Spadari F, Bruno E, Salvato A
Cattedra di Ortognatodonzia, Istituto Scientifico Ospedale San Raffaele, Università degli Studi, Milano.
Minerva Med. 1997 Nov;88(11):441-57.
Few people with HIV infection fail to experience oral opportunistic lesions during the course of their disease. These are several oral mucosa and salivary gland manifestations that were not seen before the AIDS epidemic, while others are more severe in this population. Oral lesions reflect HIV status and the stage of immunosuppression are important clinical elements in HIV staging and classification schemes: these elements raise pertinent questions about mucosal aspects of immunosuppression and provide therapeutic challenges. Their pervasive nature and biological significance emphasize the importance of a careful oral examination as part of the general clinical evaluation. Prevention and treatment of oral diseases are required to maintain and improve the lifestyle of the patients infected with HIV. Odontoiatric and stomatologic managements require a team approach and a close collaboration with the appropriate responsible physicians and other health care workers are necessary.
很少有HIV感染者在病程中不经历口腔机会性病变。这些病变包括几种在艾滋病流行之前未见的口腔黏膜和唾液腺表现，而其他一些病变在该人群中更为严重。口腔病变反映了HIV感染状况以及免疫抑制阶段，是HIV分期和分类方案中的重要临床要素：这些要素引发了关于免疫抑制黏膜方面的相关问题，并带来了治疗挑战。它们的普遍性和生物学意义强调了在一般临床评估中进行仔细口腔检查的重要性。为维持和改善HIV感染者的生活方式，需要对口腔疾病进行预防和治疗。牙科学和口腔医学管理需要团队协作，与适当的责任医师及其他医护人员密切合作是必要的。
