Document Detail

Long-term results of supportive periodontal therapy (SPT) in HIV-seropositive and HIV-seronegative patients.
MedLine Citation:
PMID:  12354088     Owner:  NLM     Status:  MEDLINE    
AIM: The aim of the present study was to investigate the long-term results of periodontal supportive therapy in HIV-seropositive and HIV-seronegative patients.
MATERIAL AND METHODS: Baseline examination of 18 HIV-seropositive patients (14 males and four females, median age of 29.7 years) revealed the following periodontal diagnoses: eight patients with linear gingival erythema, four patients with necrotizing periodontitis, five patients with conventional gingivitis and one patient with chronic periodontitis. In the HIV-seronegative group, out of 16 patients (12 males and four females, median age 35.5 years), one patient presented with conventional gingivitis and 15 patients with chronic periodontitis. Periodontal therapy and maintenance care consisted of supra- and subgingival removal of plaque and calculus and instruction in oral hygiene. Based on the individual patient's needs, the mechanical therapy was repeated.
RESULTS: In the test group, the mean maintenance period was 22.7 +/- 9.4 months (range 11.0-37.4) and in the control group, 48.9 +/- 32.0 months (range 9.3-110.8). In the test group, the mean PlI (1.1 +/- 0.8) remained at the same level (1.1 +/- 0.5; p = 0.73, Wilcoxon sign rank test, p < 0.05) throughout the observation period, the mean GI was reduced from 1.6 +/- 0.5 to 1.4 +/- 0.4 (p = 0.18), the mean PPD was reduced from 2.9 +/- 0.3 to 2.8 +/- 0.2 (p = 0.15) and the mean PAL (3.1 +/- 0.5) remained unaltered as well (3.1 +/- 0.4; p = 0.83). None of these differences was statistically significant. In the control group, PPD (3.0 +/- 0.4) and PAL (3.0 +/- 0.5) were significantly reduced: PPD = 2.7 +/- 0.2 (p = 0.0003) and PAL = 2.9 +/- 0.5 (p = 0.0034).
CONCLUSION: In HIV-seropositive patients, attachment level can be maintained. However, oral hygiene and compliance are the key factors for this.
Dominik Hofer; Christoph H F Hämmerle; Markus Grassi; Niklaus P Lang
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical periodontology     Volume:  29     ISSN:  0303-6979     ISO Abbreviation:  J. Clin. Periodontol.     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-09-30     Completed Date:  2003-01-21     Revised Date:  2014-07-28    
Medline Journal Info:
Nlm Unique ID:  0425123     Medline TA:  J Clin Periodontol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  630-7     Citation Subset:  D; IM    
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MeSH Terms
Chronic Disease
Dental Calculus / prevention & control
Dental Plaque / prevention & control
Dental Plaque Index
Erythema / prevention & control
Follow-Up Studies
Gingival Diseases / prevention & control
Gingivitis / prevention & control
HIV Seronegativity*
HIV Seropositivity / complications*
Longitudinal Studies
Oral Hygiene
Patient Education as Topic
Periodontal Attachment Loss / prevention & control
Periodontal Diseases / prevention & control*
Periodontal Index
Periodontal Pocket / prevention & control
Periodontitis / prevention & control
Statistics as Topic
Statistics, Nonparametric

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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