Problems Gingivitis and periodontitis can occur no matter what the patient's HIV status is, but there are some periodontal problems than are unique to HIV infection. If you look closely, you may notice ulcerated tissues around the necks of the teeth. Teeth are often times loose. Pain management is very important and nutritional supplements should be considered, as with any other painful oral manifestation that interferes with eating. Appearance of these lesions can range from flat to raised and red to purple.
Location is possible anywhere in the oral cavity.
Systemic therapy is reserved for patients with widespread disease or visceral involvement. Communication between the primary care physician, dermatologist, oncologist and dentist are very important in the proper management of Kaposi's sarcoma. KS lesions around the gum line should be kept very clean as suprainfection is possible as plaque accumulates. It is very important to stress oral home care. Oral Ulcerations Oral ulcerations may occur in up to one half of HIV-infected people at some time during the course of infection.