Muralidharan Shrikanth, Mahendrakar Sangeeta, Talekar Abhinav, Nara Asha, Kanitkar Aditi A, Kanitkar Aneesh, Kulkarni Dinraj
Department of Public Health Dentistry, MA Rangoonwala College of Dental Sciences and Research Centre, Azam Campus, Pune, Maharashtra, India, Phone: +91 8308008831, e-mail:
Department of Public Health Dentistry, Al-Badar Dental College and Hospital, Kalburgi, Karnataka, India.
J Contemp Dent Pract. 2020 May 1;21(5):585-592.
To systematically evaluate the literature evidence related to oral health and quality of life (QoL) among HIV-positive adults.
The oral health-related quality of life (OHRQoL) is an essential entity to be measured for understanding the domains affected due to oral health problems. HIV comes with an array of complexities in the oral cavity and is also reflection of the systemic illness of the oral cavity. Hence, it is essential to know the area affected and also the lesions that contribute the most to decrease the QoL in this aspect. A systematic review was carried out in relation to studies across PubMed and Google Scholar regarding HIV and OHRQoL from January 1970 to May 2019. Of the 1,374 articles screened, 11 studies were filtered for the final review.
The physical domain followed by the psychological domain is the most affected in the HIV-positive patients. The maximum effect is due to dental caries and periodontitis. No studies report about oral substance abuse and its effect.
Studies are further needed on a larger sample size and on similar scales and parameters to ensure greater evidence for intervention related to areas that should be focused upon for improving the QoL of HIV-positive patients.
There is a greater need to include quality-based assessment while treating HIV-positive people. Also not just physical indicators like pain or dental caries, even social indicators like mental and social dimensions of a patient's life should be included while deciding the treatment approach.
系统评价与HIV阳性成年人口腔健康和生活质量（QoL）相关的文献证据。
口腔健康相关生活质量（OHRQoL）是衡量因口腔健康问题而受影响领域的一个重要指标。HIV在口腔中存在一系列复杂情况，也是口腔全身性疾病的反映。因此，了解受影响的区域以及在这方面对降低生活质量影响最大的病变至关重要。对1970年1月至2019年5月期间PubMed和谷歌学术上有关HIV和OHRQoL的研究进行了系统综述。在筛选的1374篇文章中，11项研究被筛选出来进行最终综述。
在HIV阳性患者中，身体领域其次是心理领域受影响最大。最大影响是由龋齿和牙周炎导致的。没有研究报告口腔药物滥用及其影响。
需要进一步开展更大样本量、类似规模和参数的研究，以确保为改善HIV阳性患者生活质量应关注的领域的干预措施提供更有力的证据。
在治疗HIV阳性患者时，更需要纳入基于质量的评估。在决定治疗方法时，不仅应包括疼痛或龋齿等身体指标，还应包括患者生活的心理和社会层面等社会指标。
