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Updated: Jun 1, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Impact of oral problems on daily activities of HIV-infected children
L H Raymundo de Andrade1, B de Souza Rocha, G F Castro
1Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Veiga de Almeida University, Brazil.
Insights
Oral health problems significantly impact daily life for children with HIV, affecting eating and appearance. Treatment, including HAART therapy, can reduce this oral impact.
Area of Science:
- Pediatric Dentistry
- Infectious Diseases
- Public Health
Background:
- Oral manifestations are frequent in children with HIV.
- The daily life impact of these oral conditions is not well understood.
Purpose of the Study:
- To assess the impact of oral problems on the daily activities of children living with HIV.
Main Methods:
- The study involved 59 HIV-positive children (aged 10-12) using the Child-OIDP-B index.
- Caries, biofilm, and gingival bleeding were recorded.
- Statistical analysis included Kruskal-Wallis, Mann-Whitney, and Spearman correlation tests.
Main Results:
- 71.2% of children experienced oral problems impacting daily life, particularly eating.
- A significant association was found between oral impact and caries.
- Children on HAART therapy reported lower oral health impacts compared to those not on therapy.
Conclusions:
- Oral health issues substantially affect the daily activities of children with HIV.
- Functional impacts, such as difficulties with eating, are most prevalent.
- Oral health interventions are crucial for improving the quality of life for these children.
Aim:
Oral manifestations are common in HIV+ children, but the impact of these diseases on their daily life is unknown. So the aim of this study was to assess the impact of oral problems on the daily activities of HIV+ children.
Methods:
The Child-OIDP-B was used with 59 10-12 year-old HIV+ children, who were outpatients at two public hospitals for HIV treatment in Rio de Janeiro, Brazil. Caries, biofilm and gingival bleeding indexes were recorded. The Kruskall-Wallis and Mann-Whitney tests as well as the Spearman's correlation coefficient were used for analysis. Statistical evaluation: Replies were analysed using the Statgraphics ® Plus Version 5.0 statistics software system, in order to obtain comparative diagrams and graphs using the ANOVA multifactorial system.
Results:
The Child-OIDP-B scores ranged from 0 to 30, (mean=6.09) and 71.2% of the children were affected by oral problems. Association was found between oral impact and number of caries (p=0.009). Children receiving HAART therapy had a Child-OIDP-B score (4.87), much lower than those who were not (8.87) (p=0.038). The most reported oral impact of the disease was eating (55.6%), but oral wounds were the most prevalent type of lesions (76.3%). As regards the level of intensity of the impact, moderate severity was prevalent in all 59 children and 66.1% reported that oral impacts affected 1-4 daily activities, 50.8% of all children were not satisfied with their appearance and oral health; 23.7% perceived the impact of HIV-infection on general health.
Conclusion:
Most children suffered the impact of oral problems on their daily activities, mainly functional impacts.
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