BANA-positive plaque samples are associated with oral hygiene practices and not CD4+ T cell counts in HIV-positive patients

dc.contributor.authorJohn, Cathy N.
dc.contributor.authorStephen, Lawrence X.G.S.
dc.contributor.authorAfrica, Charlene W.J.
dc.date.accessioned2014-01-09T20:38:09Z
dc.date.available2014-01-09T20:38:09Z
dc.date.issued2012
dc.description.abstractBackground. The “red complex” microorganisms, namely, Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia are considered as potential pathogens causing HIV-associated periodontal diseases. Moreover, it has been recognized that an association exists between CD4+ T cell counts and periodontal disease progression. Objective. To establish whether CD4+ T cell counts or oral hygiene plays a greater role in producing BANA-positive results in HIV-associated periodontal disease. Materials and Methods. One hundred and twenty HIV-positive patients participated in the study, and their CD4+ T cell counts were obtained from their medical records. The six Ramfjord teeth were used for evaluating periodontal clinical indices and subgingival plaque sampling. BANA test was used for the detection and prevalence of the “red complex” bacteria in plaque samples. Results.Amajority of 69.17% HIV-positive patients were BANA-positive. No significant associations were found between BANA and CD4+ T cell counts. A highly significant association was found between BANA with probing depth and clinical attachment level (P ≤ 0.0001) and between BANA and the use of interdental aids (P = 0.0168). Conclusion. HIV-associated periodontal diseases are strongly related to oral hygiene practices rather than the effect of CD4+ T cell counts, and the use of interdental aids was marked as a significant predictor of BANA-negative plaque samples.en_US
dc.description.sponsorshipNational Research Foundation of South Africaen_US
dc.identifier.citationJohn, C.N., Stephen, L.X.G.S. & Africa, C.W.J. (2012). BANA-positive plaque samples are associated with oral hygiene practices and not CD4+ T cell counts in HIV-positive patients. International Journal of Dentistry, Article ID 157641en_US
dc.identifier.issn1687-8728
dc.identifier.urihttp://hdl.handle.net/10566/930
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherHindawi Publishing Corporationen_US
dc.rights© 2012 John, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.source.urihttp://dx.doi.org/10.1155/2012/157641
dc.status.ispeerreviewedtrue
dc.subjectBANA (N-benzoyl- DL-arginine-2-naphthylamide)en_US
dc.subjectPeriodontal diseaseen_US
dc.subjectHIVen_US
dc.subjectRed complexen_US
dc.subjectOral hygieneen_US
dc.titleBANA-positive plaque samples are associated with oral hygiene practices and not CD4+ T cell counts in HIV-positive patientsen_US
dc.typeArticleen_US

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