Feb 26, 2003
Dr, New to your web. Am the oral health policy directory of the NY State Dept of Health AIDS Institute. We have a good book on oral health standards @ www.hivguidelines. org.
The tooth issue of your questioner is probably associated with xerostomia which is a side effect of a number of the regimens. Hyposalivation deprives the patient of the anti-cariogenic effect. Keeping the mouth lubricated with water, saliva substitutes may help.
You are correct about the decrease in periodontal diseases associated with HIV (and for that matter virtually all of the oral pathologies).
I should think a solid preventive program for the patients would be an answer. Saliva substitutes (if xerostomia is present), chlorhexidine rinses and Prevident (a prescription fluoride tooth paste with of fluoride far greater than the OTC products.
Hope this helps somebody.
stephen n abel, dds,ms
Response from Dr. Henry
Thanks-I found that information very helpful. KH
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