Triantos D, Pantazopoulos I
Community Dent Health. 2007 Sep;24(3):181-5.
An observational study was carried out in order to describe the experience gained from the establishment of a dedicated dental clinic for HIV-infected people in Athens, Greece.
Data were collected retrospectively from the files of HIV-seropositive individuals attending the dedicated clinic for a period of seven years (1997-2003) and included the following variables: demographic characteristics, transmission route of HIV disease, oral lesions, general health concerns, dental visiting behavior before and after HIV-disclosure and dental procedures, carried out during the study period.
The study patients comprised 426 HIV-seropositive individuals; 355 male (83%), 71 female (17%), mean age 40 years (range 17-76). The predominant mode of acquisition of HIV infection was sexual contact (88.5%), followed by intravenous drug abuse (3.8%), blood transfusion (2.5%) and vertical transmission (0.3%). Most of the patients attended the dedicated clinic because of direct/indirect denial of treatment by their dentist (29.1%), fear of attending their dentist (20.6%), financial constraints (17.5%), or because they were seeking specialized services (2.4%). Nearly half of the patients (46%), after they have been informed about their HIV-seropositivity, either did not attend their dentist, or did not disclose their HIV-status when they did attend. The type of 4688 dental procedures carried out during the study period, were the same as those performed in any general dental practice, without exhibiting increased risk of post-treatment complications. Finally, a relatively low overall incidence (41%) of oral lesions was observed, due to the effect of the highly active anti-retroviral therapy (HAART).
Dedicated dental clinics can play a supplementary, but substantial role in the overall management of people whose HIV-status, or HIV-related clinical problems may prevent them from obtaining treatment from general dental practitioners within Greece.
开展一项观察性研究，以描述在希腊雅典建立一家专门为艾滋病毒感染者服务的牙科诊所所获得的经验。
回顾性收集在该专门诊所就诊达七年（1997 - 2003年）的艾滋病毒血清阳性个体档案中的数据，包括以下变量：人口统计学特征、艾滋病毒疾病传播途径、口腔病变、总体健康问题、艾滋病毒暴露前后的看牙行为以及研究期间进行的牙科治疗程序。
研究对象包括426名艾滋病毒血清阳性个体；男性355名（83%），女性71名（17%），平均年龄40岁（范围17 - 76岁）。艾滋病毒感染的主要途径是性接触（88.5%），其次是静脉注射吸毒（3.8%）、输血（2.5%）和垂直传播（0.3%）。大多数患者前往该专门诊所就诊是因为其牙医直接/间接拒绝治疗（29.1%）、害怕看牙医（20.6%）、经济限制（17.5%）或因为他们寻求专科服务（2.4%）。近一半的患者（46%）在得知自己艾滋病毒血清阳性后，要么不再看牙医，要么看牙医时不透露自己的艾滋病毒感染状况。研究期间进行的4688项牙科治疗程序类型与任何普通牙科诊疗中进行的程序相同，未表现出治疗后并发症风险增加。最后，由于高效抗逆转录病毒疗法（HAART）的作用，观察到口腔病变的总体发生率相对较低（41%）。
专门的牙科诊所在全面管理艾滋病毒感染状况或与艾滋病毒相关的临床问题可能使他们无法从希腊普通牙医处获得治疗的人群方面，可以发挥补充但重要的作用。
