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Prevalence of periodontal diseases in a multicenter cohort of perinatally HIV ‐infected and HIV ‐exposed and uninfected youth
Author(s) -
Ryder Mark I.,
Yao TzyJyun,
Russell Jonathan S.,
Moscicki AnnaBarbara,
Shiboski Caroline H.
Publication year - 2017
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12646
Subject(s) - medicine , gingivitis , bleeding on probing , cohort , periodontitis , human immunodeficiency virus (hiv) , cohort study , longitudinal study , periodontal disease , cross sectional study , dentistry , immunology , pathology
Abstract Aims To compare the prevalence and severity of periodontal diseases between 180 perinatally HIV ‐infected ( PHIV ) and 118 perinatally HIV ‐exposed and uninfected ( PHEU ) youth in a cross‐sectional study conducted at 11 clinical sites in the United States and Puerto Rico from the Adolescent Master Protocol study of the Pediatric HIV / AIDS cohort study ( PHACS ) network. Methods Several analyses were conducted, employing the current CDC / AAP classification for periodontitis and incorporating a definition of gingivitis based on a bleeding on probing ( BOP ) threshold, and analyses based on more detailed whole‐mouth, intra‐oral regionally, site‐based and tooth‐based criteria of BOP , plaque levels, pockets depths and clinical attachment levels. Results After adjusting for plaque control habits and behavioural and sociodemographic factors, there were no significant differences in periodontal diseases between the PHIV and PHEU youth using any of these criteria. For PHIV youth, there was no significant association between parameters of periodontal disease and current HIV status. Conclusions Although no significant differences in periodontal parameters were noted between the PHIV and PHEU youth, the influence of antiretroviral therapy merits further exploration in this cohort in a longitudinal study.