DURATION OF THE STUDY: JUNE-OCTOBER 2008 COST OF STUDY; 9400KSH SOURCE OF FUNDS: SELF INVESTIGATOR: GIKUNDA MARY KATHURE
|
|
- Gavin Haynes
- 5 years ago
- Views:
Transcription
1 J ORAL MANIFESTATIONS OF HIV INFECTION/AIDS AND THEIR INFLUENCE ON ORAL FUNCTIONS AND ORAL HYGIENE PRACTICES AMONG ADULT PATIENTS IN KENYATTA NATIONAL HOSPITAL COMPREHENSIVE CARE CENTRE. INVESTIGATOR: GIKUNDA MARY KATHURE SUPERVISORS, I INTERNAL: Dr.MACIGO FG BDS, MPH, PGD-STI ~rb) PEPARTMENT OF PERlODONTOLOGY, COMMUNITY AND PRBVENTIVE DENTISTRY.. SCHOOL OF DENTAL SCIENCES //~~;1;\\ UNIVERSITY OF NAIROBI.," \',0': '\ \ --".: C ~', f\ ~ -v -,---,) \ ' \\~ \ " o,., --:~ \ i' --- f '\\'1!' \ _,fj EXTERNAL: DR WAKOLI (Nrb), M MED \ 'i r,'~.' ';.',) DEPARTMENT OF ORAL AND MAXILLOFACIAL Sl~~.GERY, ORAL'" PATHOLOGY AND ORAL MEDICINE ", '\ \ UNIVERSITY OF NAIROBI. '., A COMMUNITY DENTISTRY PROJECT PROPOSAL SUBMITTED IN FULFILMENT OF THE DEGREE OF BACHELOR OF DENTAL SURGERY AT THE UNIVERSITY OF NAIROBI DURATION OF THE STUDY: JUNE-OCTOBER 2008 COST OF STUDY; 9400KSH SOURCE OF FUNDS: SELF
2 Title TABLE OF CONTENTS page Table of contents ii Abbreviati ons.iii Summary 1 Introduction and Literature review 2 Problem statement. 5 Justification of study 5 Objectives 6 Methodology 7 Study area 7 Study population 7 Study design 7 Sample size determination 7 Sampling method 8 Inclusion criteria 8 Exclusion criteria 8 Data collection 8 Minimizing errors 8 Data analysis 9 Data presentation 9 Ethical consideration 9 Limitations 9 Expected benefits 9 Budget 10 References 14 Appendix 1 12 Appendix II 15 Appendix
3 ABBREVIA nons HIV-Human immunodeficiency virus AIDS-Acquired immune deficiency syndrome. TASO- The AIDS Support Organization CCC-Comprehensive Care Centre. WHO- World Health Organisation iii
4 SUMMARY Oral lesions are common in individuals with HIV infection and thus a detailed oral examination is an important part of the regular physical examination. Early recognition and treatment of these oral lesions may reduce morbidity oral hygiene practices and functions. as well as enhance patients' Oral lesions cause significant poor oral hygiene and limits oral functions, yet most are readily treated. They may be the first clinical features ofhiv infection and lead to its diagnosis. Their presence is an indication of immunodeficiency and predicts the progression of the HIV disease. Few studies have been conducted in Kenya regarding the prevalence of oral manifestations ofhiv infction/aids and their effect on oral hygiene practices and oral functions in adult patients in Kenya. The aim of this study is to determine the prevalence of different oral lesions in. HIV/ AIDS adult patients in Kenyatta national hospital and how they affect oral health and oral functions of the patients. This will be a descriptive cross-sectional study using a systematic random sampling method on patients between 18 and 65 years who are HIV sero positive. A sample size of60 subjects will be used. Clinical examination with theoretical and clinical knowledge will be used to diagnose the oral lesions. Questionnaires will be used to collect data on oral hygiene practices and oral functions. Data analysis will be done by use of packages SSPS and MS EXCEL. The means and percentages of the variables will be computed. Data will be presented in form of tables charts graphs and text. The benefits of the study include knowledge of oral lesions and thus early diagnosis and treatment which will improve the quality of life of the patients. This project will be submitted in partial fulfillment of requirements of bachelor of dental surgery in the University of Nairobi.
5 1.0 INTRODUCTION AND LITERATURE REVIEW HIV infection causes ~IDS, which stands for acquired immunodeficiency syndrome (HIV), which is human immunodeficiency virus. The virus damages cells of the body immune system. HlV continues to be one of the most important communicable diseases in Kenya. It causes serious morbidity, significant mortality and the loss of high numbers of potential years of life, despite considerable advances in life-prolonging treatment that have led to a substantial reduction in the number of HI V -related deaths in Kenya. Gratifyingly, HIV infection is now highly treatable. It is increasingly managed as a chronic disease, and many more patients survive for long periods. Currently, nearly fifty thousand people are infected with the human immunodeficiency virus in Kenya. The numbers of those infected continue to rise. Each year, many thousands of individuals are newly diagnosed as infected. Yet estimates suggest that almost a third of patients with HIV remain undiagnosed - many of whom will be using Primary care. HIV infection is a major global health problem affecting developing and developed countries alike. Oral manifestations of the HIV disease are common and include oral lesions and novel presentations of previously known opportunistic diseases. Careful history taking and detailed examination of the patient's oral cavity are important parts of the physical examination, and diagnosis requires appropriate investigative techniques. Early recognition, diagnosis, and treatment of HIV -associated oral lesions may reduce morbidity. 2
6 A study was done in Tanzania by Petersen et ai. Muhimbili University, Tanzania and Hilbert of Muhimbilli National Hospital, Tanzania The aim of this study was to investigate the awareness of the oral manifestations ofhivi AIDS and oral hygiene practices among people living with HN (PLHIV) in Dar es Salaam, Tanzania. A structured questionnaire was used to collect information from 187 participants chosen by convenience sampling from NGOs supporting PLHN. 13.4% of the participants were completely unaware of the oral manifestations ofhn/aids whereas all participants were fully aware of general symptoms of AIDS. There were no significant associations between awareness of oral manifestations and oral hygiene practices among the participants. Participants were relatively well aware of the different types of oral manifestations (e.g. oral ulcers 87%, oral candidiasis 84%) while their knowledge of the management of specific oral manifestations and the problems associated with oral manifestations was more limited? A prospective study in Coast Province General Hospital in Mombasa, Kenya, by Butt et al to clinically evaluate and document the range and pattern of oral lesions in a group of hospitalised patients with HIV -infection. Examination of all the cases included in the study was performed according to the WHO criteria. Where indicated incisional biopsy was performed to confirm the clinical diagnosis of the relevant lesions. In collaboration with the medical team, treatment was administered as per the needs of the patient in terms of anti-fungals, antivirals or topical cortisteroids. Results: Of the 61 cases, 25(41 %) were males and 36(59%) females with an age range of 19 to 65 years (mean = 34.7years), While all the cases had periodontal disease, over 80% had candidiasis of the hyperplastic, erythematous and pseudomembraneous types. Lymphadenopathy and angular cheilitis were each diagnosed in 27.9% of the cases; while oral Kaposi's sarcoma was seen in 13% of the patients. Other conditions seen included persistent oral ulceration (11.5%), oral hairy leukoplakia and herpes zoster each constituting 4.9%; herpes simplex, mucosal hyperpigmentation, parotomegaly and facial palsy each comprised six per cent and oral warts seen in one case. 3
7 In accordance with the pattern and prevalence of oral manifestations in the study, the results were largely consistent with those documented elsewhere. For the alleviation of the morbidity arising from the commonly occurring lesions, early detection is mandatory. Furthermore, documentation of the varied regional patterns of occurrence of these lesions may aid in the rational application of the emerging treatments.' A study in Uganda by Kampala international university, dentistry department on clients visiting T ASO clinics had the objective to establish the prevalence of oral manifestation and their influence on oral functions. A total of 514 individuals aged between 18 to 58 years were randomly recruited from the AIDS Support Organization clinics in Uganda. They were clinically examined for oral lesions under field conditions. Women constituted 74.5% of the study. Oral manifestations were recorded in 72% of the subjects among whom 70% had candidiasis of pseudo membranous, erythematous, and angular cheilitis variants. Non-Hodgkins lymphoma, atypical ulcers, necrotizing periodontitis, and hairy leukoplakia were least frequently observed in the subjects. Of those who had oral lesions, 68.4% had some form of discomfort in the mouth. Tooth brushing, chewing, and swallowing were frequently associated with discomfort. Reported forms of discomfort were dry mouth, increased salivation, and burning sensation especially on taking salty and spicy foods or acidic drinks. Only 8.5% of the subjects were taking medications specifically for oral lesions, which included antifungal, antiviral, and antibacterial agents. None of the subjects were on antiretroviral therapy. It was concluded that Oral lesions associated with HIV infection/aids in T ASO clients were a major public health problern : requiring education in recognition and appropriate management." A study was done by Brown JB, et al. in Malawi to evaluated the health effects of routine and intensified dental care and disease prevention in persons who were HIV positive. 4
8 The study involved 376 HIV-infected persons aged 19 to 61 years with CD4 counts between 100 and 750 into a year-long two-arm randomized controlled trial. Control group subjects (n = 185) received professional dental protective treatment and checkups at baseline, 6 months, and I year, plus dental care. Enhanced care patients (n = 191) received bimonthly protective treatment and twice-daily chlorhexidine mouth rinses to treat gingivitis. Active decay, gingivitis, oral pain, impact of oral health on functioning, and global functional status improved in both groups. The mean depth of periodontal pockets decreased 0.18 mm (control group) versus 0.27 mm (enhanced group) (p < 0.04), as did an erythema index (-1.22 versus -1.78, p < 0.01). No effects on AIDS-related complications, symptoms, or mortality were observed. It was concluded that access to dental screening, prophylaxis, and repair will significantly improve oral health, functioning and quality of life in persons with AIDS 5 The oral manifestations ofhiy infection/aids include oral candidiasis, which is frequently observed in the earliest stages ofhiv infection. It affects more than 30% of HlY -positive individuals and is seen in more than 90% of AIDS patients. Other oral lesions seen among AIDS patients include linear gingival erythema, necrotizing ulcerative periodontitis, stomatitis, gingivitis, oral hairy leukoplakia, herpes simplex virus infection, cytomegalovirus ulceration, human papilloma virus infection, recurrent aphthous ulcers, and HIV salivary gland disease. Oral lesions that are associated with this disease are important, since they affect the patient's oral hygiene practices and oral functions and are useful markers of disease progression and immunosuppressions This study will thus provide important information on oral manifestation of HIY infection/aids and their effect on oral functions and health. This will help the ministry of health to plan on provision of dignostic facilities and appropriate medication to improve patient's quality oflife. 5
9 2.0 PROBLEM STATEMENT,JUSTIFICATION AND OBJECTIVES. 2.1 STATEMENT OF THE PROBLEM HJV infection/aids is one of the major killer diseases in the world today. Oral lesions form one of the factors that contribute to early deaths. This follows the patient's inability to carry out their oral functions such as eating, breathing and self expression. There is also a major influence on the patients' ability to carry out oral hygiene practices which in turn predispose patients to other oral pathologies like caries and periodontitis. Documented studies show a change in pattern of mortality rate with early diagnosis of the oral lesions. The patient's oral hygiene practices also are improved when the management HIV infection/aids is done early on early diagnosis. There has also been shown an improvement in the performance of oral functions like eating. Many Kenyans are living with HIV infection/aids today. Oral lesions associated with HIV infection/aids have not been extensively studied in Kenya. 2.2 JUSTIFICATION OF THE STUDY.. A study on the oral lesions in Hl V infections/aids and their influence on oral hygiene practices and oral functions of the patients will help in designing programmes to improve the quality oflife of the patients as well as reduce their mortality rate. Early treatment of the oral lesions will enable them carry out oral functions comfortably and be in a position to maintain good oral hygiene. This will consequently reduce pressure on resources available for oral health. 6
10 2.3 OBJECTIVES 2.31 General objectives To describe the pattern of oral lesions and their influence on oral hygiene practices and functions among HIV infection/aids patients attending the Kenyatta National Hospital Comprehensive Care Centre SPECIFIC OJECTIVES 1. To describe the pattern of oral lesions among HIV/AIDS patients. 2. To assess the extent to which the oral lesions affect oral functions. 3. To assess the extent to which the oral lesions affect oral hygiene practices among the patients. 2.4 HYPOTHESIS 70% of HIV/AIDS patients have reduced frequency of brushing. 60% of the patients have difficulty in carrying out oral functions e.g chewing opening of the mouth, swallowing and talking. 2.5 VARIABLES 2.51 Socio-demographic Age Gender 2.52 Independent variables Candidiasis Pseudomembranous candidiasis Angular cheilitis Oral hairy leukoplakia Kaposi's sarcoma 2.53 Dependent variables Oral hygiene practices: Frequency of tooth brushing Oral functions: Eating, talking. 7
ORAL LESIONS AND THE SELF REPORTED QUALITY OF LIFE IN YEAR OLD PATIENTS ATTENDING THE COMPREHENSIVE CARE
ORAL LESIONS AND THE SELF REPORTED QUALITY OF LIFE IN 18-60 YEAR OLD PATIENTS ATTENDING THE COMPREHENSIVE CARE CENTRE AT KENYATTA NATIONAL HOSPITAL V28/20 19120 11 BACHELOR OF DENTAL SURGERY (BDS III)
More informationOral Health & HIV. Professor Sudeshni Naidoo Department of Community Dentistry University of the Western Cape
Oral Health & HIV Professor Sudeshni Naidoo Department of Community Dentistry University of the Western Cape Importance & relevance of Oral HIV Lesions >70% of HIV+ve patients present with oral manifestations
More informationOral Manifestations of HIV: Case Studies
NORTHWEST AIDS EDUCATION AND TRAINING CENTER Oral Manifestations of HIV: Case Studies David Spach, MD Principal Investigator and Clinical Director, Northwest AETC Professor of Medicine, Division of Infectious
More informationOral Cancer and Common Oral Lesions seen in HIV Seropositive Patients. Gwen Cohen Brown DDS, FAAOMP Professor New York City College of Technology
Oral Cancer and Common Oral Lesions seen in HIV Seropositive Patients Gwen Cohen Brown DDS, FAAOMP Professor New York City College of Technology Program Objectives Recognize the oral health needs of the
More informationResearch Article A Study Of Oral Manifestation Of HIV/AIDS Lalit Shrimali
International Journal of Oral & Maxillofacial Pathology. ;1(1):-1 Available online at http://www.journalgateway.com Research Article A Study Of Oral Manifestation Of HIV/AIDS Lalit Shrimali Abstract Background:
More informationRECORD or PRINT THE CONFIRMATION ID This unique ID is displayed upon successful submission of your answer form.
2013 course two self-study course The Ohio State University College of Dentistry is a recognized provider for ADA CERP credit. ADA CERP is a service of the American Dental Association to assist dental
More informationOral infections. Siri Beier Jensen Associate Professor, DDS, PhD
Oral infections Siri Beier Jensen Associate Professor, DDS, PhD Oral mucosa Covers and protects underlying structures Barrier to bacterial, fungal and viral infection Resistant to: Temperature ph Mechanical
More informationCase presentations: The pitfalls in diagnosis and management of oral lesions in cancer patients
Case presentations: The pitfalls in diagnosis and management of oral lesions in cancer patients Siri Beier Jensen Associate Professor, DDS, PhD Aarhus University Faculty Disclosure X No, nothing to disclose
More informationContents. 3 Diagnostic Tests and Studies Introduction Examination... 27
Contents 1 Normal Anatomy... 1 1.1 Introduction... 1 1.2 Surface Landmarks... 1 1.3 Oral Mucosa... 3 1.4 Tongue... 5 1.5 Floor of Mouth... 6 1.6 Palate... 6 1.7 Dentition... 7 1.8 Temporomandibular Joint...
More informationThe Oral Cavity. Image source:
The Oral Cavity Anatomy Image source: http://anatomyforlayla.blogspot.co.za/2007/04/blog-post.html The major structures of the oral cavity are the lips, the teeth, the alveolar ridges (bony areas that
More informationTanzania Dental Journal Vol. 15 No. 1, May 2008
Diagnosis of Oral Lesions associated with HIV/AIDS Hamza O. Department of Oral Surgery and Oral Pathology, MUHAS Hamza O: Diagnosis of Oral Lesions associated with HIV/AIDS. Tanz Dent J 2008; 15 (1): 22-26
More informationSOUTH FLORIDA SE AIDS EDUCATION & TRAINING CENTER. HIV and Oral Health in the Era of Antiretroviral Therapy
SOUTH FLORIDA SE AIDS EDUCATION & TRAINING CENTER HIV and Oral Health in the Era of Antiretroviral Therapy SOUTH FLORIDA SE AIDS EDUCATION & TRAINING CENTER WHAT I DO? Dental Director South Florida Southeast
More informationContents. 1 Normal Anatomy Introduction... 17
Contents 1 Normal Anatomy... 1 Introduction... 1 Surface Landmarks... 1 Oral Mucosa... 1 Tongue... 4 Floor of Mouth... 6 Palate... 7 Dentition... 7 Temporomandibular Joint... 9 Innervation... 10 Jaws and
More informationPacific Protocols for the Dental Management of Patients with HIV Disease
Pacific Protocols for the Dental Management of Patients with HIV Disease This Protocol was developed by: Maria Flores, DDS Clinical Director, HIV Care Program University of the Pacific, Arthur A. Dugoni
More informationmedical monitoring: clinical monitoring and laboratory tests
medical monitoring: clinical monitoring and laboratory tests Purpose of monitoring Check on the physical, psychological and emotional condition of the patient Detect other treatable conditions Identify
More informationDental Care and Health An Update. Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI
Dental Care and Health An Update Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI WHO s Definition of Health? Health is a state of complete physical, mental, and social wellbeing and not merely the absence of
More informationLesions & Lifestyles
Lesions & Lifestyles attended a 3 hour Continuing Education Seminar on Oral Pathology presented by Nancy Dewhirst, RDH,BS on (date) at (location):. Course material is directly related patient care. Notes:
More informationOral Manifestations of HIV-AIDS: A Diagnostic and Management Dilemma
Review Article Oral Manifestations of HIV-AIDS: A Diagnostic and Management Dilemma Rita Jha*, Taranjit kaur**, Abhimanyu Sharma*** *Professor and Head, Department of Oral Medicine and Radiology, Govt.
More informationDental care and treatment for patients with head and neck cancer. Department of Restorative Dentistry Information for patients
Dental care and treatment for patients with head and neck cancer Department of Restorative Dentistry Information for patients i Why have I been referred to the Restorative Dentistry Team? Treatment of
More informationCORRELATION OF CD4 COUNTS AND CD4/CD8 RATIO WITH HIV- INFECTION ASSOCIATED ORAL MANIFESTATIONS
August 2007 E A S T A F R I C A N M E D I C A L J O U R N A L 383 East African Medical Journal Vol. 84 No. 8 August 2007 CORRELATION OF CD4 COUNTS AND CD4/CD8 RATIO WITH HIV-INFECTION ASSOCIATED ORAL MANIFESTATIONS
More informationDental Management of the Organ or Stem Cell Transplant Patient
Dental Management of the Organ or Stem Cell Transplant Patient KEY POINTS Before and after organ or stem cell transplantation, patients require specialized dental management. Optimal dental management
More informationVIRUS. Viral infection causing, or associated with diseases of the oral mucosa : Herpes Simpleks 1 & 2
VIRUS Viral infection causing, or associated with diseases of the oral mucosa : VIRUS Herpes Simpleks 1 & 2 Varicella - Zoster Coxsakie A PENYAKIT Primary Gingivostomatitis Herpetica Herpes Labialis Recurrent
More informationKNOWLEDGE ATTITUDE AND PRACTICE OF POST EXPOSURE PROPHYLAXIS BY STUDENTS AND CLINICAL STAFF AT DENTAL SCHOOL
. --. KNOWLEDGE ATTITUDE AND PRACTICE OF POST EXPOSURE PROPHYLAXIS BY STUDENTS AND CLINICAL STAFF AT DENTAL SCHOOL INVESTIGATOR SAHIL lviukesh POPAT V28/10523/06 BDS III STUDENT SCHOOL OF DENTAL SCIENCES
More informationWe re Passionate About
Oral Health Training Marie Burgum Oral Health Advisor Tees Community Dental Service We re Passionate About Putting patients first Quality, safety and patient experience Transforming services to meet the
More informationOral lesions in HIV Infected Patients in Abakaliki, Ebonyi State, Nigeria. Abakaliki, Ebonyi State, Nigeria
Oral lesions in HIV Infected Patients in Abakaliki, Ebonyi State, Nigeria 1 Amadi.E.S, 2 Nwakpu K.O, 2 Ngwu.B.A.F, 3 Egwu.C.A, 3 Aballa A.N and 4 Ononiwu, C.E 1 Department of Microbiology, School of Science,
More informationCase Report Oral Candidiasis: Aiding in the Diagnosis of HIV A Case Report
Case Reports in Dentistry Volume 2011, Article ID 929616, 4 pages doi:10.1155/2011/929616 Case Report Oral Candidiasis: Aiding in the Diagnosis of HIV A Case Report Arvind Shetti, Ishita Gupta, and Shivyogi
More informationAvailable online at International Journal of Current Research Vol. 8, Issue, 10, pp , October, 2016 CASE STUDY
z Available online at http://www.journalcra.com International Journal of Current Research Vol. 8, Issue, 10, pp.39962-39967, October, 2016 INTERNATIONAL JOURNAL OF CURRENT RESEARCH ISSN: 0975-833X CASE
More informationResearch Article Oral Health Status and Oromucosal Lesions in Patients Living with HIV/AIDS in India: A Comparative Study
AIDS Research and Treatment, Article ID 480247, 4 pages http://dx.doi.org/10.1155/2014/480247 Research Article Oral Health Status and Oromucosal Lesions in Patients Living with HIV/AIDS in India: A Comparative
More informationWhy is there not enough coordination and collaboration between programmes to implement collaboration TB/HIV activities
Why is there not enough coordination and collaboration between programmes to implement collaboration TB/HIV activities Olga P. Frolova Head of the TB/HIV Health Care Centre, Ministry of Health Social Development,
More informationMODULE 5 IMPACTS OF DRY MOUTH. Welcome to. Module 5. Impacts of Dry Mouth
Welcome to Module Impacts of Dry Mouth IMPACTS OF DRY MOUTH According to Oralieve research, nearly 90% of Dental Professionals believe that the incidence of the cases of dry mouth is on the rise. 1 * Living
More informationManifestations of Acute Herpetic Gingivostomatitis in Human Immunodeficiency Virus: Positive Patients S K Narendra 1, N C Sahani 2, D N Moharana 3
Received: 16 th October 2015 Accepted: 13 th January 2016 Conflict of Interest: None Source of Support: Nil Original Research Doi: 10.2047/jioh-08-04-10 Manifestations of Acute Herpetic Gingivostomatitis
More informationBLOCK 12 Viruses of the ENT
BLOCK 12 Viruses of the ENT Acute infections Introduction Pharyngitis, Common cold, Sinusitis, Otitis media Recurrent infections Herpes zoster oticus Chronic infections HIV and ENT manifestations Neoplasms
More informationTHE AMERICAN ACADEMY OF PERIODONTOLOGY
THE AMERICAN ACADEMY OF PERIODONTOLOGY Suite 800 737 North Michigan Avenue Chicago, Illinois 60611-2690 www.perio.org 2005 The American Academy of Periodontology PDW PERIODONTAL DISEASES what you need
More informationO RAL H EALTH C OMPLICATIONS IN THE HIV-INFECTED PATIENT
CHAPTER 8 O RAL H EALTH C OMPLICATIONS IN THE HIV-INFECTED PATIENT Oral health care is a critical component of comprehensive HIV medical management. Development of oral pathology is frequently associated
More informationHIV and Oral Health 101 Part 3: Oral Manifestations in the Era of Antiretroviral Therapy
HIV and Oral Health 101 Part 3: Oral Manifestations in the Era of Antiretroviral Therapy Mark Schweizer, DDS MPH Director of Development and Special Projects Nova Southeastern University College of Dental
More informationOral Medicine. Dr. Qianming Ian CHEN
Oral Medicine Dr. Qianming Ian CHEN ORAL MEDICINE Oral medicine is the specialty of dentistry that is concerned with the oral health care of medically compromised patients and with the diagnosis and nonsurgical
More informationLooking for Horses not Zebras! Common Oral Disorders in the Frail Elderly
Looking for Horses not Zebras! Common Oral Disorders in the Frail Elderly Sarah J. Dirks, DDS Geriatric Dentist www.geriatricdentalgroup.com 1 1 Objectives: Caregivers of frail elderly will be able to:
More informationImage: Blend Images/Punchstock Image: Blend Images/Punchstock Image: Ablestock/Punchstock. Copyright STFM
Image: Blend Images/Punchstock Image: Blend Images/Punchstock Image: Ablestock/Punchstock Copyright STFM 2005-2014 Third Edition June 2010 www.smilesforlifeoralhealth.org Last Modified: April, 2014 2 Course
More informationHEALTH SURVEILLANCE INDICATORS: YOUTH ORAL HEALTH. Public Health Relevance. Highlights
HEALTH SURVEILLANCE INDICATORS: YOUTH ORAL HEALTH Public Health Relevance Good dental and oral health contribute to physical, mental and social well-being. Tooth decay, especially untreated dental caries,
More informationHuman Immunodeficiency Virus and Oral Health
REVIEW Human Immunodeficiency Virus and Oral Health Shitanshu Malhotra 1 and Pallavi Singh 2 Quick Response Code doi: 10.5866/2014.611460 1&2 PG Student Department Of Public Health Dentistry Babu Banarasi
More informationPAEDIATRIC ACUTE CARE GUIDELINE. Herpes Stomatitis
Princess Margaret Hospital for Children PAEDIATRIC ACUTE CARE GUIDELINE Herpes Stomatitis Scope (Staff): Scope (Area): All Emergency Department Clinicians Emergency Department This document should be read
More informationAPHTHOUS STOMATITIS ADULT & PEDIATRIC
DEFINITION Aphthous stomatitis or canker sores are described as ulcers and inflammation of the tissues of the mouth, including the lips, buccal mucosa, tongue, gingiva, and posterior pharyngeal wall. These
More informationOral Hygiene. & Nursing Care. Barbara Farrimond CNS for Head & Neck Oncology 10 th April 2008
Oral Hygiene & Nursing Care Barbara Farrimond CNS for Head & Neck Oncology 10 th April 2008 AIM: To provide guidance and information regarding the provision of oral hygiene for hospitalised patients Objectives:
More informationPalliative Care. FACT SHEET Dental Services. Information for Health Professionals. Daily oral hygiene
Palliative Care Information for Health Professionals is offered at the end of life. It is classified as: Soothing (soothing anxieties or other intense emotions), treating symptoms only (alleviating pain
More informationOral Candidiasis in Human Immunodeficiency Virus Patients and Its Correlation with CD4 Count
ORIGINAL RESEARCH Oral in Human Immunodeficiency Virus Patients and Its Correlation with CD4 Count Urvashi Tomar 1, Mamta Singh 2, Aditee Jhingan 3, Bhuvnesh Airen 4, Nikit Agrawal 5, Priyanka Airen 6
More informationWhen Teeth Go Bad How nurse advice can help reduce recurrences of dental disease. Callum Blair BVMS MRCVS
When Teeth Go Bad How nurse advice can help reduce recurrences of dental disease Callum Blair BVMS MRCVS Dental disease is a common condition affecting cats and dogs. An often quoted statistic is that
More informationaccepted Accepted Added Accepted Accepted Accepted Accepted
External review Addition of key principles section at start Assessment protocol In assessment Change identify to all patients are and Remove elderly, terminally ill, immuno-compromised, nasogastric or
More informationINTEGRATING HIV INTO PRIMARY CARE
INTEGRATING HIV INTO PRIMARY CARE ADELERO ADEBAJO, MD, MPH, AAHIVS, FACP NO DISCLOSURE 1.2 million people in the United States are living with HIV infection and 1 in 5 are unaware of their infection.
More informationThe Role of Oral Health in Successful Care Transitions: How AAAs Can Address Oral Health Issues to Improve Health Outcomes
The Role of Oral Health in Successful Care Transitions: How AAAs Can Address Oral Health Issues to Improve Health Outcomes 1 ADS Case Management Training June 27, 2012 Mary Pat O Leary, RN To understand
More informationChapter 8. Otolaryngological Manifestations of AIDS
Chapter 8. Otolaryngological Manifestations of AIDS Acquired immunodeficiency syndrome (AIDS) first came to medical attention in the early 1980s, when an isolated number of deaths from rare lung infections
More informationA Research Proposal for a Community Dentistry Project Submitted in Partial Fulfillment of the Degree of Bachelor of Dental Surgery
ORAL HEALTH PRACTICES AND TREATMENT NEEDS OF PREGNANT WOMEN IN THE THIRD TRIMESTER AT THE KENYATTA NATIONAL HOSPITAL MATERNITY WARDS. A Research Proposal for a Community Dentistry Project Submitted in
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Actinobacteria, 307 308 Actinomycetes, 307 308 Actinomycosis, in oral cavity, 288 290 Aggregatibacter, 308 309 Amoxicillin, in odontogenic infections,
More informationA CASE REPORT OF: PSEUDOMEMBRANOUS CANDIDIASIS INDUCED BY LONG TERM SYSTEMIC CORTICOSTEROIDS THERAPY
Case Report International Journal of Dental and Health Sciences Volume 02, Issue 02 A CASE REPORT OF: PSEUDOMEMBRANOUS CANDIDIASIS INDUCED BY LONG TERM SYSTEMIC CORTICOSTEROIDS THERAPY Ziad Salim Abdul
More informationImmunodeficiencies HIV/AIDS
Immunodeficiencies HIV/AIDS Immunodeficiencies Due to impaired function of one or more components of the immune or inflammatory responses. Problem may be with: B cells T cells phagocytes or complement
More informationPrevalence of oral lesions in HIV infected adult population of Mangalore, Karnataka, India
BioDiscovery RESEARCH ARTICLE Prevalence of oral lesions in HIV infected adult population of Mangalore, Karnataka, India Mithra N. Hegde 1*, Nidarsh D. Hegde 2, Amit Malhotra 1 1 Department of Conservative
More informationPATIENT INFORMATION DIABETES AND ORAL HEALTH
PATIENT INFORMATION DIABETES AND ORAL HEALTH www.dentalcareireland.ie DIABETES AND ORAL HEALTH People with poor diabetes control can be more prone to oral health problems such as gum disease, dry mouth,
More informationOral Health Standards of Care
S OF CARE Oakland Transitional Grant Area Care and Treatment Services F EBRUARY 2007 Office of AIDS Administration 1000 Broadway, Suite 310 Oakland, CA 94607 Tel: (510) 268-7630 Fax: (510) 268-7631 AREAS
More information1. Townsend (2006) chapter 39 (pp ). 2. Townsend Pocket Guide (2004) chapter 18 (pp ).
BAPTIST HEALTH SCHOOL OF NURSING NSG 3037: PSYCHIATRIC-MENTAL HEALTH NURSING POPULATIONS AT RISK FOR ALTERATIONS IN HEALTH: PERSONS WITH HIV/AIDS and TERMINAL ILLNESS Sheryl F. Banak, MSN,RN Y1 LECTURE
More informationOCCURRENCE OF ORAL LESIONS ASSOCIATED WITH HIV/AIDS IN PATIENTS RECEIVING HAART AT THE COMPREHENSIVE CARE CLINIC, THIKA DISTRICT HOSPITAL, KENYA
OCCURRENCE OF ORAL LESIONS ASSOCIATED WITH HIV/AIDS IN PATIENTS RECEIVING HAART AT THE COMPREHENSIVE CARE CLINIC, THIKA DISTRICT HOSPITAL, KENYA JOHN MBUGUA KIHAMA MASTER OF SCIENCE (Public Health) JOMO
More informationCARIES EXPERIENCE OF THIRD MOLARS AMONG PATIENTS ATTENDING THE ORAL DIAGNOSTIC CLINIC OF THE UNIVERSITY OF NAIROBI DENTAL HOSPITAL.
CARIES EXPERIENCE OF THIRD MOLARS AMONG PATIENTS ATTENDING THE ORAL DIAGNOSTIC CLINIC OF THE UNIVERSITY OF NAIROBI DENTAL HOSPITAL. INVESTIGATOR;MANGI K SOMBA V28/1966/2O1O BDS LEVEL 3 A COMMUNITY DENTISTRY
More informationMouth care. Symptoms and complications. Myeloma Infosheet Series. Infoline:
Mouth care This Infosheet explains the causes of mouth problems in myeloma patients, what increases the risk of developing mouth problems, what the signs and symptoms of mouth problems are and how they
More informationProliferative Verrucous Leukoplakia of the Gingiva, Report of two Cases with Malignant Transformation
Journal of Clinical and Anatomic Pathology Case Report Open Access Proliferative Verrucous Leukoplakia of the Gingiva, Report of two Cases with Malignant Transformation Nadereh Ghanee DMD, Selene Saraf
More informationhttp://www.savinglivesuk.com/ HIV Awareness Study Morning 24 th November 2017 Agenda HIV Basics & Stages of HIV HIV Testing, Health Advising & Sexual Health Saving Lives Antiretroviral Medication Antenatal/Postnatal
More informationDental Care. You are part of it! Healthier, fitter, safer.
Dental Care You are part of it! Healthier, fitter, safer. Toothache may range from a distressing inconvenience to intense, miserable pain. Toothache is difficult to treat with only the medication and instruments
More informationEFFECT OF ORAL HYGIENE INSTRUCTIONS ON GINGIVAL INDEX AND PLAQUE SCORE AMONG PERIODONTAL PATIENTS VISITING THE UNIVERSITY OF NAIROBI DENTAL HOSPITAL.
EFFECT OF ORAL HYGIENE INSTRUCTIONS ON GINGIVAL INDEX AND PLAQUE SCORE AMONG PERIODONTAL PATIENTS VISITING THE UNIVERSITY OF NAIROBI DENTAL HOSPITAL. INVESTIGATOR KAGURU GEORGE KARIUKI BDS III 2004/2005
More information43. Guidelines on Needle stick Injury
43. Guidelines on Needle stick Injury The following information is abstracted from the South African Department of Health guidelines entitled: Management of Occupational Exposure to the Human Immunodeficiency
More informationTANYA A. WRIGHT, DDS OBJECTIVES
TANYA A. WRIGHT, DDS OBJECTIVES One will be able to recognize pathological entities One will be able to establish a reasonable differential diagnosis One will be able to identify various types of lesions
More informationCourse #:
Welcome to Lesson 7: Indicators of Problems of the Dental Health for Individuals with Disabilities webcast series. Please adjust your computer volume so that it is at a comfortable listening level for
More informationU.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health What do I need to know about dry mouth? Dry mouth is the feeling that there is not enough saliva in the mouth. Everyone has a
More informationOral Medicine QUICK Referral Guide (QRG)
1 Oral Medicine QUICK Referral Guide (QRG) Yorkshire & the Humber February 2017 Version 1 2 Oral Medicine Quick Referral Guide The Oral Medicine Quick Referral Guide (QRG) should be used to inform referrals
More informationKeywords: coronary heart disease, oral hygiene, oral inflammatory diseases.
1 Application of toothpaste and mouthwash BLUEM in complex hygienic oral care for patients with coronary heart disease I.M. Makeyeva, N.V. Tambovtseva I.M. Sechenov First Moscow State Medical University
More informationSTANDARD OPERATING PROCEDURES
STANDARD OPERATING PROCEDURES ON VIRAL LOAD MONITORING FOR ICAP CLINICAL STAFF AND HEALTH CARE WORKERS Version 1.1 July 2016 A Template Document for Country Adaptation ACKNOWLEDGMENTS This document was
More informationThe effects of an educational intervention on the early management of oral lesions in the umgungundlovu District in KwaZulu-Natal
The effects of an educational intervention on the early management of oral lesions in the umgungundlovu District in KwaZulu-Natal TA Muslim, S Naidoo Tufayl Muslim, BDentTher, PGDHE, PGDLaw, MSc, Academic
More informationHIV-related oral lesions as markers of immunosuppression in HIV sero-positive Nigerian patients
Journal of Medicine and Medical Sciences Vol. 1(5) pp. 166-170 June 2010 Available online http://www.interesjournals.org/jmms Copyright 2010 International Research Journals Full Length Research paper HIV-related
More informationClinical Management of Acute Dental Conditions: GDP Scoping Survey Interim Results February 2011
SDCEP Clinical Management of Acute Dental Conditions: TRiaDS GDP Scoping Survey Introduction The Scottish Dental Clinical Effectiveness Programme (SDCEP) is developing clinical guidance concerning the
More informationINSTRUCTOR S GUIDE. Oral Health. First Edition, 2006
INSTRUCTOR S GUIDE Oral Health First Edition, 2006 California Childcare Health Program Administered by the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing
More informationAgePage. Taking Care of Your Teeth and Mouth. Tooth Decay (Cavities) Gum Diseases
National Institute on Aging AgePage Taking Care of Your Teeth and Mouth No matter what your age, you need to take care of your teeth and mouth. When your mouth is healthy, you can easily eat the foods
More informationOH I CAN GUIDELINES FOR ORAL HEALTH PROTOCOLS
OH I CAN GUIDELINES FOR ORAL HEALTH PROTOCOLS THIS PAGE INTENTIONALLY LEFT BLANK OH I CAN Guidelines Based on Oral Health Signs and Symptoms Symptoms Likely Cause Initial Management Ongoing Care Brief
More informationNewly diagnosed HIV patient. Dr. Heila Redpath 06 FEBRUARY 2014
Newly diagnosed HIV patient Dr. Heila Redpath 06 FEBRUARY 2014 PRIMARY HIV INFECTION: SEROCONVERSION SYMPTOMATIC HIV INFECTION AND AIDS ASYMPTOMATIC LATENT INFECTION CLOSED CIRCLES: CD4 cells OPEN
More informationOral Manifestations of Human Immunodeficiency Virus-Infected Patients
Original Article Iranian Journal of Otorhinolaryngology, Vol. 27(1), Serial No.78, Jan 2015 Abstract Oral Manifestations of Human Immunodeficiency Virus-Infected Patients Atessa Pakfetrat 1, Farnaz Falaki
More informationOral problems DR ANDREW DAVIES
Oral problems DR ANDREW DAVIES Outline OASis study Oral hygiene End-of-life oral care Conclusion OASis study OASis study Observational study Cancer patients receiving specialist palliative care Oral Symptom
More informationClinical Manifestations of HIV
HIV Symptoms Diane Havlir, MD Professor of Medicine and Chief, HIV/AIDS Division University of California, San Francisco (UCSF) WorldMedSchool; July 2, 2013 1 Clinical Manifestations of HIV! Result from
More informationAn Updated Review on HIV Disease in India & Oral Manifestations associated with HIV Infection & AIDS
ISSN (Online): 2393-915X; (Print): 2454-7379 IJCMR 1265 REVIEW ARTICLE An Updated Review on HIV Disease in India & Oral Manifestations associated with HIV Infection & AIDS Siddharth Gupta 1, Achint Garg
More informationHIV AND LYMPHADENOPATHY
HIV AND LYMPHADENOPATHY Sagren Naidoo Research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfillment of the requirements for the degree of Master of
More informationPattern of oral lesions Cytohistopathological study in tertiary care centre.
International Journal of Current Research in Medical Sciences ISSN: 2454-5716 P-ISJN: A4372-3064, E -ISJN: A4372-3061 www.ijcrims.com Original Research Article Volume 3, Issue 10-2017 Pattern of oral lesions
More informationGENDER AND HIV IN LIMPOPO PROVINCE. Mohammed Abdosh Ali
GENDER AND HIV IN LIMPOPO PROVINCE Mohammed Abdosh Ali Research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfillment of the requirements for the Degree
More informationCognitive Impairment and Oral Health
Geriatric Lectures Series: Cognitive Impairment and Oral Health Dr. Leo Marchini, DDS, MSD, PhD Department of Preventive and Community Dentistry University of Iowa College of Dentistry and Dental Clinics
More informationDental Care in Scleroderma
Dental Care in Scleroderma People living with scleroderma face unique challenges while trying to maintain their oral health. They are more likely to be affected by dental conditions such as small mouth,
More informationAppraisal of oral lesions status of HIV/AIDS patients in South Western Uganda
Braz J Oral Sci. July/September 2008 - Vol. 7 - Number 26 Appraisal of oral lesions status of HIV/AIDS patients in South Western Uganda Ezera Agwu 1 ; John Cletus Ihongbe 2 ; Jackson Francis Tirwomwe 3
More informationORAL MANIFESTATIONS IN LIVER DISEASES
ORAL MANIFESTATIONS IN LIVER DISEASES Rodica Ghiuru, D.Munteanu Department of Internal Medicine Abstract: Chronic hepatitis C infection is a worldwide health problem because it causes chronic hepatitis,
More informationOral Tumors in Dogs Gingival Enlargement
Oral Tumors in Dogs Is that lump you re seeing in your dog s mouth normal? Or is it something to be concerned about? The easiest way to know for sure is to have it evaluated by a veterinarian. When you
More informationOral lesions and immune status of HIV infected adults from eastern Nepal
Journal section: Oral Medicine and Pathology Publication Types: Research doi:10.4317/jced.50888 http://dx.doi.org/10.4317/jced.50888 Oral lesions and immune status of HIV infected adults from eastern Nepal
More informationHead and Neck Radiation Treatment and Your Oral Health
Head and Neck Radiation Treatment and Your Oral Health This booklet focuses on preventing and managing oral complications of cancer therapy. Developed by the Oral Health Center, College of Dental Medicine,
More informationDental Health. This document includes 12 tips that can be used as part of a monthly year-long dental health campaign or as individual messages.
Dental Health This document includes 12 tips that can be used as part of a monthly year-long dental health campaign or as individual messages. What is gingivitis? Gingivitis is the beginning stage of gum
More informationRestorative Dentistry Periodontics Service Specification
Restorative Dentistry Periodontics Service Specification Service Commissioner Lead Provider Lead Period 10. Restorative Dentistry Periodontics (SBCH Ref No. SS_054) 1. Purpose 1.1 Aims To provide a Consultant-led
More information[ARKANSAS OLDER ADULT ORAL HEALTH SCREENING SURVEY]
2013 [ARKANSAS OLDER ADULT ORAL HEALTH SCREENING SURVEY] ARKANSAS OLDER ADULT ORAL HEALTH SCREENING SURVEY Report Prepared By: Abby Holt, MLIS, MPH Survey and Education Coordinators: Carol Amerine, RDH,
More informationOral Care during Pregnancy
Published on: 22 Mar 2012 Oral Care during Pregnancy Introduction Pregnancy influences nearly every aspect of a woman's life, including the oral health. Diet and hormonal changes during pregnancy may increase
More informationOral Health Care for People With HIV Infection:
Oral Health Care for People With HIV Infection: A Review of the Literature Prepared For: HRSA HIV/AIDS Bureau Prepared By: Positive Outcomes, Inc. October 29, 2001 ACKNOWLEDGEMENTS Helen K. Schietinger
More informationLahey Clinic Internal Medicine Residency Program: Curriculum for Infectious Disease
Lahey Clinic Internal Medicine Residency Program: Curriculum for Infectious Disease Faculty representative: Eva Piessens, MD, MPH Resident representative: Karen Ganz, MD Revision date: February 1, 2006
More informationAmmara ismail, Fatima Javed, Memoona Ismail
International Journal of Scientific & Engineering Research Volume 9, Issue 4, April-2018 1542 Oral manifestations of exam/prof induced stress ABSTRACT Ammara ismail, Fatima Javed, Memoona Ismail Stress
More information