Evaluation of periodontal status in HIV infected persons in Croatia [Procjena parodontološkog statusa oboljelih od HIV-a u Republici Hrvatskoj]

Stojković, Ana and Vučićević Boras, Vanja and Plančak, Darije and Lisić, Miroslav and Srdjak, Srećko (2011) Evaluation of periodontal status in HIV infected persons in Croatia [Procjena parodontološkog statusa oboljelih od HIV-a u Republici Hrvatskoj]. Collegium Antropologicum, 35 (1). pp. 67-71. ISSN 0350-6134

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Abstract

A number of periodontal changes have been associated with human immunodeficiency virus (HIV) infection, however our knowledge of the epidemiology, microbiology, host response and natural history of these conditions remains limited. Therefore, the aim of our study was the assessment of possible differences in periodontal status of HIV infected subjects when compared with healthy controls matched for age, gender and smoking habit in Croatian population. Assessment included measurement of plaque accumulation using approximal plaque index, measurement of gingival inflammation by use of sulcus bleeding index, pocket depth, gingival recession as well as the number of decayed, missing and filled teeth in 25 HIV infected subjects (age range 22-61, X = 40.8 years) in comparison with 25 healthy controls (age range 20-62, X = 40.9 years). Statistical analysis was performed by use of descriptive statistics and Mann-Whitney U test showed significantly increased level of inflammation of the marginal gingiva in HIV infected subjects when compared to the controls (p < 0.002). Significantly increased mean values of periodontal pockets (p < 0.002) and the deepest periodontal pocket (p < 0.003) were also observed when HIV infected subjects were compared to the healthy controls. In HIV infected subjects there was significant increase in the number of decayed, missing and decrease in the number of filled teeth (p < 0.002; p < 0.002; p < 0.009, respectively). The results of this study once again highlight the need for more prevalent periodontal check-ups and treatments in HIV infected subjects.

Abstract in Croatian

Brojne parodontalne promjene povezivane su s infekcijom izazvanom humanim imunodeficijencijskim virusom (HIV-om), ali naše znanje o epidemiologiji, mikrobiologiji, odgovoru domaćina i prirodnom tijeku ovakvih promjena i dalje ostaje ograničeno. Stoga je cilj ovog ispitivanja procjena mogućih razlika u periodontalnom statusu u oboljelih od HIV-a u odnosu na zdrave ispitanike kontrolne skupine podudarne po dobi, spolu i navici pušenja u hrvatskoj populaciji. Provedena je procjena nakupljanja plaka uporabom aproksimalnog plak indeksa, procjena upale gingive uporabom indeksa krvarećeg sulkusa, procjena dubine džepova, recesije gingive kao i broja karijesnih, ekstrahiranih i saniranih zuba u 25 osoba oboljelih od HIV-a (raspon dobi 22–61, srednja dob 40,8 godina) u odnosu na 25 ispitanika kontrolne skupine (raspon dobi 20–62, srednja dob 40,92 godina). Statistička analiza napravljena uz pomoć deskriptivne statistike i Mann-Whitneyevog U-testa pokazala je da je upala marginalne gingive značajno jače izražena u HIV oboljelih u odnosu na ispitanike kontrolne skupine (p<0,002). Srednje vrijednosti dubine parodontalnih džepova (p<0,002) i najdubljih parodontalnih džepova (p<0,003) izmjerenih u oboljelih od HIV-a su bile značajno veće u odnosu na one izmjerene u kontrolnoj skupini. Značajno veći broj karijesnih (p<0,002) i ekstrahiranih (p<0,002) te manji broj saniranih zuba (p<0,009) nađen je u HIV pozitivnih osoba u odnosu na kontrolnu skupinu. Rezultati ovog ispitivanja još jednom naglašavaju potrebu za češćim parodontalnim pregledima i liječenjem HIV pozitivnih osoba.

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