Oral health status and associated factors of HIV-infected patients with different duration of High Active Antiretroviral Therapy (HAART) in Samutprakarn Hospital
Keywords:
เอชไอวี, สภาวะช่องปาก, ระยะเวลาที่ได้รับยาต้านไวรัสAbstract
This study was a cross sectional study in 240 HIV-infected patients with well controlled high active antiretroviral therapy (HAART) in Samutprakran hospital. Those subjects were divided into two groups: short term therapy group (less than 3 months) and long term therapy group (equal and longer than 3 months). Personal data was collected by self-answer questionnaires. Oral examination was performed by single examiner. Decayed, missing and filled teeth index (DMFT) and community periodontal index (CPI) were collected. The results revealed that subjects were 127 males (52.9%) average aged 42.2 years old. The long term therapy group had dental caries significantly higher than the short term therapy group (77 subjects; 64.2% and 62 subjects; 51.7% respectively) at p = 0.049. There was no difference of periodontitis in both groups. Age and incomes were associated factors to dental caries in the short term therapy group. (p= 0.010 and p= 0.012 respectively)periodontitis was related to age (p<0.001) and hypertension (p=0.011). In the long term therapy group, there were no factors associated to dental caries while levels of education, hypertension and mouthwash usage were associated with periodontitis. (p=0.034,0.004 and 0.006 respectively) In conclusion, dental caries was associated with the duration of HAART. Age was an associated factor with dental caries and periodontitis in the short term therapy group. In both groups, hypertension was an associated factor with periodontitis.
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