Coated Tongue Coated tongue is not an oral manifestation of HIV but is often incorrectly diagnosed as thrush. A condition that occurs on the dorsal surface or top of the tongue. 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 are unable to get the patient scheduled for a dental cleaning within a few weeks, Periogard7, which is a prescription rinse, will reduce the symptoms until the patient can be seen by the dental professional. 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.