A known HIV-positive patient is noted to have painless bleeding of the gingiva with minimal manipulation, as well as halitosis and gingival inflammation. Which of the following treatments will likely be helpful?

Question

Quizplus · Accepted Answer

This patient likely has necrotizing ulcerative gingivitis. Of course, NUP should be suspected if rapid attachment loss is noted, especially with substantial pain that could signify bone necrosis. Of the choices listed, twice daily chlorhexidine rinses are most likely to help, in conjunction with meticulous oral care (brushing 3x daily, flossing at least daily), smoking cessation, and a nutritious diet. H₂O₂ mouthrinses are contraindicated in immunocompromised individuals, and nystatin rinse is indicated for elimination of oral candidiasis.

A Known HIV-Positive Patient Is Noted to Have Painless Bleeding