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Nutritional Considerations and Dental Management of Children and Adolescents with HIV/AIDS

  • Meenu Mittal1,*,

1Department of Pedodontics, SGT Dental College, Gurgaon, Haryana, India

DOI: 10.17796/jcpd.36.1.h858tw2488v17164 Vol.36,Issue 1,January 2012 pp.85-92

Published: 01 January 2012

*Corresponding Author(s): Meenu Mittal E-mail: meenu20feb@gmail.com

Abstract

The HIV infected child has increased caloric needs, yet multiple factors interfere with adequate nutritional intake. Nutritional support is needed to maintain optimum nourishment during the symptomatic period, in order to prevent further deterioration of the nutritional status during acute episodes of infection, and to improve the nutritional status during the stable symptom free period.

With the advent of better methods of detection and better therapies, we are beginning to see HIV infected children surviving longer, and thus coming under the care of a host of affiliated medical personnel, including dentists. Oral health care workers need to provide dental care for HIV-infected patients and recognize as well as understand the significance of oral manifestations associated with HIV infection.

The present article reviews, on the basis of literature, nutritional status, nutrition assessment and counseling in HIV/ AIDS children and adolescents. Dental treatment considerations in these, as well as modifications in treatment if required, are also discussed.

Keywords

HIV, AIDS, children, dental, management, nutrition, prevention

Cite and Share

Meenu Mittal. Nutritional Considerations and Dental Management of Children and Adolescents with HIV/AIDS. Journal of Clinical Pediatric Dentistry. 2012. 36(1);85-92.

References

1. Oleske JM, Rothpletz-Puglia PM, Winter H. Historical perspectives on the evolution in understanding the importance of nutritional care in pediatric HIV infection. J Nutr, 126: 2616S–2619S. 1996.

2. Living well with HIV/ AIDS. A manual on nutritional care and support for people living with HIV/ AIDS, FAO corporate document repository, Originated by Agriculture and consumer protection.

3. Nutrition and HIV/ AIDS. Report by the Secretariat, World Health Organization, Executive Board, 116th session, provisional agenda item 4.3; EB 116/12, 12 May 2005, pp. 1–8.

4. Ji G, Li L, Lin C, Sun S. The impact of HIV/ AIDS on families and children—a study in China. AIDS, 21(Suppl 8): S157, 2007.

5. Lin C, Li L, Ji G, Wu S, Semaan A. Children’s body mass index and nutrition intake in HIV/ AIDS. Vulnerable Child Youth Stud, 3(1): 16–23. 2008.

6. Stambulian M, Feliu S and Slobodianik NH. Nutritional status in patients with HIV infection and AIDS. Brit J Nutri, 98 Suppl 1: S140–S143. 2007.

7. Kotler DP, Gaetz HP, Lange M, Klein EB & Holt PR. Enteropathy associated with the acquired immunodeficiency syndrome. Ann Intern Med, 101(4): 421–428, 1984.

8. Semba RD & Tang AM. Micronutrients and the pathogenesis of human immunodeficiency virus infection. Brit J Nutri, 81(3): 181–189, 1999.

9. Batman PA, Miller ARO, Forester SM, Harris JRW, Pinching AJ & Griffin GE. Jejunal enteropathy associated with human immunodefi-ciency virus infection: quantitative histology. J Clin Pathol, 42(3): 275–281, 1989.

10. Greenson JK, Belitos PC, Yardley JH & Bartlett JG. AIDS enteropathy: occult enteric infections and duodonal mucosal alterations in chronic diarrhea. Ann Intern Med, 114(5): 366–372, 1991.

11. Keating J, Bjarnason I, Somasundaram S, Macpherson A, Francis N, Price AB, Sharpstone D, Smithson J, Menzies IS & Gazzard BG. Intestinal absorptive capacity, intestinal permeability and jejuna histol-ogy in HIV and their relation to diarrhea. Gut, 37(5): 623–629, 1995.

12. Van der Hulst RR, von Meyenfeldt MF, van Kreel BK, Thunnissen FBJM, Brummer RJM, Arends JW & Soeters PB. Gut permeability, intestinal morphology, and nutritional depletion. Nutrition, 14(1): 1–6, 1998.

13. Smith FR & Goodman DW. The effects of diseases of the liver, thyroid, and kidneys on the transport of vitamin A in human plasma. J Clin Investi, 50: 2426–2436, 1971.

14. D’Agati V & Appel GB. HIV infection and the kidney. J Am Soc Nephrol, 8(1): 138–152, 1997.

15. Kabanda A, Vandercam B, Bernard A, Lauwerys R & van Ypersele de Strihou C. Low molecular weight proteinuria in human immunodefi-ciency virus-infected patients. Am J Kidney Dis, 27(6), 803–808, 1996.

16. Elbein RC. Nutrition and HIV infection : a continuum of care. J Am Pediatr Med Assoc, 85(8): 434–438, 1995.

17. Melchior JC, Niyongabo T, Henzel D, Durack-Brown I, Henri SC & Boulier A. Malnutrition and wasting, immunodepression and chronic inflammation survival as independent predictors in HIV-infected patients. Nutrition, 15(11–12): 865–869, 1999.

18. Wanke CA, Falutz JM, Shevitz A, Phair JP & Kotler DP. Clinical eval-uation and management of metabolic and morphologic abnormalities associated with human immunodeficiency virus. Clin Infect Dis, 34(2): 248–259, 2002.

19. Sherlekar S & Udipi SA. Role of nutrition in the management of HIV infection/AIDS. J Indian Med Assoc, 100(6): 385–390, 2002.

20. Polsky B, Kotler D & Steinhart C. HIV –associated wasting in the HAART era. Guidelines for assessment, diagnosis, and treatment. AIDS Patient Care, 15(8): 411–423, 2001.

21. Fajardo Rodriguez A & Lara del Rivero-Vera CM. Nutritional inter-vention in HIV/AIDS: practical guide for its implementation and fol-low-up. Gac Med Mex, 137(5): 489–500, 2001.

22. Heller LS, Shattuck D. Nutrition support for children with HIV/ AIDS. J Am Diet Assoc, May; 97(5): 473–474, 1997.

23. Tabi M & Vogel RL. Nutritional counseling: an intervention for HIV-positive patients. J Adv Nurs, 54(6): 676–682, 2006.

24. Coodley GO, Loveless MO & Merrill TM. The HIV wasting syndrome: a review. J Aacquir Immune Defic Syndr, 7: 681–694, 1994..

25. Williams B, Waters D & Parker K. Evaluation and treatment of weight loss in adults with HIV disease. American Family Physician, 60: 843–860, 1999.

26. Allen LH, Peerson JM & Olney DK. Provision of multiple rather than two or fewer micronutrients more effectively improves growth and other outcomes in micronutrient deficient children and adults. J Nutri, 139, No. 5, 1022–1030, 2009.

27. Liang B, Chung S, Araghiniknam M, Lane LC, Watson RR. Vitamins and immunomodulation in AIDS. Nutrition; Jan; 12(1): 1–7, 1996.

28. Coutsoudis A, Bobat RA, Coovadia HM, Kuhn L, Tsai WY & Stein ZA. The effects of vitamin A supplementation on the morbidity of chil-dren born to HIV-infected women. Am J Public Health, 85: 1076–1081, 1995.

29. Mocchegiani E, Veccia S, Ancarani F, Scalise G & Fabris N. Benefits of oral zinc supplementation as an adjunct to zidovudine (AZT) ther-apy against opportunistic infections in AIDS. J Immunopharmacol, 17(9): 719–727, 1995.

30. Allard JP, Aghdassi E, Chau J, Tam C, Kovacs CM, Salit IE & Walm-sley SL. Effects of vitamin E and C supplementation on oxidative stress and viral load in HIV-infected subjects. AIDS, 12(13): 1653–1659, 1998.

31. McKinney RE Jr, Robertson JWR. Effect of human immunodeficiency virus infection on the growth of young children. J Pediatr, 123(4): 579–582, 1993.

32. Miller TL, Evans SJ, Orav EJ, Morris V, McIntosh K, Winter HS. Growth and body composition in children infected with the human immunodeficiency virus. Am J Clin Nutr, 57(4): 588–592, 1993.

33. Prabhu SR, Kohli A & Rao CB. HIV/ AIDS in dental practice. Hand-book for dental practitioners in India, A publication of Dental Council of India: Thomson Press, edition, pp. 149–160, 2007.

34. McCorkindale C, Dybevik K, Coulston AM, Sucher KP. Nutritional status of HIV-infected patients during the early stages disease. J Am Diet Assoc, 90: 1236–1240, 1990.

35. Salomon J, de Truchis P, Melchior JC. Body composition and nutri-tional parameters in HIV and AIDS patients. Clin Chem Lab Med, 40(12): 1329–1333, 2002.

36. Healthy eating for better living: A Caribbean Handbook 2003; 36 (3):135–151. Combating HIV/AIDS through nutrition in the Caribbean: A low cost option with high benefits.

37. Behrman, Kliegman, Jenson. Nelson Textbook of Pediatrics, 17th edi-tion, Elsevier Publications, pp. 1109–1127, 2005.

38. HIV Clinical Resource. Oral health care for people with HIV infection: HIV clinical guidelines for the AAPD reference manual, pp. 1–8, 2000–2001.

39. Shetty K. Dental management of HIV-infected children and adoles-cents. HIV Clinician, Special Dental Issue, March, Delta region AIDS education and training center, pp. 8–11, 2005.

40. Glick M, Burris S. The professional responsibility for care. Oral Dis. May; 3 Suppl 1: S221–4, 1997.

41. Coulter ID, Marcus M, Freed JR, Der-Martirosian C, Cunningham WE, Andersen RM, Maas WR, Garcia I, Schneider DA, Genovese B, Shapiro MF, Bozzette SA. Use of dental care by HIV-infected medical patients. J Dent Res, 79(6): 1356–61, 2000.

42. Glick M. The role of the dentist in the era of AIDS. Dent Clin North Am, 40(2): 343–357, 1996.

43. HIV Clinical Resource. Oral health management in children and ado-lescents with HIV infection. HIV Clinical Guidelines for AAPD, Updated December, pp. 41–54, 2001.

44. Silverman sol, Eversole LR, Truelove EL. Essentials of oral medicine. BC Decker Inc, Hamilton, Ontario, pp. 128–143, 2002 edition.

45. Barr CE. Practical considerations in the treatment of the HIV-infected patient. Dent Clin North Am, 38(3): 403–423, 1994.

46. Principles of Oral Health management for the HIV/ AIDS patient. Den-tal alliance for AIDS/HIV care (DAAC). Edited and complied by Abel SN, Croser D, Fischman S, Glick M, Phelan JA. 2000 edition. Chapter-Special considerations for dental patients with HIV/AIDS, pp 2.1–2.24.

47. Asher RS, McDowell J, Acs G, Belanger G. Pediatric infection with human immunodeficiency virus (HIV): head, neck, and oral manifesta-tions. Spec Care Dentist, 13(3): 113–116, 1993.

48. Giambalvo AM. Treatment of the HIV-infected patient. J Am Dent Assoc, 128: 1350, 1997.

49. Hurlen B, Gerner NW. Acquired immune deficiency syndrome (AIDS)-complications in dental treatment, Report of a case. Int J Oral Surg, 13(2): 148–150, 1984.

50. Sabes W. The dentist and clinical laboratory procedures. St. Louis, CV Mosby, 1979.

51. Wallach J. Interpretation of diagnostic tests: a synopsis of laboratory medicine. Boston, Little, Brown, 1992.

52. Barr CE, Rua-Dobles A, Puig N. Dental care for HIVpositive patients. Spec Care Dentist, 9(6): 191–4, 1989.

53. Lucartorto FM, Franker CK, Maza J. Postscaling bacteremia in HIV-associated gingivitis and periodontitis. Oral Surg Oral Med Oral Pathol, 73(5): 550–4, 1992.

54. Porter SR, Scully C, Luker J. Complications of dental surgery in per-sons with HIV disease. Oral Surg Oral Med Oral Pathol, 75(2): 165–7, 1993.

55. Valdez IH, Pizzo PA, Atkinson JC. Oral health of pediatric AIDS patients: a hospital based study. ASDC J Dent Child, 61(2): 114–8, 1994.

56. Considerations in the dental management of children with HIV infec-tion. 128.248.247.111/website/monadentalslides/MODULE2D.2PPT at www.google.com.

57. Gelbier M, Lucas VS, Zervou NE, Roberts GJ, Novelli V. A prelimi-nary investigation of dental disease in children with HIV infection. Int J Ped Dent, 10:13–18, 2000.

58. Ramos-Gomez FJ, Petru A, Hilton JF, Canchola AJ, Wara D, Greenspan JS. Oral infections and dental status in pediatric HIV infec-tion. Int J Ped Dent, 10: 3–11, 2000.

59. Eldridge K & Gallagher JE. Dental caries prevalence and dental health behavior in HIV infected children. Int J Ped Dent, 10: 19–26, 2000.

60. Madigan A, Murray PA, Houpt M, Catalanotto F, Feuerman M. Caries experience and cariogenic markers in HIV positive children and their siblings. Ped Dent, 18(2): 129–136, 1996.

61. Kidd EAM, Joyston-Bechal S. Essentials of dental caries, 2nd edition. New York: Oxford University Press, 4, 1997.

62. Leao JC, Ribeiro CMB, Carvalho AAT, Frezzini C, Porter S. Oral com-plications of HIV disease. Clinics (Sao Paulo). 64(5): 459–470, 2009.

63. Shetty K. Implications and management of xerostomia in the HIV-infected patient. HIV Clinician, Special Dental Issue, March, Delta region AIDS education and training center, pp. 1–4, 2005.

64. Glick M. Orofacial disorders in children with HIV disease. Dent Clin North Am, 49: 259–271, 2005.

65. Patton LL, Shugars DA, Bonito AJ. A systematic review of complica-tion risks for HIV-positive patients undergoing invasive dental proce-dures. J Am Dent Assoc, 133: 195–203, 2002.

66. Patton LL. Hematologic abnormalities among HIV-infected patients: associations of significance for dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 88(5): 561–7, 1999.

67. Bonacini M, Puoti M. Hepatitis C in patients with human immunodefi-ciency virus infection: diagnosis, natural history, meta-analysis of sex-ual and vertical transmission, and therapeutic issues. Arch Intern Med, 160(22): 3365–73, 2000.

68. Glick M, Abel SN, Muzyka BC, DeLorenzo M. Dental complications after treating patients with AIDS. J Am Dent Assoc, 125(3): 296–301, 1994.

69. Miller EJ Jr, Dodson TB. The risk of odontogenic infections in HIV-positive patients: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 86(4): 406–9, 1988.

70. Cooper H. Root canal treatment on patients with HIV infection. Int Endod J, 26(6): 369–371, 1993.

71. Suchina JA, Levine D, Flaitz CM, Nichols CM, Hicks MJ. Retrospec-tive clinical and radiologic evaluation of nonsurgical endodontic treat-ment in human immunodeficiency virus (HIV) infection. J Contemp Dent Pract, 7(1): 1–8, 2006.

72. Alley BS, Buchanan TH, Eleazer PD. Comparison of the success of root canal therapy in HIV/ AIDS patients and non-infected controls. Gen Dent, 56(2): 155–7, 2008.

73. Dodson TB. HIV status and the risk of post-extraction complications. J Dent Res, 76(10): 1644–52, 1997.

74. Scully C, Watt-Smith P, Dios RD, Giangrande PL. Complications in HIV-infected and non-infected haemophiliacs and other patients after oral surgery. Int J Oral Maxillofac Surg, 31(6): 634–40, 2002.

75. Robinson PG, Cooper H, Hatt J. Healing after dental extractions in men with HIV infection. Oral Surg Oral Med Oral Pathol, 74(4): 426–30, 1992.

76. Dodson TB. Predictors of post-extraction complications in HIV-posi-tive patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84(5): 474–9, 1997.

77. Dodson TB, Perrott DH, Gongloff RK, Kaban LB. Human immunode-ficiency virus serostatus and the risk of post-extraction complications. Int J Oral Maxillofac Surg, 23(2): 100–3, 1994.

78. Diz Dios P, Fernandez Feijoo J, Vazquez Garcia E. Tooth extraction in HIV sero-positive patients. Int Dent J, 49(6): 317–21, 1999.

79. Management of dental patients who are HIV positive: Summary. Evi-dence report/ technology assessment: number 37, AHRQ Publication No. 01-E041, March 2001, Agency for healthcare research and quality, Rockville, MD.

80. Pankhurst CL, Lewis DA, Clark DT. Prophylactic application of an intra-alveolar socket medicament to reduce post-extraction complica-tions in HIV-seropositive patients. Oral Surg Oral Med Oral Pathol, 77(4): 331–4, 1994.

81. Murray PA. HIV disease as a risk factor for periodontal disease. Com-pendium, 15(8): 1052, 1054–64, 1994.

82. Schoen DH, Murray PA, Nelson E, Catalanotto FA, Katz RV, Fine DH. A comparison of periodontal disease in HIV-infected children and household peers: a two year report. Pediatr Dent, 22(5): 365–9, 2000.

83. Coogan MM, Greenspan J, Challacombe SJ. Oral lesions in infection with human immunodeficiency virus. Bull World Health Organ, 83(9): 700–6, 2005.

84. Ryder MI. An update on HIV and periodontal disease. J Periodontol, 73: 1071–1078, 2002.

85. Ficarra G, Shillitoe EJ. HIV-related infections of the oral cavity. Criti-cal Reviews in Oral Biology & Medicine, 3(3): 207–231, 1992.

86. Scully C, McCarthy G. Management of oral health in persons with HIV infection. Oral Surg Oral Med Oral Pathol, 73(2): 215–25, 1992.

87. Baccaglini L, Atkinson JC, Patton LL, Glick M, Ficarra G, Peterson DE. Management of oral lesions in HIV-positive patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 103(Suppl 1): S50.e1–S50.e23, 2007.

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