PERIODONTAL DISEASES IN HIV-INFECTED PATIENTS: PREVALENCE AND PECULIARITIES OF CLINICAL MANIFESTATIONS DEPENDING ON ADHERENCE TO ANTIRETROVIRAL THERAPY
Aim. To study the prevalence and clinical structure of periodontal diseases in HIV-infected patients depending on adherence to antiretroviral therapy (ART). Materials and methods. The study was based on the results of complex dental examination of 222 HIV-infected patients of “Perm Regional AIDS Center” over the period from 2009 to 2011. Results. Prevalence of classical inflammatory periodontal diseases in HIV-infected patients was 69,7% and that of specific HIV-associated periodontal diseases 27,0%. Patients who underwent antiretroviral therapy had reliably lower prevalence of HIV-associated periodontal diseases and less severe course of classical gingivitis and periodontitis. Conclusion. Dental status of HIV-infected patients is characterized by higher prevalence and intensity of periodontal diseases. Periodontal diseases in HIV-infected patients are characterized by polymorphism, they can be specific and nonspecific, conditioned by typical periodontopathogenic flora. Periodontologic status of HIV-infected patients not adherent to ART is compromised to a greater extent than in subjects receiving the corresponding antiviral therapy.