Document 2646
 DOCN  M94A2646
 TI    Odontologic pediatrics: AIDS most relevant oral lesions.
 DT    9412
 AU    Ronan F; Perez MA; Souza I; Ferreira S; Oliveira R; Teles G; Henriques
       M; Dental School/NESC/IPPMG/Brazil.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):257 (abstract no. PB0459). Unique
       Identifier : AIDSLINE ICA10/94369929
 AB    OBJECTIVE: Our main objective is to study the need for dental care as
       well as prevalence of oral manifestations in order to derive a case
       definition for AIDS to be applied by dentists in developing countries.
       METHODS: A case-control study was carried out. After written consent,
       all children were submitted to a through questionnaire, aiming signs,
       symptoms, oral lesions, past diagnoses and a odontologic exam. Chart
       review was performed in order to cover any lapse during interview.
       Controls were randomly selected from outpatient clinic, excluding those
       with immunosupression. RESULTS: For HIV+ children topic fluoride was
       used on only one child-. Although most HIV+ children brushed their
       teeth, this was not made on a regular basis (66.6% less than 2 times
       daily) nor before bedtime (16.7%). Few children had oral hygiene
       guidance (38.5%). Most prevalent oral manifestations included
       lymphadenopathy (34.6%), pseudomembranous candidiasis (30%) and parotid
       gland enlargement (30%), other lesions included hairy leucoplakia,
       eritematous candidiasis and gengivitis. The oral hygiene index (OHI) was
       0.89, DMFT was 0.35 for HIV+ children and two of these had nursing
       caries. CONCLUSIONS: Albeit based on preliminary results of 60 children,
       we hope that our ongoing case-control study helps to derive a case
       definition for AIDS that takes in account oral lesions regularly seen in
       odontological practice.
 DE    AIDS-Related Opportunistic Infections/*DIAGNOSIS/EPIDEMIOLOGY
       Brazil/EPIDEMIOLOGY  Case-Control Studies  Child  Child, Preschool
       Cross-Sectional Studies  Dental Care for Chronically Ill  *Developing
       Countries  DMF Index  Female  Human  HIV
       Seropositivity/*DIAGNOSIS/EPIDEMIOLOGY  Incidence  Infant  Infant,
       Newborn  Mouth Diseases/*DIAGNOSIS/EPIDEMIOLOGY  Oral Hygiene  Pregnancy
       Support, Non-U.S. Gov't  MEETING ABSTRACT

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