Document 0515
 DOCN  M9480515
 TI    Human immunodeficiency virus serostatus and the risk of postextraction
       complications.
 DT    9410
 AU    Dodson TB; Perrott DH; Gongloff RK; Kaban LB; Department of Surgery,
       Emory University, Atlanta, GA.
 SO    Int J Oral Maxillofac Surg. 1994 Apr;23(2):100-3. Unique Identifier :
       AIDSLINE MED/94308633
 AB    Despite the increasing prevalence of human immunodeficiency virus (HIV)
       disease in the population and the increasing likelihood that
       HIV-positive (HIV+) patients may have an extraction, little is known
       about the risk of postoperative complications in this group. The goal of
       this investigation was to assess the risk of postoperative complications
       in HIV+ patients after tooth extraction. The study was designed as a
       retrospective cohort study with a sample consisting of 145 males who
       underwent tooth extraction. The patients' medical and dental records
       were reviewed to identify HIV serostatus, to document the frequency and
       type of postoperative complications, and to collect data on potential
       confounding variables. Forty-four patients were identified as HIV+. The
       postoperative complication rate in HIV+ patients was 20.9% and for
       HIV-negative (HIV-) patients 2.9% (relative risk = 7.0, 95% confidence
       interval = 2.0-25.0, P = 0.001). Furthermore, as the manifestations of
       the symptoms of HIV infection became more severe, the postextraction
       complication rate also increased (P = 0.008). The results of this study
       suggest that HIV+ patients have an increased risk of postextraction
       complications and as the level of HIV disease increases, the risk of
       complications also increases. While the findings of this study are
       consistent with studies based on case series, prospective cohort studies
       are required to confirm the findings.
 DE    Acquired Immunodeficiency Syndrome  Adult  Age Factors  Alcohol Drinking
       Analysis of Variance  Antibiotics/THERAPEUTIC USE  AIDS-Related Complex
       Chi-Square Distribution  Cohort Studies  Comparative Study  Confounding
       Factors (Epidemiology)  *Dental Care for Chronically Ill  Diabetes
       Mellitus  Female  Human  *HIV Infections  HIV Seronegativity  HIV
       Seropositivity  Logistic Models  Male  Odds Ratio  Retrospective Studies
       Risk Factors  Severity of Illness Index  Smoking  Support, Non-U.S.
       Gov't  Support, U.S. Gov't, P.H.S.  Tooth Extraction/*ADVERSE EFFECTS
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).