Radiographic Evaluation of Periodontal Bone Loss in Patients with HIV

The aim of this study was to evaluate bone insertion loss in patients with HIV. A total of 132 patients were selected from a special patient center and divided into two groups: A test group (triglyceride [TG]; n = 66) composed of HIV-positive patients and a control group (CG; n = 66) composed of pat...

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Bibliographic Details
Published in:Journal of international oral health 2016-05, Vol.8 (5), p.607
Main Authors: Semenoff, Tereza Aparecida Delle Vedove, Borges, Álvaro Henrique, Bandeca, Matheus Coelho, Tonetto, Mateus Rodrigues, Silva, Monica Barros, Caporossi, Leonardo Stephan, Pereira, Jussara Machado, Porto, Alessandra Nogueira, Segundo, Alex Semenoff
Format: Article
Language:English
Subjects:
Age
Antiretroviral drugs
Behavior
Dentistry
Disease
Drug therapy
HIV
Hospitals
Human immunodeficiency virus
Infections
Life expectancy
Patients
Quality of life
Studies
Teeth
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Summary:The aim of this study was to evaluate bone insertion loss in patients with HIV. A total of 132 patients were selected from a special patient center and divided into two groups: A test group (triglyceride [TG]; n = 66) composed of HIV-positive patients and a control group (CG; n = 66) composed of patients not infected with HIV who were matched to the TG in terms of age and sex. Bone loss was measured in panoramic radiographs from the distance between the cementoenamel junction and the point nearest the corona of the bone crest in the mesial and distal portions of the teeth. Student's t-test, odds ratios for bone losses 5 mm, and Pearson's correlation tests (P < 0.05) were used. The HIV group had significantly (P < 0.05) fewer teeth and greater radiographic bone loss compared with the CG. The results demonstrated a 3.04 (1.34-6.89) odds risk of bone loss for the group of patients with HIV. Patients older than 35 years in the TG had a risk of 6.50 (1.41-29.9). There were no sex differences between the groups, 1.22 (0.47-3.14). A correlation was established between CD4 and CD8 levels, the number of teeth and loss in bone height of HIV carriers. There were no correlations between the data for these results. Despite its limitations, this study shows that HIVpositive patients, even those with controlled viral loads and CD4 and CD8 levels, exhibited a greater loss of teeth and radiographic bone height than did age- and sex-matched controls without HIV.
ISSN:0976-7428
0976-1799
DOI:10.2047/jioh-08-05-15