AEGiS-11IAC: Postextraction complications in persons with HIV disease. Experience from Rio de Janeiro - Brazil.

11th International AIDS Conference


Vancouver, British Columbia — July 7-12, 1996

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Postextraction complications in persons with HIV disease. Experience from Rio de Janeiro - Brazil.

Int Conf AIDS 1996 Jul 7-12; 11:449 (abstract no. Pub.B.1071)
Ferreira S, Perez MA, Silva Junior A, Cortezzi W; Universidade Federal do Rio de Janeiro e Universidade Gama Filho, Rio de Jeneiro, Brazil. Fax: (5521) 263-4572.

Objetive: The main goal in the present study has been to verify the frequency of postextraction wound complications in persons with HIV disease and to evaluate if variables such as: sex, lesions occurrence, extraction technique, tobacco use, opportunistic infections medication use, classification of HIV infection, antibiotic prophylaxis were associated with them.

METHODS: A retrospective study has been carried out with 165 patients at stages II to IV of HIV infection who had required dental extractions at the Center for AIDS Patient of Universidade Federal do Rio de Janeiro- Brasil, from 1989 to 1995.

RESULTS: A total of 422 teeth were extracted in 165 patients. In 145 of which (84,3%) the forceps technique has been used. Males were prevalent and the avarage age was 34,9 (SD= 9.184). Buccal lesions has been observed in 57% in which pseudomembranous candidiasis was predominant (26%). Third molar extraction were the most frequent concern number of patient. In regards to HIV infection, 53,2% were asymptomatics. Antibiotics for opportunistic infection were used by 51,5%. Seventeen patients had complications, among which Dry Socket has been the most frequent (52,9% - compl.total 2,13% dental extraction total). Hemorrhage, pain, infection and delayed healing have also been observed. Antibiotic prophylaxis has been used in 50%. Only sex has been found significance relation.

CONCLUSIONS: The results point out then although no significance relation has been found, complications have been virtually twice as much frequent in patient who didn't use antibiotic prophylaxis, AIDS patients and patients who had required elevation of a mucoperiosteal flap. Therefore we think that antibiotic prophylaxis should be recommended in patients who had opportunistic infection at the moment of the procedure, especialy when openview technique will be used.

Keywords: AEGIS, HIV Infections, Acquired Immunodeficiency Syndrome, Dry Socket, Tooth Extraction, Coitus, Candidiasis, Antibiotic Prophylaxis, Opportunistic Infections, Retrospective Studies, Brazil, Human, Male, complications, surgery, ICA11KWDaegis,hivinfections,acquiredimmunodeficiencysyndrome,drysocket,toothextraction,coitus,candidiasis,antibioticprophylaxis,opportunisticinfections,retrospectivestudies,brazil,human,male,complications,surgery,ica11

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PubB1071

Copyright © 1996 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.