Barr C E
Department of Dental Medicine, Beth Israel Medical Center, New York 10003, USA.
Adv Dent Res. 1995 Jul;9(2):147-51. doi: 10.1177/08959374950090021701.
The prevalence of periodontal diseases in HIV-infected infected persons is unresolved. While numerous reports have been published, the data are conflicting in part due to different populations studied, lack of consensus criteria for disease, study location, and biased samples. This presentation will be a collation of information available for the diagnosis and treatment of HIV/AIDS-associated periodontal diseases. The use of "HIV" is no longer accepted as a diagnostic designation. Instead, the diagnostic categories of atypical gingivitis (erythematous gingival banding), necrotizing gingivitis, necrotizing periodontitis, and necrotizing stomatitis and distinguishing characteristics will be presented. It is essential that a distinction be made between those periodontal lesions that may occur in seropositive and seronegative individuals and those which appear to have more specific signs and symptoms associated with HIV infection and with immunosuppression in general. A simplified algorithm has been developed to help differentiate between periodontal diseases specific to the HIV-positive individual and those in the general population. Additionally, the grid may also be used to distinguish the different periodontal diseases known to be associated with HIV infection.
HIV感染者中牙周疾病的患病率尚无定论。尽管已经发表了大量报告，但数据存在冲突，部分原因在于所研究的人群不同、疾病诊断标准缺乏共识、研究地点以及样本存在偏差。本报告将对现有的关于HIV/AIDS相关牙周疾病诊断和治疗的信息进行整理。“HIV”作为诊断名称已不再被接受。取而代之的是，将介绍非典型牙龈炎（红斑性牙龈带）、坏死性牙龈炎、坏死性牙周炎和坏死性口炎的诊断类别及鉴别特征。必须区分血清反应阳性和血清反应阴性个体中可能出现的牙周病变，以及那些似乎具有与HIV感染和一般免疫抑制相关的更具特异性体征和症状的病变。已经开发出一种简化算法，以帮助区分HIV阳性个体特有的牙周疾病和普通人群中的牙周疾病。此外，该网格还可用于区分已知与HIV感染相关的不同牙周疾病。
