Patient selection: HIV positive
Risk factors:
(1) immunodeficiency, including progression to AIDS
(2) malnutrition
(3) poor oral hygiene
(4) accumulation of dental plaque and calculus
(5) poorly controlled diabetes mellitus
(6) diet, especially high sugar intake
(7) poor compliance
Management to reduce risk of periodontitis:
(1) frequent oral rinsing with chlorhexidine
(2) good oral hygiene (frequent brushing and flossing)
(3) removal of plaque and calculus
(4) improved diet
(5) control of diabetes
(6) analgesics for oral pain
(7) prompt care of severe acute periodontitis, including antibiotics
