Impact of intensified dental care on outcomes in human immunodeficiency virus infection

Jonathan Betz Brown, David Rosenstein, John Mullooly, Maureen O'Keeffe Rosetti, Steven Robinson, Gary Chiodo

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

This study evaluated the health effects of routine and intensified dental care and disease prevention in persons with human immunodeficiency virus (HIV). We recruited 376 HIV-infected persons ages 19 to 61 with CD4 counts between 100 and 750 into a year-long two-arm randomized controlled trial. Control group subjects (n = 185) received professional dental protective treatment and checkups at baseline, 6 months, and 1 year, plus dental care. Enhanced care patients (n = 191) received bimonthly protective treatment and twice-daily chlorhexidine mouthrinses to treat gingivitis. Active decay, gingivitis, oral pain, impact of oral health on functioning, and global functional status improved in both groups. The mean depth of periodontal pockets decreased 0.18 mm (control group) versus 0.27 mm (enhanced group) (p <0.04), as did an erythema index (-1.22 versus -1.78, p <0.01). No effects on acquired immune deficiency syndrome (AIDS)-related complications, symptoms, or mortality were observed. We concluded that access to dental screening, prophylaxis, and repair will significantly improve oral health, functioning, and quality of life in persons with AIDS.

Original languageEnglish (US)
Pages (from-to)479-486
Number of pages8
JournalAIDS Patient Care and STDs
Volume16
Issue number10
DOIs
StatePublished - Oct 1 2002

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Dental Care
Virus Diseases
Gingivitis
Oral Health
HIV
Acquired Immunodeficiency Syndrome
Dental Prophylaxis
Periodontal Pocket
Stomatognathic Diseases
Control Groups
Chlorhexidine
Erythema
CD4 Lymphocyte Count
Patient Care
Tooth
Randomized Controlled Trials
Quality of Life
Pain
Mortality
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Leadership and Management
  • Nursing(all)

Cite this

Brown, J. B., Rosenstein, D., Mullooly, J., O'Keeffe Rosetti, M., Robinson, S., & Chiodo, G. (2002). Impact of intensified dental care on outcomes in human immunodeficiency virus infection. AIDS Patient Care and STDs, 16(10), 479-486. https://doi.org/10.1089/10872910260351258

Impact of intensified dental care on outcomes in human immunodeficiency virus infection. / Brown, Jonathan Betz; Rosenstein, David; Mullooly, John; O'Keeffe Rosetti, Maureen; Robinson, Steven; Chiodo, Gary.

In: AIDS Patient Care and STDs, Vol. 16, No. 10, 01.10.2002, p. 479-486.

Research output: Contribution to journalArticle

Brown, JB, Rosenstein, D, Mullooly, J, O'Keeffe Rosetti, M, Robinson, S & Chiodo, G 2002, 'Impact of intensified dental care on outcomes in human immunodeficiency virus infection', AIDS Patient Care and STDs, vol. 16, no. 10, pp. 479-486. https://doi.org/10.1089/10872910260351258
Brown JB, Rosenstein D, Mullooly J, O'Keeffe Rosetti M, Robinson S, Chiodo G. Impact of intensified dental care on outcomes in human immunodeficiency virus infection. AIDS Patient Care and STDs. 2002 Oct 1;16(10):479-486. https://doi.org/10.1089/10872910260351258
Brown, Jonathan Betz ; Rosenstein, David ; Mullooly, John ; O'Keeffe Rosetti, Maureen ; Robinson, Steven ; Chiodo, Gary. / Impact of intensified dental care on outcomes in human immunodeficiency virus infection. In: AIDS Patient Care and STDs. 2002 ; Vol. 16, No. 10. pp. 479-486.
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