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ORAL MANIFESTATIONS OF HIV/AIDS

ORAL MANIFESTATIONS OF HIV/AIDS. Dr. Patsy K. Fujimoto University of Hawaii, Manoa Department of Dental Hygiene. ORAL MANIFESTATIONS OF HIV/AIDS. What are the factors affecting the occurrence of oral manifestations? What are the oral manifestations of HIV/AIDS?

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ORAL MANIFESTATIONS OF HIV/AIDS

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  1. ORAL MANIFESTATIONS OF HIV/AIDS Dr. Patsy K. Fujimoto University of Hawaii, Manoa Department of Dental Hygiene

  2. ORAL MANIFESTATIONS OF HIV/AIDS • What are the factors affecting the occurrence of oral manifestations? • What are the oral manifestations of HIV/AIDS? • What effect has HAART had on oral manifestations? • Do oral manifestations indicate seroconversion or progression to more severe immunosuppression? • Are dental patients with HIV more prone to post operative complications? • Are dental HCW exposed to aerosols at higher risk of contracting HIV? • What is the newest HIV test?

  3. KAPOSI’S SARCOMA

  4. KAPOSI’S SARCOMA

  5. LYMPHOMA

  6. LYMPHOMA

  7. LINEAR GINGIVAL ERYTHEMA

  8. LINEAR GINGIVAL ERYTHEMA

  9. NECROTIZING ULCERATIVE PERIODONTITIS

  10. NECROTIZING ULCERATIVE PERIODONTITIS

  11. HERPES SIMPLEX

  12. HERPES ZOSTER (SHINGLES)

  13. HERPES ZOSTER (SHINGLES)

  14. CYTOMEGALOVIRUS/HERPES LESION

  15. HAIRY LEUKOPLAKIA

  16. WART (HPV)

  17. WART (HPV)

  18. PSEUDOMEMBRANOUS CANDIDIASIS

  19. ERYTHEMATOUS CANDIDIASIS

  20. ERYTHEMATOUS CANDIDIASIS

  21. ANGULAR CHEILITIS

  22. APHTHOUS ULCER (MINOR)

  23. APHTHOUS ULCER (MAJOR)

  24. APHTHOUS ULCER (MAJOR)

  25. XEROSTOMIA (CLINICAL)

  26. WHAT EFFECT HAS HAART HAD ON ORAL MANIFESTATIONS? • Significant reduction –oral hairy leukoplakia, necrotizing ulcerative periodontitis • No significant reduction –candidiasis, oral ulcers, Kaposi’s sarcoma • Increase-salivary gland disease, oral warts • Reduction of oral lesions-47.6% to 37.5%

  27. DO ORAL MANIFESTATIONS INDICATE SEROCONVERSION OR PROGRESSION TO MORE SEVERE IMMUNOSUPPRESSION? Kaposi’s sarcoma maybe an indicator of progression to severe immunosuppression

  28. ARE DENTAL HCW EXPOSED TO AEROSOLS AT HIGHER RISK OF CONTRACTING HIV? Transmission via aerosols has not been documented

  29. ARE DENTAL PATIENTS WITH HIV MORE PRONE TO POST OPERATIVE COMPLICATIONS? NO

  30. WHAT IS THE NEWEST HIV TEST? OraQuick rapid HIV test for oral fluid

  31. QUESTIONS? THANK YOU!

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