Periodontal Status of HIV Discordant Couples
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Periodontal diseases, especially gingivitis and periodontitis, are highly prevalent and a public health concern. Severe forms of these diseases cause ulceration of the oral epithelium, leading to entry of oral microbes and inflammatory products into systemic circulation. Early detection and management of these lesions is important to avoid this systemic spread. The aim of this study was to describe the periodontal status of HIV discordant couples seen in MoiTeaching and Referral Hospital/Moi University AMPATH clinics between October and December 2016.Socio-demographic characteristics, oral hygiene practices and oral health seeking behavior were obtained using a semi-structured questionnaire. Oral hygiene status was measured using Silness and Loe (1964) plaque index, while gingival inflammation was measured using Loe and Silness (1963) gingival index. Periodontitis was measured using Clinical Attachment Loss. Mean age for participants was 42.3 ±11.7. Periodontal parameters by HIV serostatus were clinically similar. However, HIV positive individuals had a lower gingival score which was statistically significant (χ2=8.00, d f = 2, p=0.018). Chronic periodontitis was the most prevalent periodontal disease with 37.6 % of participants recording severe levels of the disease. Therefore, the study showed that periodontal parameters in HIV positive and HIV negative participants were clinically similar, although there was a statistically significant reduction in gingival inflammation seen in HIV positive individuals.
Authors and Affiliations
Akama Gladys, MulliTonnie Kituku, Mutave Regina James, Alumera Hudson
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