Human immunodeficiency virus 감염과 치주 질환의 상관관계, 진단 및 처치에 관한 문헌 고찰
Relationship between human immunodeficiency virus infection and periodontal disease; diagnosis and management strategy
박정철, 엄유정, 정의원, 김창성, 조규성, 채중규, 김종관, 최성호,
소속 상세정보
박정철 ( Park Jung-Chul ) - 연세대학교 치과대학 치주과학교실
엄유정 ( Um Yoo-Jung ) - 연세대학교 치과대학 치주과학교실
정의원 ( Jung Ui-Won ) - 연세대학교 치과대학 치주과학교실
김창성 ( Kim Chang-Sung ) - 연세대학교 치과대학 치주과학교실
조규성 ( Cho Kyoo-Sung ) - 연세대학교 치과대학 치주과학교실
채중규 ( Chae Jung-Kiu ) - 연세대학교 치과대학 치주과학교실
김종관 ( Kim Chong-Kwan ) - 연세대학교 치과대학 치주과학교실
최성호 ( Choi Seong-Ho ) - 연세대학교 치과대학 치주과학교실
KMID : 0362720090470080522
Abstract
Purpose: Infection with HIV-1 virus has become a critical worldwide public health problem. The oral complications of HIV infection with its progression of impairment of the host response to combat infection present unique challenges to the periodontists.
Material and Methods: Medline research was carried out to find relationship of the progression of HIV infection to the occurrence of oral lesions including the HIV-related periodontal diseases.
Results: The linear gingival erythema, necrotizing ulcerative periodontitis, necrotizing ulcerative gingivitis and oral candidiasis are common lesions in HIV-infected individuals. The linear gingival erythema and necrotizing ulcerative periodontitis lesions in HIV-infected subjects were found to have a similar microbiological profile. There are several general considerations in the periodontal management of the HIV-infected patient with or without periodontal disease. The altered immunity and host response in patients with HIV infection may also affect the incidence and severity of other common forms of periodontal disease not associated with HIV infection.
Conclusion: Periodontal diseases in HIV-infected individuals present unique challenges in diagnosis, monitoring, treatment and maintenance. Therefore exact HIV staging, geographic location, antiviral and antimicrobial therapies and oral habits should be taken into consideration when treating HIV-infected patients.
키워드
HIV;AIDS;periodontal disease
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