September 2007

Volume 24, Issue 3

Provision of dental services in a dedicated clinic for HIV infected people in Greece

Authors: I. Pantazopoulos D. Triantos


Objectives: An observational study was carried out in order to describe the experience gained from the establishment of a dedicated dental clinic for HIV-infected people in Athens, Greece. Methods: Data were collected retrospectively from the files of HIV-seropositive individuals attending the dedicated clinic for a period of seven years (1997-2003) and included the following variables: demographic characteristics, transmission route of HIV disease, oral lesions, general health concerns, dental visiting behavior before and after HIV-disclosure and dental procedures, carried out during the study period. Results: The study patients comprised 426 HIV-seropositive individuals; 355 male (83%), 71 female (17%), mean age 40 years (range 17-76). The predominant mode of acquisition of HIV infection was sexual contact (88.5%), followed by intravenous drug abuse (3.8%), blood transfusion (2.5%) and vertical transmission (0.3%). Most of the patients attended the dedicated clinic because of direct/indirect denial of treatment by their dentist (29.1%), fear of attending their dentist (20.6 %), financial constraints (17.5%), or because they were seeking specialized services (2.4%). Nearly half of the patients (46%), after they have been informed about their HIV-seropositivity, either did not attend their dentist, or did not disclose their HIV-status when they did attend. The type of 4,688 dental procedures carried out during the study period, were the same as those performed in any general dental practice, without exhibiting increased risk of post-treatment complications. Finally, a relatively low overall incidence (41%) of oral lesions was observed, due to the effect of the highly active anti-retroviral therapy (HAART). Conclusions: Dedicated dental clinics can play a supplementary, but substantial role in the overall management of people whose HIV-status, or HIV-related clinical problems may prevent them from obtaining treatment from general dental practitioners within Greece. Key words: Attitudes, dedicated clinic, dental services, Greece, HIV, oral lesions.


Other articles in this issue

Article Pages Access
The positive and negative impacts, and dangers of the Impact Factor 130-134 Download
The prescription and outcomes of fissure sealants applied to a group of high caries risk children by general dental practitioners working in the North West of England 135-139 Download
Prevalence of dental developmental anomalies: a radiographic study. 140-144 Download
Assessment of orthodontic treatment needs in Brazilian schoolchildren according to the Dental Aesthetic Index (DAI). 145-148 Download
Oral health acculturation in Albanian-speakers in south London 149-155 Download
Signs and symptoms of temporomandibular disorders in Nigerian adult patients with and without occlusal tooth wear 156-160 Download
Dental caries in 5-year-old children attending multi-ethnic schools in Greater Glasgow – the impact of ethnic background and levels of deprivation 161-165 Download
Cross-cultural adaptation of the Oral Health Impact Profile (OHIP) for the Malaysian adult population. 166-175 Download
Dental erosion among 12-14 year old school children in Khartoum: A pilot study 176-180 Download
Provision of dental services in a dedicated clinic for HIV infected people in Greece 181-185 Download
Reduction of caries in rural school-children exposed to fluoride through a Milk-Fluoridation Programme in Araucania, Chile 186-191 Download


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