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VOLUME 7 , ISSUE 1 ( February, 2006 ) > List of Articles

RESEARCH ARTICLE

Retrospective Clinical and Radiologic Evaluation of Nonsurgical Endodontic Treatment in Human Immunodeficiency Virus (HIV) Infection

John A. Suchina, Debora Levine, Catherine M. Flaitz, C. Mark Nichols, M. John Hicks

Citation Information : Suchina JA, Levine D, Flaitz CM, Nichols CM, Hicks MJ. Retrospective Clinical and Radiologic Evaluation of Nonsurgical Endodontic Treatment in Human Immunodeficiency Virus (HIV) Infection. J Contemp Dent Pract 2006; 7 (1):1-8.

DOI: 10.5005/jcdp-7-1-1

License: CC BY-NC 3.0

Published Online: 01-02-2006

Copyright Statement:  Copyright © 2006; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Purpose

This retrospective study evaluated the clinical and radiographic status of nonsurgical endodontic treatment (ET) of anterior and posterior teeth in HIV-seropositive patients.

Methods

ET was analyzed in 26 anterior and 34 posterior teeth from 54 consecutive HIV patients (gender ratio 3 Male : 1 Female, mean age 40.2 years, mean CD4 240, CD4<500 in 88%, 12 with AIDS) over a six year period with a minimum of six months follow-up. ET was evaluated as successful, questionable, or failure based upon clinical factors (palpation, mobility, sinus tract, percussion, function, infection/swelling, occlusion, symptoms) and radiographic factors (periodontal ligament space, rarefaction, lamina dura, root resorption, obturation) during post-treatment examinations with a mean follow up of 26 months.

Results

Clinical evaluation at follow up found ET outcome was successful in 88%, questionable in 10% (tenderness with percussion, mobility, widened ligament), and a failure in 2% (developed lesion after ET). Periapical lesions were present in 37% of cases (mean lesion size 6.2 mm). Following ET, mean lesion size (1.8 mm) had decreased by 71%. Obturation was evaluated as optimal or acceptable in 68%. Radiographic evaluation was considered successful in 80%, no change in 15%, and a failure in 5%.

Conclusions

Despite obturation deficiencies and the immunocompromised state of the patients, endodontic therapy has a relatively high degree of success in the majority of HIV/AIDS patients. HIV infection and AIDS should not be considered as a contraindication to endodontic therapy in this patient population.

Citation

Suchina JA, Levine D, Flaitz CM, Nichols CM, Hicks MJ. Retrospective Clinical and Radiologic Evaluation of Nonsurgical Endodontic Treatment in Human Immunodeficiency Virus (HIV) Infection. J Contemp Dent Pract 2006 February;(7)1:001-008.


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  1. , Delaney KM, Moorman AC, et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. N Engl J Med. 1998 Mar 26;338(13):853-60.
  2. Progress and problems in the fight against AIDS. N Engl J Med. 1998 Mar 26;338(13):906-11.
  3. A systematic review of complication risks for HIV-positive patients undergoing dental procedures. J Amer Dent Assoc 2002 Feb;133(2):95-203.
  4. Do regular dental visits affect oral health care provided to people with HIV. J Amer Dent Assoc 2002 Oct;133(10),1343-50.
  5. Root canal treatment on patients with HIV infection. Int Endod J 1993 Nov;26(6):369-71.
  6. Dental complications after treating patients with aids. J Amer Dent Assoc 1994 Mar;125(43):296-301.
  7. HIV status and the risk of post-extraction complications. J Dent Res 1997 Oct;76(10):1644-52.
  8. Comparing dental treatment in HIV+ and HIV- control patients. J Dent Res 1989 Mar;68(abstracts):298.
  9. Complications of dental surgery in persons with HIV disease. Oral Surg Oral Med Oral Path 1993 Feb;75(2):165-7.
  10. Endodontic interappointment flare-ups: a prospectivestudy of incidence and related factors. J Endod 1992 April;18(4):172-7.
  11. Clinical, radiographic, and histologic perspectives on success and failure in endodontics. Dent Clin N Amer 1992 Nov;36:379-92.
  12. Evaluation of the success of endodontically treated teeth. Oral Surgery Oral Medicine Oral Pathology 1970 Oct;30(4):533-6.
  13. Factors affecting successful repair after root canal therapy. J Amer Dent Assoc 1963 Nov;67(11)::651-62.
  14. Factors affecting the long-term results of endodontic treatment. J Endod 1990 Oct;16(10):498-504.
  15. National survey of endodontists and selected patient samples: infectious diseases and attitudes toward infection control. Oral Surg Oral Med Oral Path Oral Radiol Endod 1997 June;83(6):696-702.
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