
We’ve come a long way since the early 1980s when we first identified the HIV virus. Although approximately 35 million people worldwide (including a million Americans) now have the virus, many are living relatively long and normal lives thanks to advanced antiretroviral drugs.
Still, HIV patients must remain vigilant about their health, especially their oral health. In fact, problems with the teeth, gums and other oral structures could be a sign the virus has or is moving into the full disease stage, acquired immunodeficiency syndrome (AIDS). That’s why you or a loved one with the virus should maintain regular dental checkups or see your dentist when you notice any oral abnormalities.
One of the most common conditions among HIV-positive patients is a fungal infection called candidiasis (or “thrush”). It may appear first as deep cracks at the corners of the mouth and then appear on the tongue and roof of the mouth as red lesions. The infection may also cause creamy, white patches that leave a reddened or bleeding surface when wiped.
HIV-positive patients may also suffer from reduced salivary flow. Because saliva helps neutralize excess mouth acid after we eat as well as limit bacterial growth, its absence significantly increases the risk of dental disease. One of the most prominent for HIV-positive patients is periodontal (gum) disease, a bacterial infection normally caused by dental plaque.
While gum disease is prevalent among people in general, one particular form is of grave concern to HIV-positive patients. Necrotizing ulcerative periodontitis (NUP) is characterized by spontaneous gum bleeding, ulcerations and a foul odor. The disease itself can cause loosening and eventually loss of teeth, but it’s also notable as a sign of a patient’s deteriorating immune system. The patient should not only undergo dental treatment (including antibiotics), but also see their primary care physician for updates in treating and managing their overall symptoms.
Above all, HIV-positive patients must be extra diligent about oral hygiene, including daily brushing and flossing. Your dentist may also recommend other measures like saliva stimulators or chlorhexidine mouthrinses to reduce the growth of disease-causing bacteria. Together, you should be able to reduce the effects of HIV-induced teeth and gum problems for a healthier mouth and better quality of life.
If you would like more information on oral care for HIV-AIDS patients, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “HIV-AIDS & Oral Health.”
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Our Office
Edward C. Joseph, D.D.S.
Burbank, CA 91505
Our Blog
Archive:
- 2019
- November (6)
- Office Fluoride Treatments Can Add Extra Protection to Your Child's Teeth
- Teeth Grinding in Older Children and Adolescents a Cause for Concern
- How Long Will Root Canal Treatment Last?
- Smoking Could Increase Your Gum Disease Risk
- 4 Serious Health Conditions That Gum Disease Might Make Worse
- The Before, During and After of Root Canal Treatments
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- The Triple Partnership That Could Save a Cancer Patient's Oral Health
- Do a Little Extra Food Prep to Ease TMD Discomfort
- Here's What You Can Do to Avoid Gum Disease
- Don't Panic Over Your Child's Teeth Grinding but Do Keep an Eye on It
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- Clean Your Implants Just Like Your Other Teeth
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- Don't Delay Seeing the Dentist If You Suspect Gum Recession
- 4 Ways You Can Take Years off Your Smile
- Preserving the Pulp is Priority One with a Newly Erupted Permanent Tooth
- New Minimally Invasive Techniques are Improving Tooth Decay Treatment
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- You May Need an Endodontist for a Tooth With Interior Decay
- August (6)
- Oral Hygiene Might Be on the Decline With the Newest Adult Generation
- Don't Let Gum Disease Cut Short Your Implant's Service Life
- "Tooth, Heal Thyself" May Soon Be a Reality
- You Need a Dentist to Remove Tartar From Your Teeth
- Tooth Type and Condition can Affect Root Canal Therapy Effectiveness
- If Appropriate, Antibiotics before Implant Surgery Could Reduce Infection Risk
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- You May Need to Postpone an Upcoming Dental Visit if You Have Shingles
- How Dentists Provide Your Child the Benefit of X-Rays as Safely as Possible
- How Early Dental Visits Can Improve Your Child's Oral Health
- 3 Things You Can do to Help Promote Your Child's Dental Development
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- Primary Teeth are Critical to Future Dental Health and Worth Preserving
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- A Detailed 'Smile Analysis' Sets the Stage for a Successful Makeover
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- May (6)
- 3 Tips for Successful, Safe Home Teeth Whitening
- Your Sinus Infection Might be a Sign of a Tooth Problem
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- Manage Your GERD Symptoms to Prevent Enamel Erosion
- Simple Steps to Follow if Your Child has a Toothache
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- April (6)
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- Gum Disease Could be Affecting More Than Just Your Mouth
- Get a Look at Your Future Makeover Look Now with a 'Trial Smile'
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- April Is National Facial Protection Month
- March (6)
- Here's How to Manage School Snacks and Your Child's Dental Health
- You Don't Have to Live with a Gummy Smile. Here's How We Can Change it!
- March Is the Time to Evaluate Sleep Problems
- Replacing a Missing Tooth isn't Just About Improving Your Smile
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- Stop Gum Disease Before it Harms Your Health
- February (6)
- Dental Sealants can help Prevent Tooth Decay in Children
- 4 Things to Avoid if You Want to Support Your Child's Dental Development
- 3 Age-Related Dental Problems and what you can do About Them
- Test You're Brushing and Flossing Success with a Plaque Disclosing Agent
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- Finding the Right Solution for Your Gummy Smile
- January (6)
- Take a Look into Your Future with a Trial Smile
- Porcelain Veneers Might not be the Best Option for Teenagers
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- 2018
- December (6)
- Stop Smoking to Reduce Your Risk of Gum Disease
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- New Year, New Smile
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- November (6)
- Moderate Your Child's Juice Drinking to Lower Tooth Decay Risk
- Avoid Bone Loss around Tooth Roots through Regular Dental Care
- 4 Things to Know About Diabetes and Gum Health
- Dentures are Still a Viable Choice for Tooth Replacement
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- October (6)
- Try the Conservative Path to Jaw Pain Relief First
- Encourage Your Child to Stop Thumb Sucking by Age 4
- Five Tips for Top-Notch Tooth Brushing
- Ease Your Child's Teething Discomfort with these Tips
- 3 Factors That Could Affect the Success of a Root Canal Treatment
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- September (6)
- Keep on Course during the 3 Phases of a Smile Makeover
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- August (6)
- Recreational Marijuana Could Increase Your Risk of Gum Disease
- 3 Reasons You Should Consider Tooth Whitening
- What to do if Your Child has a Toothache
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- Be on the Alert for Gum Disease While Wearing Braces
- July (7)
- The Right Treatment for Your Child's Injured Tooth Increases its Survival
- Encourage Your Child to Stop Thumb Sucking Around Age 3
- You May Need Surgery to Repair the Damage of Gum Recession
- What Happens in a Root Canal Treatment and How it Can Save Your Tooth
- Don't Take a Vacation From Oral Hygiene This Summer!
- We'll Help You Maintain Your Oral Health After Gum Disease
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- June (6)
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- What You Can Do to Support Your Child's Dental Development
- June Is National Safety Month: Be Prepared for Dental Emergencies
- Seek Immediate Treatment for this Advanced Form of Gingivitis
- Keep Alert for this Extreme Form of Gingivitis
- Gum Infection Around Tooth Roots Calls for Immediate Action
- 2017
- December (5)
- Extracting Certain Teeth can Boost Orthodontic Effectiveness
- Living with HIV includes Keeping a Close Watch on Your Oral Health
- 3 Ways You Can Help Your Child Feel at Home at the Dentist
- Your Age Won't Necessarily Decide Against Straightening Your Smile
- Air Abrasion Could be a More Pleasant Alternative to the Dental Drill
- May (5)
- Complications from Missing Teeth Could Limit Your Replacement Options
- Look at Your Options for Saving a Tooth First Before Replacing it
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- April (5)
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- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Plan Ahead to Make Your Smile the Best it can be for Your Big Day!
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- You may need a Periodontist to Fully Treat Your Gum Disease
- January (5)
- Simplify Your Toothpaste Purchase by Looking for These Ingredients
- Get Control of Dry Mouth to Protect Your Dental Health
- Restore a Flawed Tooth in as Little as One Visit with Composite Resin
- You Should Brush and Floss Around Your Implant to Ensure its Longevity
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- 2016
- November (5)
- 4 Reasons you may want Your Dentist to Whiten Your Teeth
- Clear Aligners Make it Easier for Teenagers to have Their Teeth Straightened
- Follow These Common Sense Steps When Your Child has a Toothache
- Don't Let the Acid in Sports and Energy Drinks Ruin Your Tooth Enamel
- Dental Implants can Replace Your Whole Tooth, Not Just What You See
- September (5)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- What to Expect Before, During and After Implant Surgery
- Lasers Adding New Precision and Efficiency to Root Canal Treatments
- Treating "Burning Mouth" Depends on What's Triggering it
- Take These Measures to Lower Your Child's Tooth Decay Risk
- June (5)
- Crown Lengthening Opens up New Teeth Restoration Possibilities
- Root Canal Treatment Alleviates Pain and Saves Your Tooth
- 4 Reasons Saving Your Child's Decayed Baby Tooth is a Good Idea
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- The Risk for Gum Disease Increases While Wearing Braces
- May (5)
- Mild Pain Relievers may be all you need for Discomfort after Dental Work
- Here's What to Do if Your Child has a Toothache
- Your Case of Gingivitis Could Develop into Something More Harmful
- Sedation Therapy can reduce Anxiety in Children during Dental Visits
- Weigh a Poor Smile's Emotional and Social Cost when Considering Restorations
- March (5)
- Removable Dentures Remain a Viable Option for People with Total Tooth Loss
- Erosion and Other Problems may be Signs of Bulimia
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Test Out Your Future Look With a 'Trial Smile'
- 2015
- December (5)
- Dental Amalgam Continues to be a Durable and Safe Tooth Filling
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- Saliva Performs Many Functions for Both Oral and General Health
- Three Considerations for Working with Your Dentist on Your Smile Makeover
- Simple or Surgical? Choosing the Right Kind of Tooth Extraction
- 2014
- August (5)
- Dental Hygienist - Your Partner in Preventing Disease and Maintaining Oral Health
- Major Benefits for Tooth Replacement With Dental Implants
- Replace Missing Teeth to Prevent Other Teeth From Moving Out of Place
- Taking Precautions Before, During and After Implants Will Help Ensure Success
- Conscious Sedation can Make Your Child's Dental Visit More Pleasant
- 2013
- December (5)
- Do Clear Orthodontic Aligners Really Work?
- Dental Amalgam Fillings Remain a Safe and Reliable Tooth Restoration Option
- Monitoring Blood Pressure is Important for Both Your General and Oral Health
- Consider all the Cost Factors When Deciding on a Crown Restoration
- New Permanent Teeth - Faster Than Ever!
- October (5)
- Are You an Athlete? Here Are Five Reasons You Should Wear a Mouthguard
- Dental Implant Maintenance: 5 Facts You Should Know
- Advances in Clear Aligners Make Them a Viable Choice for More Teens
- Frequently Asked Questions About Root Canals
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- 2012
- August (7)
- Tooth Brushing: Don't Overdo It!
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- Factors that Can Influence a Dental Implant
- Early Orthodontic Care Helped Child Star Nolan Gould Get Ready for Prime Time
- Child Star Nolan Gould Talks About Tooth Extractions, Orthodontic Treatment
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- 2011
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