in this regard.

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“…This issue of complications after simple or surgical tooth extraction in the outpatient setting is of special relevance. Various authors have studied the incidence of complications after simple tooth extraction in HIV‐infected patients, and they reported similar percentages to those found in uninfected patients (below 5%) (Barr et al , 1989; Porter et al , 1993). Besides finding a complication rate of 4.1% after simple extraction in these patients, Glick et al (1994) reported a rate of 11.8% after surgical extraction, similar to the percentage found in HIV‐negative patients (Oikarinen and Rasanen, 1991).…”

Section: Discussionmentioning

confidence: 59%

Oral complication risks after invasive and non‐invasive dental procedures in HIV‐positive patients

et al. 2007

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The complication rate was 2.2% overall and 4.8% after invasive dental procedures. Presence of oral lesions, smoking habit or HIV clinical stage B may be predictive factors for oral complications in HIV patients. No relationship was found between complications and virological, immunological or other laboratory values. Studies with wider samples and negative control group are warranted to confirm the absence of an association between HIV positivity and higher risk of oral complications.

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Dental care for HIV‐positive patients

Cited by 11 publications

References 6 publications

Willingness of dentists in Jordan to treat HIV‐infected patients

Willingness of dentists in Jordan to treat HIV‐infected patients

Stigma and disclosure as barriers to regular dental care for people living with HIV/AIDS in Kwazulu-Natal and Western Cape, South Africa

Oral complication risks after invasive and non‐invasive dental procedures in HIV‐positive patients

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