Necessity for and control of dental treatment in HIV infected children. Inter-professional relationship between dentist and paediatrician.
HIV infected children frequently suffer from buccal-dental lesions needing dental treatment. This treatment should improve their systemic affection, localised pathology, psychological and affective state and their general quality of life. Hardly any of these children are ever treated; sometimes because of lack of family motivation (the most frequent cause) and others because of the lack of a Paediatric Dental Unit in the hospitals they attend. For this reason we present here two cases of HIV infected children, with HIV infected mothers, who, thanks to the relationship between the Paediatric and Dental Units of the hospital, have had access to dental treatment for multiple caries and candidiasis. An anatopathological diagnosis of gingival inflammation, which was also infected by candida, was also carried out. The treatment included extraction of teeth, pulpotomy, pulpectomy and the fitting of prostheses. It should be made clear that a good inter-professional relationship is needed and it must also be taken into account the great difficulty that is encountered when trying to make this group of patients understand the need for, and benefits of, dental treatment.
Munoz-Munoz
L
L
Clinica Odontologica Integrada Infantil. Facultad de Odontologia Universidad de Sevilla. Spain. adominre@cica.es
Marin-Castro
I
I
Aznar-Martin
T
T
Dominguez-Reyes
A
A
D002648:Child; D002675:Child, Preschool; D003731:Dental Caries / Q000150:complications* / Q000628:therapy*; D003813:Dentistry; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D010348:Patient Care Team; D010372:Pediatrics