Management of Dental Caries in an HIV infected Child: A Case Report.

Authors

  • P Gwengu Department of  Operative Dentistry, School of Oral Health Sciences, Sefako Makgatho  Health Sciences University, South Africa. https://orcid.org/0000-0002-1429-2396
  • BK Bunn Department of Operative Dentistry, School of Oral Health Sciences,  Sefako Makgatho Health Sciences University, South Africa https://orcid.org/0000-0001-5699-4997
  • S Mudau Department of Operative Dentistry, School of Oral  Health Sciences, Sefako Makgatho Health Sciences University.

DOI:

https://doi.org/10.17159/sadj.v80i04.22952

Keywords:

Paediatric Dentistry, HAART, dental caries, oral manifestations, ART, HIV

Abstract

HIV/AIDS remains prevalent in Sub-Saharan Africa with South Africa maintaining the highest number of daily infections and the largest population of individuals living with HIV. Dental caries as an oral disease itself, is highly prevalent in the same epidemiological region. Contemporary literature documents an increased prevalence and severity of dental caries in association with HIV- infection. This case report describes the clinical presentation of dental caries in an HIV-infected child whilst outlining the management undertaken.

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References

1. Organization WH. HIV and AIDS. Available at: https://www.who.int/news-room/fact sheets/detail/hiv-aids. Accessed 17 October 2024.

2. Coker M, El-Kamary SS, Enwonwu C, et al. Perinatal HIV Infection and Exposure and Their Association With Dental Caries in Nigerian Children. Pediatr Infect Dis J. Jan 2018;37(1):59-65. DOI: https://doi.org/10.1097/INF.0000000000001702

3. Akhigbe P, Chukwumah NM, Folayan MO, et al. Age-specific associations with dental caries in HIV-infected, exposed but uninfected and HIV-unexposed uninfected children in Nigeria. BMC Oral Health. Sep 27 2022;22(1):429. DOI: https://doi.org/10.1186/s12903-022-02421-w

4. Murererehe J, Malele-Kolisa Y, Niragire F, Yengopal V. Prevalence of dental caries and associated risk factors among People Living with HIV/AIDS and HIV uninfected adults at an HIV clinic in Kigali, Rwanda. PLoS One. 2023;18(4):e0276245. DOI: https://doi.org/10.1371/journal.pone.0276245

5. Kalanzi D, Mayanja-Kizza H, Nakanjako D, Mwesigwa CL, Ssenyonga R, Amaechi BT. Prevalence and factors associated with dental caries in patients attending an HIV care clinic in Uganda: a cross sectional study. BMC Oral Health. Jul 19 2019;19(1):159. DOI: https://doi.org/10.1186/s12903-019-0847-9

6. Coker MO, Akhigbe P, Osagie E, et al. Dental caries and its association with the oral microbiomes and HIV in young children-Nigeria (DOMHaIN): a cohort study. BMC Oral Health. Dec 4 2021;21(1):620. DOI: https://doi.org/10.1186/s12903-021-01944-y

7. Mohamed N, Mathiba OP, Mulder R. Oral status of HIV-infected children aged 12 years or younger who attended a Paediatric Infectious Diseases Clinic in Cape Town. Clin Exp Dent Res. Feb 2020;6(1):75-81. DOI: https://doi.org/10.1002/cre2.251

8. Kikuchi K, Yasuoka J, Tuot S, et al. Dental caries in association with viral load in children living with HIV in Phnom Penh, Cambodia: a cross-sectional study. BMC Oral Health. Mar 25 2021;21(1):159. DOI: https://doi.org/10.1186/s12903-021-01441-2

9. isser MJ, Neufeld S, de Villiers A, Makin JD, Forsyth BW. To tell or not to tell: South African women’s disclosure of HIV status during pregnancy. AIDS Care. Oct 2008;20(9):1138-1145. DOI: https://doi.org/10.1080/09540120701842779

10. Delva W, Abdool Karim Q. The HIV epidemic in Southern Africa - Is an AIDS-free generation possible? Curr HIV/AIDS Rep. Jun 2014;11(2):99-108. DOI: https://doi.org/10.1007/s11904-014-0205-0

11. Lauritano D, Moreo G, Oberti L, et al. Oral Manifestations in HIV-Positive Children: A Systematic Review. Pathogens. Jan 31 2020;9(2). DOI: https://doi.org/10.3390/pathogens9020088

12. Howell RB, Jandinski J, Palumbo P, Shey Z, Houpt M. Dental caries in HIV-infected children. Pediatr Dent. Nov-Dec 1992;14(6):370-371.

13. Madigan A, Murray PA, Houpt M, Catalanotto F, Feuerman M. Caries experience and cariogenic markers in HIV-positive children and their siblings. Pediatr Dent. Mar-Apr 1996;18(2):129-136.

14. Rwenyonyi CM, Kutesa A, Muwazi L, Okullo I, Kasangaki A, Kekitinwa A. Oral Manifestations in HIV/AIDS-Infected Children. Eur J Dent. Jul 2011;5(3):291-298. DOI: https://doi.org/10.1055/s-0039-1698894

15. Castro GF, Souza IP, Lopes S, Stashenko P, Teles RP. Salivary IgA to cariogenic bacteria in HIV-positive children and its correlation with caries prevalence and levels of cariogenic microorganisms. Oral Microbiol Immunol. Oct 2004;19(5):281-288. DOI: https://doi.org/10.1111/j.1399-302x.2004.00152.x

16. Nabbanja, J. , Gitta, S. , Peterson, S. , & Rwenyonyi, C. M. (2013). Orofacial manifestations in HIV positive children attending Mildmay Clinic in Uganda. Odontology, 100, 116–120. DOI: https://doi.org/10.1007/s10266-012-0060-7

17. Yengopal, V. , Kolisa, Y. , Thekiso, M. D. , & Molefe, M. P. (2016). The child and adolescent with HIV in resource poor countries. Oral Diseases, 22, 25–34. DOI: https://doi.org/10.1111/odi.12411

18. Teshome A, Muche A, Girma B. Prevalence of Dental Caries and Associated Factors in East Africa, 2000-2020: Systematic Review and Meta-Analysis. Front Public Health. 2021;9:645091. DOI: https://doi.org/10.3389/fpubh.2021.645091

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Published

2025-07-07

Issue

Vol. 80 No. 04 (2025): The South African Dental Association

Section

Case Reports

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite

Gwengu, P., Bunn, B., & Mudau, S. (2025). Management of Dental Caries in an HIV infected Child: A Case Report. South African Dental Journal, 80(04), 214-217. https://doi.org/10.17159/sadj.v80i04.22952