Oral lesions and dental caries status in perinatally HIV-infected children in Northern Thailand.
To describe the prevalence of oral lesions and dental caries status in perinatally HIV-infected children.


METHODS
A cross-sectional study.


METHODS
Paediatric HIV outpatient department at the Nakornping Provincial Hospital, Chiang Mai, Thailand.


METHODS
Forty children with perinatal HIV infection, from early infancy to 12 years of age, were included in the study. These children were examined for oral lesions and dental caries. A number of children receiving antifungal and antiretroviral (ART) therapy were recorded.


RESULTS
The mean DMFT and DMFS scores were both 2.1 (SD = 2.3). The dft and dfs scores were 4.1 (SD = 5.0) and 10.9 (SD = 14.8), respectively. A total of 57.5% of the children had one or more oral lesions. Oral candidiasis and hairy leukoplakia were the most common oral lesions. Only 12.5% of children had received ART. A total of 22.5% of the children had a history of receiving antifungal therapy.


CONCLUSIONS
Oral lesions and dental caries were relatively high in this study. Consequently, treatment and prevention for oral lesions and dental caries are inevitably required for children with HIV infection in Northern Thailand. Furthermore, ART should be made available for all HIV-infected children to decrease the prevalence of HIV-associated oral lesions.
Pongsiriwet
S
S
Department of Odontology & Oral Pathology, Faculty of Dentistry, Chiang Mai University, Chiang Mai Thailand. surawut 1@yahoo.com
Iamaroon
A
A
Kanjanavanit
S
S
Pattanaporn
K
K
Krisanaprakornkit
S
S
D019380:Anti-HIV Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002180:Candidiasis, Oral / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology*; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data; D003818:Dentition, Mixed; D005260:Female; D005882:Gingival Diseases / Q000453:epidemiology; D015658:HIV Infections / Q000151:congenital* / Q000188:drug therapy; D006801:Humans; D007223:Infant; D017733:Leukoplakia, Hairy / Q000453:epidemiology; D008297:Male; D009059:Mouth Diseases / Q000453:epidemiology*; D015995:Prevalence; D013785:Thailand / Q000453:epidemiology; D014094:Tooth, Deciduous / Q000473:pathology
D019380:Anti-HIV Agents; D000935:Antifungal Agents