Oral health status of people living with HIV/AIDS attending a specialized service in Brazil

Soares, Gabriella Barreto; Garbín, Cléa Adas Saliba; Moimaz, Suzely Adas Saliba; Garbín, Artênio José Ísper

doi:10.1111/scd.12056

Cited by 12 publications

(32 citation statements)

References 31 publications

(43 reference statements)

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“…This study showed a correlation between the average age of cases and the mean value of the DMFT index, decayed, and missing teeth. Similar to this study, Soares et al showed that the DMFT index and missing teeth increase with patients’ age, but there was no relationship between age and decayed teeth (11). In contrast with this study, Santo et al observed no relationship between the DMFT index and age.…”

Section: Discussionsupporting

confidence: 85%

“…This noted difference may be traced to differences of race, oral hygiene behaviors, nutrition, types of treatment, the fluoride content of drinking water, extent of dental services, and the implementation of training and preventative programs. In this study, the mean of filled teeth was apparently lower than others (3, 9, 11-13). Since the people of the studied region need serious dental services, essential plans should be prepared to build a context from which these people can benefit by using dentistry services.…”

Section: Discussioncontrasting

confidence: 72%

“…The mean value of the DFMT index in this study was 11.9 (D = 8.4, M = 3.4, F = 0.03). It is higher than the results shown by Liberali et al (DMFT = 8.7, D = 0.6, M = 1.6, F = 6.6) in Australia and lower than those found by Santo et al, (DMFT = 16.44, D = 5.28, M = 9.25, F = 1.91) in Portugal, Aleixo et al, (DMFT = 16.9, D = 1.7, M = 11.1, F = 3.3), Soares et al, (DMFT = 17.64, D = 2.85, M = 9.12, F = 5.67), and Pinheiro et al (DMFT = 18.8, D = 3.9, M = 8.2, F = 6.6) in Brazil (3, 9, 11-13). This noted difference may be traced to differences of race, oral hygiene behaviors, nutrition, types of treatment, the fluoride content of drinking water, extent of dental services, and the implementation of training and preventative programs.…”

Section: Discussionmentioning

confidence: 91%

“…Some studies have only mentioned dental caries in this group of people, while other studies similar to this one used the DMFT index to determine patient dental health status (9, 11, 12, 15, 16). The mean value of the DFMT index in this study was 11.9 (D = 8.4, M = 3.4, F = 0.03).…”

Section: Discussionmentioning

confidence: 99%

“…However, some studies have shown the decreased prevalence of caries in patients who receive ART (9, 10). On the other hand, some socio-demographical factors including age, marital status, education, employment, smoking, and use of health services can all play a role in the weak dental status of HIV-positive patients (11, 12). According to reports, the value of the DMFT (decayed, missing, and filled teeth) index in HIV-positive patients ranges from 8.7 to 18.8 (3, 13).…”

Section: Introductionmentioning

confidence: 99%

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Dental Health Status of HIV-Positive Patients and Related Variables in Southeast Iran

Saravani

Zehi

Kadeh

et al. 2016

Int J High Risk Behav Addict

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BackgroundDifferent factors can be responsible for the increased prevalence of dental caries and missing teeth in HIV-positive patients.ObjectivesThis study evaluates dental health status and its relationship with social, behavioral, and medical factors in HIV-positive patients under the coverage of Zahedan University of Medical Sciences in Southeast Iran.Patients and MethodsIn a cross-sectional study, the dental health status of 119 HIV-positive patients was assessed in accordance with WHO indices and included decayed, missing, and filled teeth (DMFT). A questionnaire on different social, behavioral, and medical variables was filled out for every case and the relationship and correlation of the variables to dental health status were investigated using One-way ANOVA, the Kruskal Wallis test, the t-test, the Mann-Whitney test, Spearman’s rho correlation coefficient, and Pearson correlation.ResultsThe mean value of DMFT index was 11.87 ± 8.08, where the mean values of decayed and missing teeth were 8.42 ± 5.44 and 3.43 ± 4.07, respectively. DMFT index, decayed, and missing teeth correlated only with age (P < 0.0001, P = 0.009, P < 0.0001) and duration of HIV involvement (P = 0.004, P = 0.031, P = 0.007).ConclusionsThe dental health status of HIV-positive patients in this region was almost inappropriate. Most social, behavioral, and medical factors had no influence on dental health; only a correlation between dental health, age, and duration of HIV involvement was observed.

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Section: Discussionsupporting

confidence: 85%

Section: Discussioncontrasting

confidence: 72%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dental Health Status of HIV-Positive Patients and Related Variables in Southeast Iran

Saravani

Zehi

Kadeh

et al. 2016

Int J High Risk Behav Addict

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Caries experience by socio-behavioural characteristics in HIV-1-infected and uninfected Ugandan mothers – a multilevel analysis

Birungi

Engebretsen

Tumwine

et al. 2021

Acta Odontologica Scandinavica

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Objectives: To assess caries experience in Ugandan mothers according to HIV status, socio-behavioural-characteristics, gingival bleeding status and to examine whether HIV status impacts the association of socio-behavioural characteristics with caries experience. Third, using multilevel analysis, this study assessed to what extent surface-specific caries experience varied between and within individuals. Materials and methods: Caries experience was recorded using the World Health Organization's Decayed, Missed and Filled Teeth/Surfaces indices from a cohort of 164 HIV-1-infected Ugandan mothers and a cross sectional comparison group of 181 negative controls. Mixed-effects logistic regression was conducted with surface-specific caries experience as the outcome variable. Results: The prevalence of caries in HIV-1-infected and uninfected mothers was 81% and 71%, respectively. Significant associations occurred between caries experience at surface level and women's increasing age (odds ratio [OR] ¼ 1.8, 95% confidence interval [CI]: 1.1-2.8) and presence of gingival bleeding (OR ¼ 2.0, 95% CI: 1.2-3.2). Intra-class correlation (ICC) coefficient amounted to 0.54 (95% CI 0.48-0.59). Conclusions: Caries prevalence was higher in HIV-1 infected than in uninfected mothers and increased with age and gingival bleeding. ICC indicated that 54% of the variance was attributable to variation between individuals. Socio-demographic differences in dental caries did not vary by HIV-1 status.

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Frailty in people 50 years or older living with HIV: A sex perspective

Wiechmann,

Tejo,

Inácio

et al. 2023

HIV Medicine

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ObjectiveTo estimate prefrailty and frailty prevalence and associated factors in people living with HIV (PLHIV) from a sex perspective.MethodsCross‐sectional study on PLHIV at specialized public health centres in Brazil. Data were obtained from individuals aged ≥50 years using antiretroviral therapy (ART) and with an undetectable viral load through personal interviews, clinical evaluations and medical records. Frailty and prefrailty were characterized using the Fried Frailty Phenotype tool. Multinomial regression models were performed, and the associated factors were selected through the backward stepwise method.ResultsAmong 670 patients, 373 men and 297 women were included. The prevalence of frailty and prefrailty was significantly higher for women (16.2% and 56.2%, respectively) than for men (11.5% and 46.4%, respectively). Low socioeconomic and educational level, multimorbidity, depression, subjective cognitive complaints, and low scores on the Mini‐Mental State Exam (MMSE) were associated (P < 0.05) with frailty for both sexes. However, in the sex‐specific analysis, while smoking (OR = 3.66, 95% CI: 1.58–8.48) and a history of low adherence to ART (OR = 3.10, 95% CI: 1.33–7.23) were associated with frailty in men, depression (OR = 3.39, 95% CI: 1.36– 8.44) and the absence of functional dentition (OR = 3.77, 95% CI: 1.36– 10.43) were associated with frailty in women.ConclusionsThis study adds self‐reported cognitive complaints as a potential predictor of frailty in both sexes and supports the known deleterious effect of multimorbidity on frailty in adults living with HIV. Furthermore, it suggests that other possible predictors, such as depression, oral health status and adherence to ART, may be sex‐specific.

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Oral health status of people living with HIV/AIDS attending a specialized service in Brazil

Abstract: Poor oral health of the PLWHA was mainly influenced by sociodemographic factors and use and satisfaction with service.

Cited by 12 publications

References 31 publications

Dental Health Status of HIV-Positive Patients and Related Variables in Southeast Iran

Dental Health Status of HIV-Positive Patients and Related Variables in Southeast Iran

Caries experience by socio-behavioural characteristics in HIV-1-infected and uninfected Ugandan mothers – a multilevel analysis

Frailty in people 50 years or older living with HIV: A sex perspective

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