DENTAL SERVICE USE AMONG ADULTS WITH HUMAN IMMUNODEFICIENCY VIRUS INFECTION

Human immunodeficiency virus (HIV) infection increases the importance of obtaining dental and oral health care. Dental care is necessary because oral health problems (such as abscessed teeth or nonvirulent periodontal disease) may cause pain, interfere with normal diet, and jeopardize health and quality of life.1 Without early detection and provision of effective treatment, oral opportunistic infections may have serious health consequences for immunocompromised patients.2-14 People with HIV and acquired immunodeficiency syndrome (AIDS) may face substantial barriers to needed dental services. Some dentists may be reluctant to provide care to infected people.15-22 People with HIV infection also may confront access barriers that affect Americans generally, including lack of private dental insurance coverage, and limited availability of publicly supported dental care.23-26 Prior reports of limited access to dental care lead to the expectation that use among people with HIV infection will be unlikely