[Management and prevention of oral manifestations for blood dyscrasia and viral pathology].
The study outlines the dentist's attitude in dealing with two of the many serious diseases throughout the body, HIV infection and acute leukemia. Many systemic diseases have oral manifestations which may appear at the beginning of any developed pathology, thus early detection can occasionally occur at the dental clinic. Gingival lesions are the most common oral phenomenon known for leukemia and HIV infection. In this case an early detection of pathology at the dental clinic was based on an uncommon and single presenting sign of massive spontaneous gingival bleeding. The objectives are demonstrate this unusual sign of blood dyscrasia and HIV infection in oral cavity and establishing management and prevention of oral manifestations for blood dyscrasia and pathology with viral etiology.


METHODS
We investigated 225 cases had pathology with viral etiology. The patients entered the study HIV/AIDS in Botosani, Suceava, Neami during 2004-2008. All patients had a detailed medical history and examination as well as a thorough oral examination, which were all done without prior knowledge of the patient's HIV serostatus.


RESULTS
Oral disease is frequently associated with HIV. While nearly all oral disorders associated with HIV infection also occur in other conditions characterized by immunosuppression, no other condition is associated with as wide and significant a spectrum of oral disease as is HIV infection. Many HIV associated oral disorders occur early in HIV infection, not infrequently as the presenting sign or symptom. Thus, early detection of associated oral disease should, in many cases, result in earlier diagnosis of HIV infection. Likewise, awareness of the variety of oral disorders which can develop throughout the course of HIV infection, and coordination of health care services between physician and dentist, should improve overall health and comfort of the patient. This paper reviews the clinical, diagnostic and therapeutic aspects of HIV associated oral disorders.


CONCLUSIONS
Diseases with a particular viral etiology infectiousness have a special resurgence. For the dentist, their recognition has a particularly importance for the quick and accurate determination of the diagnose and for the establishing, together with the infectious disease physician, of the appropriate treatment. Working with the department of epidemiology is useful to define the preventive measures among the community.
Tabarcea
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Universităţii de Medicină şi Farmacie Gr.T. Popa Iaşi, C.M.I Bacaueşti.
Neagu
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Vataman
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D000163:Acquired Immunodeficiency Syndrome / Q000150:complications; D000293:Adolescent; D000328:Adult; D042241:Early Diagnosis; D005260:Female; D005882:Gingival Diseases / Q000209:etiology / Q000628:therapy; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007945:Leukemia, Lymphoid / Q000150:complications*; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D009059:Mouth Diseases / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control* / Q000628:therapy / Q000821:virology; D009910:Oral Hygiene / Q000379:methods; D010817:Physician-Patient Relations; D012189:Retrospective Studies; D012383:Romania