|periodontal disease and hit
Sep 3, 2013
Hello, Prior to hiv, my gums and teeth were healthy. Now, I am suffering from receding and bleeding gums, large gaps between my teeth, and a loose feeling. I went to two different dentists. One dentist told me that antibiotics aren't necessary, while the second dentist suggested that antibiotics aren't necessary. What should I do? How should periodontal disease in hiv patients be treated? Thanks.
| Response from Dr. Henry
HIV infection has been associated with increased gum disease so aggressive management often recommended as well as generally treating the HIV infection. Other factors (smoking, certain meds that dry the mouth out, some illicit drugs such as crystal meth, xerostomia, and other conditions can contribute and need to be assessed). Regular gum/tooth cleaning with regular flossing often helpful. In severe cases I have often recommended use of an oral antibacterial rinse such as chlorhexidine. KH
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