title: Impact of oral problems on daily activities of HIV-infected children.
abstract: OBJECTIVE
  Oral manifestations are common in HIV+ children, but the impact of these diseases on their daily life is unknown. So the aim of this study was to assess the impact of oral problems on the daily activities of HIV+ children.
  
  
  METHODS
  The Child-OIDP-B was used with 59 10-12 year-old HIV+ children, who were outpatients at two public hospitals for HIV treatment in Rio de Janeiro, Brazil. Caries, biofilm and gingival bleeding indexes were recorded. The Kruskall-Wallis and Mann-Whitney tests as well as the Spearman's correlation coefficient were used for analysis. Statistical evaluation: Replies were analysed using the Statgraphics ® Plus Version 5.0 statistics software system, in order to obtain comparative diagrams and graphs using the ANOVA multifactorial system.
  
  
  RESULTS
  The Child-OIDP-B scores ranged from 0 to 30, (mean=6.09) and 71.2% of the children were affected by oral problems. Association was found between oral impact and number of caries (p=0.009). Children receiving HAART therapy had a Child-OIDP-B score (4.87), much lower than those who were not (8.87) (p=0.038). The most reported oral impact of the disease was eating (55.6%), but oral wounds were the most prevalent type of lesions (76.3%). As regards the level of intensity of the impact, moderate severity was prevalent in all 59 children and 66.1% reported that oral impacts affected 1-4 daily activities, 50.8% of all children were not satisfied with their appearance and oral health; 23.7% perceived the impact of HIV-infection on general health.
  
  
  CONCLUSIONS
  Most children suffered the impact of oral problems on their daily activities, mainly functional impacts.
authors.affiliation: Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Veiga de Almeida University, Brazil.
authors.forename: L H
authors.initials: LH
authors.lastname: Raymundo de Andrade
authors.forename: B
authors.initials: B
authors.lastname: de Souza Rocha
authors.forename: G F
authors.initials: GF
authors.lastname: Castro
authors.forename: I P
authors.initials: IP
authors.lastname: Ribeiro de Souza
mesh_terms: D000203:Activities of Daily Living; D023241:Antiretroviral Therapy, Highly Active; D001294:Attitude to Health; D018441:Biofilms; D002648:Child; D004245:DMF Index; D003731:Dental Caries / Q000523:psychology; D004435:Eating / Q000502:physiology; D004644:Emotions; D005260:Female; D005884:Gingival Hemorrhage / Q000523:psychology; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006679:HIV Seropositivity / Q000523:psychology; D006304:Health Status; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009059:Mouth Diseases / Q000150:complications / Q000523:psychology*; D009909:Oral Health; D010512:Periodontal Index; D010549:Personal Satisfaction; D011788:Quality of Life; D012890:Sleep / Q000502:physiology; D012904:Smiling / Q000502:physiology; D013060:Speech / Q000502:physiology; D014076:Tooth Diseases / Q000150:complications / Q000523:psychology*; D014099:Toothbrushing