Overview and research agenda arising from the 7th World Workshop on Oral Health and Disease in <scp>AIDS</scp>

Tappuni, AR; Shiboski, CH

doi:10.1111/odi.12459

Cited by 9 publications

(7 citation statements)

References 10 publications

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“…Absence of policies promoting universal access to health care in these countries has resulted in clustering of dental clinics in urban centres where residents can afford to meet the costs of treatment (Yengopal and Naidoo, 2008;Jones, 2013). OHCWs need to own the evolution of health care in the HIV era by playing their role in advocacy for change of current healthcare provision models (Tappuni and Shiboski, 2016).…”

Section: Questionmentioning

confidence: 99%

Access and management of HIV‐related diseases in resource‐constrained settings: a workshop report

et al. 2016

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With advancement of medical interventions, the lifespan of people living with HIV has increased globally. However, low‐ and middle‐income countries (LMICs) which bear the greatest burden of the HIV pandemic face a constant challenge in addressing the treatment needs of immune‐suppressed patients. An analysis of the current management protocols and access to medication in resource‐poor settings was conducted at this workshop, with emphasis on the situation in resource‐poor settings. The participants developed a consensus document based on the need to respond to the constantly changing HIV pandemic. Provision of oral health care must be guided by interconnecting principles based on population based strategies that address upstream determinants of health. Basic oral health coverage in developing countries can only be realized with a strong foundation at the primary health level. Early diagnosis of HIV‐related comorbidities including the adverse effects of ARVs is essential for the improvement of treatment outcomes. Standardization of oral health care delivery mechanisms will facilitate evaluation at national and regional levels. Oral health care workers have a moral obligation to participate in sustained campaigns to reduce the social stigma associated with HIV/AIDS in their work places at every stage of the referral chain. Future research also needs to realign itself towards prevention using the common risk factor approach, which has a broader impact on non‐communicable diseases, which are increasingly affecting patients with HIV/AIDS as their life expectancies increase.

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Section: Questionmentioning

confidence: 99%

Access and management of HIV‐related diseases in resource‐constrained settings: a workshop report

et al. 2016

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“…Therefore, this article reports on a workshop about the global burden of oral diseases in pediatric HIV-infected populations. The objectives of this workshop were to achieve a comprehensive understanding of these issues and to identify research needs in the field (Tappuni and Shiboski, 2016).…”

Section: Introductionmentioning

confidence: 99%

The global burden of oral diseases in pediatric HIV‐infected populations: a workshop report

et al. 2016

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“…For a summary of this article and for further details on the overall Research Agenda arising from the WW7 Workshop, see Tappuni and Shiboski, 2016, also in this issue.…”

Section: Oral Diseasesmentioning

confidence: 99%

Comorbidities associated with HIV and antiretroviral therapy (clinical sciences): a workshop report

et al. 2016

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In the era of combination antiretroviral therapy (ART), parsing out the effects of HIV versus ART on health outcomes is challenging. Nadir CD4 count, a marker of the extent of immunosuppression, has significant long-term impact on an array of disease states in HIV+ persons; however, in the dental literature, reporting of pre-ART exposure to immunosuppression has largely been ignored and this limits the validity of previous studies. In Workshop A1 we explain fully the importance of nadir CD4, pre-ART immunosuppression, and identify a need to include specific variables in future research. The questions posed herein are challenging, typically not neatly addressed by any one study and require integration of the latest evidence from the wider medical literature. We consider topics beyond the confines of the oral cavity and examine oral health in the complex context of ART-era HIV-immunopathophysiology. We depict how variability in geographic setting and time period (pre and post-ART era) can impact oral conditions — influencing when HIV infection was detected (at what CD4 count), the type and timing of ART as well as social determinants such as strong stigma and limited access to care. We hope our Workshop will stir debate and energize a rigorous focus on relevant areas of future research in HIV/AIDS.

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Overview and research agenda arising from the 7th World Workshop on Oral Health and Disease in AIDS

Cited by 9 publications

References 10 publications

Access and management of HIV‐related diseases in resource‐constrained settings: a workshop report

Access and management of HIV‐related diseases in resource‐constrained settings: a workshop report

The global burden of oral diseases in pediatric HIV‐infected populations: a workshop report

Comorbidities associated with HIV and antiretroviral therapy (clinical sciences): a workshop report

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