Oral Manifestations by David. As key players in the primary health care of our patients, dentists and dental hygienists have the ability to positively affect the well being of our patients. The following is a review of the more common oral conditions associated with HIV, as well as the clinics experience of the providers of Grady Health System's Infectious Disease Oral Health Center in the management of said conditions. This lesion , probably the most underdiagnosed oral disease seen in people living with HIV- infection, tends to be symptomatic with the chief complaint being burning, usually associated with eating salty or spicy foods. Resembles pizza burn and traumatic lesions of the hard and soft palate.
Erythematous candidiasis is usually an early manifestation of immune dysfunction.
It appears as white patches that can present anywhere in the mouth. These patches or plaques can be wiped away leaving a red and sometimes bleeding surface. Thrush is often the first indicator of HIV-infection. Angular cheilitis, of itself is not diagnostic of HIV infection. Nystatin swish and swallow, which needs to be held in the mouth 5 minutes each use, contains a very high sugar content, which can lead to dental caries and should be accompanied by a prescription fluoride.