|Tabarcea IC, Neagu I, Vataman R
Universităţii de Medicină şi Farmacie Gr.T. Popa Iaşi, C.M.I Bacaueşti.
The study outlines the dentist's attitude in dealing with
two of the many serious diseases throughout the body, HIV infection and
acute leukemia. Many systemic diseases have oral manifestations which may
appear at the beginning of any developed pathology, thus early detection can
occasionally occur at the dental clinic. Gingival lesions are the most
common oral phenomenon known for leukemia and HIV infection. In this case an
early detection of pathology at the dental clinic was based on an uncommon
and single presenting sign of massive spontaneous gingival bleeding. The
objectives are demonstrate this unusual sign of blood dyscrasia and HIV
infection in oral cavity and establishing management and prevention of oral
manifestations for blood dyscrasia and pathology with viral etiology.
MATERIAL AND METHOD: We investigated 225 cases had pathology with viral
etiology. The patients entered the study HIV/AIDS in Botosani, Suceava,
Neami during 2004-2008. All patients had a detailed medical history and
examination as well as a thorough oral examination, which were all done
without prior knowledge of the patient's HIV serostatus. RESULTS: Oral
disease is frequently associated with HIV. While nearly all oral disorders
associated with HIV infection also occur in other conditions characterized
by immunosuppression, no other condition is associated with as wide and
significant a spectrum of oral disease as is HIV infection. Many HIV
associated oral disorders occur early in HIV infection, not infrequently as
the presenting sign or symptom. Thus, early detection of associated oral
disease should, in many cases, result in earlier diagnosis of HIV infection.
Likewise, awareness of the variety of oral disorders which can develop
throughout the course of HIV infection, and coordination of health care
services between physician and dentist, should improve overall health and
comfort of the patient. This paper reviews the clinical, diagnostic and
therapeutic aspects of HIV associated oral disorders. CONCLUSIONS: Diseases
with a particular viral etiology infectiousness have a special resurgence.
For the dentist, their recognition has a particularly importance for the
quick and accurate determination of the diagnose and for the establishing,
together with the infectious disease physician, of the appropriate
treatment. Working with the department of epidemiology is useful to define
the preventive measures among the community.