Oral health care considerations for patients with HIV/AIDS:
- Base changes to dental care on the patient’s overall medical status, not the HIV status.
- Baseline neutrophil and platelet counts are important to assess patient’s risk for bacterial infections or bleeding.
- If required by state law, obtain consent to share HIV-related information with the patient’s other health care professionals.
- Use antibiotic prophylaxis when the absolute neutrophil count drops below 500-1,000 cells/mm³.
- Antibiotic prophylaxis is not indicated based on the CD4 cell count or HIV viral load.
- Address comorbidities, such as liver disease, heart conditions, hyperglycemia, and nutritional disadvantage.
- Address side-effects associated with anti-retroviral therapy.
- Examine the head and neck region, and oral cavity for pathologies. (See the Image Gallery)