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Taking care of your mouth and teeth is a very important, yet often overlooked, part of maintaining your general health. Good oral health can help you prevent or catch infections early. It can also give you clues as to the state of your overall health and the health of your immune system.
BRUSHING
motion, keeping bristles at a 45° angle to the gum line. Pay special attention to ar- eas people tend to neglect, like the back MOUTHWASH
can add fluoride to your teeth, kill bacte- ria often responsible for bad breath, re- duce plaque that can cause cavities, and TOOTHBRUSH & TOOTHPASTE
not be suitable for some people to use.
soft bristles because hard ones can cause DENTAL VISITS
tist about every 6 months. The visits al- that cavities in people with HIV can act DENTAL FLOSS
DISCLOSING YOUR HIV STATUS
To floss, use a long length of floss and For proper care, it’s helpful for a den- there are conditions that they will want and all the way to the gums. If you rarely to pay extra attention to. Finding a den- or never floss, you may find some slight tist who you trust, who’s supportive, and dentist to see if you’re flossing properly. PROJECT INFORM 1375 MISSION STREET SAN FRANCISCO, CA 94103-2621 415-558-8669 WWW.PROJECTINFORM.ORG
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Oral health and common oral conditions in HIV Abnormal cell growth
KAPOSI’S SARCOMA (KS)
LYMPHOMA
people with it also report oral lesions. often its first sign. The lesions include the extent of the problem. If it’s not firm masses and persistent ulcers. It’s patches or swellings, are the first obvi- or purple and either raised or flat. The once they’re on effective HIV therapy, Bacterial infections
GINGIVITIS & PERIODONTITIS
Gingivitis is inflammation of the bleeding and bad breath. Periodon- tal disease includes all diseases of the MYCOBACTERIUM
AVIUM COMPLEX (MAC)
linear gingivitis erythema (LGE) and necrotizing ulcerative periodontitis rium Avium Complex, available from TOLL-FREE HIV HEALTH INFOLINE 1-800-822-7422 LOCAL & INTERNATIONAL 415-558-9051 MONDAY–FRIDAY 10–4 PACIFIC TIME
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Oral health and common oral conditions in HIV Viral infections
HERPES SIMPLEX
HAIRY LEUKOPLAKIA (OHL)
CYTOMEGALOVIRUS (CMV)
extensive and persistent. They’re often after a relatively short period of time. Inform’s publication, Cytomegalovirus.
HUMAN PAPILLOMAVIRUS (HPV)
genital and anal warts. In people living HERPES (VARICELLA
ZOSTER, VZV)
and look like typical warts: cauliflower- like, “spiky” or slightly raised with a flat surface. It’s not currently thought mouth. Oral lesions begin as “bubbles”, started as soon as possible and involves Inform’s publication, Human Papil o- PROJECT INFORM 1375 MISSION STREET SAN FRANCISCO, CA 94103-2621 415-558-8669 WWW.PROJECTINFORM.ORG
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Oral health and common oral conditions in HIV Fungal infections
ORAL CANDIDIASIS
HISTOPLASMOSIS
likely to get this disease. HIV-positive Histoplasmosis, available from Project rinses, lozenges or pil s. In mild cases, it’s treated directly for at least 2 weeks. Inform’s publications, Oral Candidi- asis, Vaginal Candidiasis or Systemic FACING NEW DECISIONS? WONDERING WHAT’S THE NEXT STEP?
HIV Health InfoLine
: 1-800-822-7422 (toll-free)
TOLL-FREE HIV HEALTH INFOLINE 1-800-822-7422 LOCAL & INTERNATIONAL 415-558-9051 MONDAY–FRIDAY 10–4 PACIFIC TIME
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Oral health and common oral conditions in HIV Other oral conditions
DRY MOUTH (XEROSTOMIA)
uids is a great idea, as is rinsing often APHTHOUS ULCERS
tible to cavities and other problems.
these ulcers in studies, though it’s not “soft” tissue. These ulcers are common Commentary
Planning a course of action for dental care and treatment
Other recommended resources include www.HIVdent. is important for people living with HIV. Your dentist is a org, a non-profit website dedicated to assuring high quality partner in helping you develop this plan, there to provide oral health services for people with HIV. It has a collection you with information about your options, potential risks of easy-to-read materials on a variety of oral health and and benefits, and recommendations. One main way to keep general HIV topics. The National Institute of Dental Re- ahead with good oral health is by keeping HIV under con- search (www.nidcr.nih.gov) has information on studies and trol with potent regimens. Optimal y, any course of treat- links to sites that deliver dental care.
ment should be made together — with you, your doctor Special thanks goes to Dr. David Rosenstein for his edi- PROJECT INFORM 1375 MISSION STREET SAN FRANCISCO, CA 94103-2621 415-558-8669 WWW.PROJECTINFORM.ORG
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Oral health and common oral conditions in HIV Oral conditions at a glance
APHTHOUS ULCERS
DIAGNOSIS
HISTOPLASMOSIS
SYMPTOMS
SYMPTOMS
TREATMENT
TREATMENT
AFFECTED AREAS
AFFECTED AREAS
PREVENTION
DIAGNOSIS
PREVENTION
HERPES SIMPLEX
TREATMENT
DIAGNOSIS
SYMPTOMS
PREVENTION
GINGIVITIS,
TREATMENT
PERIODONTAL DISEASE
AFFECTED AREAS
HUMAN PAPILLOMAVIRUS
SYMPTOMS
SYMPTOMS
PREVENTION
DIAGNOSIS
CYTOMEGALOVIRUS
AFFECTED AREAS
AFFECTED AREAS
SYMPTOMS
DIAGNOSIS
DIAGNOSIS
TREATMENT
AFFECTED AREAS
TREATMENT
TREATMENT
PREVENTION
DIAGNOSIS
PREVENTION
PREVENTION
TREATMENT
HERPES ZOSTER
SYMPTOMS
KAPOSI’S SARCOMA
PREVENTION
SYMPTOMS
HAIRY LEUKOPLAKIA
DRY MOUTH
AFFECTED AREAS
SYMPTOMS
SYMPTOMS
AFFECTED AREAS
DIAGNOSIS
AFFECTED AREAS
AFFECTED AREAS
TREATMENT
DIAGNOSIS
DIAGNOSIS
PREVENTION
TOLL-FREE HIV HEALTH INFOLINE 1-800-822-7422 LOCAL & INTERNATIONAL 415-558-9051 MONDAY–FRIDAY 10–4 PACIFIC TIME
EMAIL YOUR QUESTIONS TO
Oral health and common oral conditions in HIV Oral conditions at a glance
TREATMENT
TREATMENT
DIAGNOSIS
ORAL CANDIDIASIS
SYMPTOMS
PREVENTION
TREATMENT
AFFECTED AREAS
MYCOBACTERIUM
AVIUM COMPLEX
SYMPTOMS
PREVENTION
DIAGNOSIS
PREVENTION
AFFECTED AREAS
TREATMENT
LINEAR GINGIVITIS
ERYTHEMA (LGE)
DIAGNOSIS
SYMPTOMS
Culture, secondary tests that NECROTIZING ULCERATIVE
PERIODONTITIS (NUP)
PREVENTION
TREATMENT
SYMPTOMS
AFFECTED AREAS
TUBERCULOSIS
DIAGNOSIS
SYMPTOMS
TREATMENT
AFFECTED AREAS
AFFECTED AREAS
DIAGNOSIS
DIAGNOSIS
PREVENTION
PREVENTION
TREATMENT
TREATMENT
PREVENTION
LYMPHOMA
NS, OR NECROTIZING
SYMPTOMS
STOMATITIS
PREVENTION
SYMPTOMS
AFFECTED AREAS
AFFECTED AREAS
DIAGNOSIS
PROJECT INFORM 1375 MISSION STREET SAN FRANCISCO, CA 94103-2621 415-558-8669 WWW.PROJECTINFORM.ORG

Source: http://www.projectinform.org/pdf/oral.pdf

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