Tooth extraction in HIV sero-positive patients

Citation
Pd. Dios et al., Tooth extraction in HIV sero-positive patients, INT DENT J, 49(6), 1999, pp. 317-321
Citations number
35
Categorie Soggetti
Dentistry/Oral Surgery & Medicine
Journal title
INTERNATIONAL DENTAL JOURNAL
ISSN journal
00206539 → ACNP
Volume
49
Issue
6
Year of publication
1999
Pages
317 - 321
Database
ISI
SICI code
0020-6539(199912)49:6<317:TEIHSP>2.0.ZU;2-1
Abstract
Tooth extraction is the dental treatment most commonly carried out among HI V positive patients. In this paper we propose a simple protocol for dental extractions in patients of this type, based on a review of the literature a nd on our own experience in this field. The factors to be considered when p lanning a dental extraction for HIV positive patients are: diagnosis of the lesion justifying the need for tooth extraction and medical assessment of the patient including the infection pathway, the stage of the disease, labo ratory tests and drug therapy. The most frequent post extraction complicati ons are a delay in the wound healing process, alveolitis and surgical wound infection. Fortunately, these complications tend to be rather uncommon and not too severe; they can be managed on an out-patient basis and their prev alence will probably tend to decrease with the introduction of the new anti -retroviral drugs for HIV-1.