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                                                        DR. DAN PETERSON

                                                                      1415 SAGE STREET ~ GERING, NEBRASKA 69341 
      Call: 308-436-3491           

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A systemic disease is reflected in the mouth.

    AIDS is know as the human immunodeficiency virus.  AIDS is less infectious than hepatitis B virus.  The AIDS virus is readily destroyed by disinfection and sterilization measures that are used in our office to control the transmission of all infectious disease.

     We use "universal precautions" to protect you.  Universal precautious means that we use the same protective measures with every patient to prevent transmission of all infection disease.

     Some of these precautions are readily visible to you during your visit, like general cleanliness of our office, our use of masks and gloves, or frequent hand washing.

     We use several methods to sterilize and disinfect to kill bacteria and viruses that we perform before and after your visit that you may not be so aware of.

     The Center for Disease Control states that it is extremely remote that a dental patient would contract AIDS from any procedure done at a dental office because of our rigid infection control protocol, thus the risk of HIV transmission in dental settings is low.**

     We welcome your questions about our infection control procedures because we want you to be comfortable and assured that we are doing our best to protect you and to keep you safe.

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We use univeral precautions to protect you at each visit


Pediatric HIV: Oral lesions are commonly associated with the disease

Across the globe, the presence of HIV is wide-spread, 500,000 children died from disease-related cases in that year alone. In the United States, 90 percent of infected children are infected by the disease through birth.

The effects of the disease on children differ greatly from those in adults, according to a report/study that appears in the July/August 2006 issue of General Dentistry. Type, severity and progression are all factors that differ, depending on the age at which one contracts the disease.Children do not demonstrate HIV-specific symptoms as adults do, their bodies will most likely display an infection or weakness instead of common HIV signs.”

The place where this most commonly occurs is in the mouth. There are many variations of the way lesions appear, but a few common types are: candidiasis, or “thrush,” a fungal yeast infection; salivary gland enlargement; herpes simplex virus; inflammation of the gingiva; and canker sores. Orofacial manifestations of HIV are common in pediatric HIV infection, it is important to be aware of these signs, as they may serve as both a marker of infection and predictor of HIV progressing to AIDS.

What to do:

• Visit your general dentist. They handle the majority of dental emergencies.
• If you fear that your child or teen might be at risk, have them tested as soon as possible. The sooner a child is diagnosed, the sooner treatment can begin.
• Communicate with your dentist if the child has HIV. It will alert them to look closely for signs of disease, plus allow them to provide the best possible treatment 10/06


AIDS Update: no transmission data

  Epidemiological studies continue to demonstrate that the risk of HIV transmission in the dental office (from provider to patient, patient to provider and patient to patient is so low as to be virtually undetectable.
ADA News Nov 2,2003; NDA pg 12 1/04

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Peptides in the mouth may prevent people from contracting HIV. To determine why the human immunodeficiency virus rarely is contracted through the mouth.  Since the lining of the mouth is under constant attack by bacteria that live and grow in the mouth, it has a defense line of peptides called human beta defensins-2, or hBD2, and human beta defensins-3, or hBD3. The presence of these peptides in the mouth may prevent humans from getting sick and may promote rapid healing of the mouth from food abrasions or accidental bites to the tongue and mouth. Researchers found that when HIV was introduced to a single layer of human oral epithelial cells grown in the laboratory, the expression of hBD2 increased by almost 80-fold. In fact, HIV failed to infect these cells even after five days of exposure, which was 72 hours after HIV no longer could live in the conditions found in the mouth.  medical interventions using natural products, such as those being isolated from the "good oral bugs" may help in preventing the spread of AIDS.
ADA 12/03 News bulletin. 

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Kiss of Death?

It was once thought French-kissing and oral sex were safe if your partner had AIDS.  A recent study from UCLA and Drew University exposed mouth tissue taken from HIV negative people to the virus and found that the virus was actually able to infect the tissue.  AIDS virus can be transferred through kissing when people have bleeding gums which is commonly found in people with gum disease.  Please remember about 75 % of the US population has gum disease i.e. bleeding gums. The CDC recommends using condoms or dental dams during oral sex.
Elle pg 84 June 2003

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HIV Screening finds Zero Positives in Dental Transmissions:

The ADA Health Foundation Health Screening Program indicated that the dental office is a safe place to provide and receive care.   "Current recommended infection control procedures are very effective at minimizing the risk of infection by blood borne pathogens".  "The risk of HIV transmission in the dental office from provider to patient, patient to provider and patient to patient is so low as to be almost undetectable".
ADA News December 10, 2001 pg 10

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An Update on HIV and Periodontal Disease An Update on HIV and Periodontal Disease - Mark I. Ryder 
     With the advent of newer pharmacological approaches to the treatment HIV infection, the incidence and progression periodontal diseases are changing. The incidence of necrotizing periodontitis and gingival diseases of fungal origin appears to be on the decline as a result of these therapies that have led to increased life spans for HIV patients. However, in cases where these therapies lose their effectiveness and HIV patients relapse into an immunosuppressed state, these conditions may recur. Recent evidence has shown that HIV patients with more conventional periodontal diseases such as chronic periodontitis may have increased attachment loss and gingival recession when compared to their HIV-negative counterparts. This pattern of loss of periodontal support may be due in part to a diffuse invasion of bacterial infections, viruses, and fungi into the gingival tissue, leading to a more elevated and more  destructive  response in the periodontal soft and hard tissues. While the accepted approaches to treating of periodontal diseases in HIV patients remain essentially unchanged over the past.
J Periodontol 2002;73(9):1071-1078.

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Hepatitis C

The prevalence of hepatitis C virus infection is increasing worldwide. Chronic infection with this virus is one of the most important causes of chronic liver disease and the most common indication for orthotopic liver transplantation in most centers in the United States.*
Resource: Medline 10/01

** Use of HIV Post Exposure Prophylaxis by Dental Health Care Personnel, Drs: Cleveland, Barker, Gooch, Beltrami, Cardo JADA, Vol.133 December 2002, pgs 1619-1626.

Recourses: HIV Dent Infection control
Dental treatment concerns: HIV Dental Treatment

Treatment Planning: HIV Treatment planning


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February 06, 2008

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PLEASE NOTE: The information contained herein is intended for educational purposes only.  It is not intended and should not be construed as the delivery of dental/medical care and is not a substitute for personal hands on dental/medical attention, diagnosis or treatment.  Persons requiring diagnosis, treatment, or with specific questions are urged to contact your family dental/health care provider for appropriate care.
This site is privately and personally sponsored, funded and supported by Dr. Peterson.  We have no outside funding.
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