Ertl L, Wewalka G, Koller W, Banekovich M, Beck H, Pletschette M
Z Stomatol. 1989 Sep;86(5 Suppl 4):1-12.
As HIV infections continue to spread worldwide, the number of patients with known or unknown HIV positivity seen in dental practice is increasing. Some of the infected individuals need more frequent dental care than the general population, because HIV infections tend to be associated with specific oral manifestations. HIV-positive individuals have special psychosocial problems attributable both to their disease and to their frequent association with socially discriminated groups. These problems are also reflected in the dentist-patient relationships. Dental care of known HIV-positive individuals is much less hazardous than the treatment of undiagnosed HIV carriers. Building confidence between the dentist and the patient is essential. As HIV transmission is similar to that of hepatitis B, the full battery of hygienic precautions established for preventing hepatitis B should be observed in dental work to prevent HIV infections. Conditions of work in dental offices should meet the hygienic standards needed to preclude the risk of infections both for the dentists and their patients.
随着艾滋病毒感染在全球范围内持续蔓延，牙科诊所中已知或未知艾滋病毒阳性的患者数量不断增加。一些感染者比普通人群需要更频繁的牙科护理，因为艾滋病毒感染往往与特定的口腔表现有关。艾滋病毒阳性个体存在特殊的心理社会问题，这既归因于他们的疾病，也归因于他们经常与社会上受歧视群体交往。这些问题也反映在医患关系中。已知艾滋病毒阳性个体的牙科护理比未确诊的艾滋病毒携带者的治疗风险小得多。在牙医和患者之间建立信任至关重要。由于艾滋病毒传播与乙型肝炎相似，在牙科工作中应遵守为预防乙型肝炎而制定的全套卫生预防措施，以防止艾滋病毒感染。牙科诊所的工作条件应符合防止牙医及其患者感染风险所需的卫生标准。
