Choromańska M, Waszkiel D
Department of Conservative Dentistry, Medical University of Białystok, Poland.
Adv Med Sci. 2006;51 Suppl 1:110-3.
The aim of this study is evaluation of periodontal status and definition of periodontal treatment needs in HIV infected patients.
We examined 49 HIV-infected subjects (19-52 years of age) and 49 non-infected patients as the control group. Periodontal status and treatment needs were evaluated by using CPITN - Community Periodontal Index and Treatment Needs. Aquired data were analyzed in examined populations regarding infection's duration time and in dependance on absolute number of CD4 lymphocytes in microl of plasma, dividing patients according to criterion of HIV infection classification after CDC (Centers for Diseases Control and Prevention).
More advanced changes in the paradontium were observed mostly in examined HIV infected subjets. As HIV infection time proceeds, the periodontal status of examined patients impairs, what is manifested by the decrease of the number of sextants with the intact paradontium and the increase of the number of sextants excluded from the research. There was no significant relation found between periodontal status evaluated with CPITN and the immunity status of examined subjects. 26.5% of HIV infected subjects needed the complex therapy. As the immunity decreased, the number of patients qualified to the complex treatment increased, and the number of HIV(+) patients with no need of therapy decreased.
本研究旨在评估HIV感染患者的牙周状况并确定其牙周治疗需求。
我们检查了49名HIV感染受试者（年龄在19至52岁之间）以及49名未感染患者作为对照组。使用社区牙周指数（CPITN）和治疗需求来评估牙周状况和治疗需求。在受检人群中，分析所获得的数据与感染持续时间以及每微升血浆中CD4淋巴细胞绝对数量的关系，并根据美国疾病控制与预防中心（CDC）的HIV感染分类标准对患者进行划分。
在大多数受检的HIV感染受试者中观察到牙周组织有更严重的变化。随着HIV感染时间的推移，受检患者的牙周状况恶化，表现为牙周组织完好的牙面区段数量减少，以及被排除在研究之外的牙面区段数量增加。用CPITN评估的牙周状况与受检受试者的免疫状态之间未发现显著关系。26.5%的HIV感染受试者需要综合治疗。随着免疫力下降，符合综合治疗条件的患者数量增加，而无需治疗的HIV阳性患者数量减少。
