<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742025000100112</article-id>
<article-id pub-id-type="doi">10.18004/rdn2025.e1700112</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estado de salud bucal en personas con VIH/SIDA: análisis del índice CPOD en usuarios de un Hospital Regional de Paraguay, 2024]]></article-title>
<article-title xml:lang="en"><![CDATA[Oral health status in people with HIV/AIDS: analysis of the DMFT index in users of a Regional Hospital in Paraguay, 2024]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rios-González]]></surname>
<given-names><![CDATA[Dilce Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rios-González]]></surname>
<given-names><![CDATA[Carlos Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Caaguazú Facultad de Odontología ]]></institution>
<addr-line><![CDATA[Cnel. Oviedo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Instituto Nacional de Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Catedra de Psicologia Medica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>17</volume>
<fpage>112</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742025000100112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742025000100112&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742025000100112&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: el VIH se asocia a una elevada frecuencia de manifestaciones orales, debido a la inmunosupresión progresiva que favorece infecciones oportunistas y patologías bucales como caries, periodontitis, candidiasis, leucoplasia vellosa y xerostomía. Estas alteraciones impactan negativamente en la calidad de vida y pueden dificultar la adherencia al TARV.  Objetivo: describir el estado de salud bucal de usuarios con VIH/SIDA atendidos en un hospital regional de Paraguay durante el año 2024.  Metodología: estudio observacional, descriptivo y corte transversal, con muestreo consecutivo. Se aplicó un cuestionario demográfico y se evaluaron las condiciones bucales utilizando el índice de dientes cariados, perdidos y obturados (CPO-D).  Resultados: se incluyeron 176 usuarios, 62,5 % fuedel sexo femenino y el 34,09 % del grupo etario de 18 a 24 años. El índice CPO-D general fue de 10,03 %, evidenciando una elevada carga de caries y pérdida dentaria. Se identificó una mayor cantidad de dientes cariados (n = 126) y extracciones indicadas (n = 82) en el grupo de 25 a 34 años. El índice CPO-D fue superior en los estratos socioeconómicos bajos y medios. La principal necesidad odontológica identificada fue la rehabilitación oral (57,17 %), seguida de operatoria dental (28,08 %) y cirugía bucal (14,75 %).  Conclusión: se encontró una alta prevalencia de caries, pérdida dentaria y necesidad de tratamiento rehabilitador, reflejado en un índice CPO-D general elevado. Estos hallazgos subrayan la importancia de integrar estrategias de prevención, diagnóstico y tratamiento odontológico dentro de los programas de atención integral a personas con VIH, especialmente en contextos de vulnerabilidad socioeconómica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: HIV is associated with a high frequency of oral manifestations due to progressive immunosuppression, which favors opportunistic infections and oral pathologies such as caries, periodontitis, candidiasis, hairy leukoplakia, and xerostomia. These changes negatively impact quality of life and can hinder adherence to ART.  Objective: to describe the oral health status of users with HIV/AIDS treated in a regional hospital in Paraguay during the year 2024.  Methodology: an observational, descriptive, cross-sectional study with consecutive sampling. A demographic questionnaire was administered, and oral conditions were assessed using the Carious, Missing, and Filled Teeth Index (CMFT-D).  Results: a total of 176 patients were included, 62.5 % female, and 34.09 % were aged 18-24 years. The overall DMFT index was 10.03 %, indicating a high burden of caries and tooth loss. A greater number of decayed teeth (n = 126) and indicated extractions (n = 82) were identified in the 25-34 age group. The DMFT index was higher in low and middle socioeconomic strata. The main dental need identified was oral rehabilitation (57.17 %), followed by surgical dentistry (28.08 %) and oral surgery (14.75 %).  Conclusion: a high prevalence of caries, tooth loss, and the need for rehabilitation treatment was found, reflected in a high overall DM/D index. These findings underscore the importance of integrating dental prevention, diagnosis, and treatment strategies into comprehensive care programs for people living with HIV, especially in contexts of socioeconomic vulnerability.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[VIH]]></kwd>
<kwd lng="es"><![CDATA[Índice CPO]]></kwd>
<kwd lng="es"><![CDATA[Paraguay]]></kwd>
<kwd lng="en"><![CDATA[HIV]]></kwd>
<kwd lng="en"><![CDATA[CPO Index]]></kwd>
<kwd lng="en"><![CDATA[Paraguay]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[Situación de la salud bucal de personas mayores en las Américas]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Washington (DC) ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[Global oral health status report: towards universal health coverage for oral health by 2030]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Paraguay</collab>
<collab>Ministerio de Salud Pública y Bienestar Social</collab>
<source><![CDATA[Encuesta nacional de salud bucodental del Paraguay]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
<publisher-name><![CDATA[MSPBS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>Organización Panamericana de la Salud</collab>
<source><![CDATA[VIH/SIDA - OPS/OMS]]></source>
<year>2024</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>Paraguay</collab>
<collab>Ministerio de Salud Pública y Bienestar Social</collab>
<source><![CDATA[Informe epidemiológico VIH 2022]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
<publisher-name><![CDATA[MSPBS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[HIV/AIDS]]></source>
<year>2024</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donoso-Hofer]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[de la Maza-Acevedo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cornejo-Ovalle]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manifestaciones orales y recuento de linfocitos T CD4+ en pacientes adultos con infección por VIH atendidos en el Hospital San Juan de Dios]]></article-title>
<source><![CDATA[Rev Chil Infectol]]></source>
<year>2022</year>
<volume>39</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>413-20</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lomelí-Martínez]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[González-Hernández]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz-Anaya]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lomelí-Martínez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Salazar]]></surname>
<given-names><![CDATA[SY]]></given-names>
</name>
<name>
<surname><![CDATA[Mercado González]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral Manifestations Associated with HIV/AIDS]]></article-title>
<source><![CDATA[Patients. Medicina (Kaunas)]]></source>
<year>2022</year>
<volume>58</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1214</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<collab>Chile</collab>
<collab>Ministerio de Salud</collab>
<source><![CDATA[Síndrome de inmunodeficiencia adquirida (VIH/SIDA)]]></source>
<year>2024</year>
<publisher-loc><![CDATA[Santiago ]]></publisher-loc>
<publisher-name><![CDATA[MINSAL]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dressler]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización epidemiológica del virus de inmunodeficiencia adquirida en Itapúa, Paraguay 2017-2021]]></article-title>
<source><![CDATA[Rev Salud Publica Parag]]></source>
<year>2023</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>44-8</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<collab>National Institute of Dental and Craniofacial Research</collab>
<source><![CDATA[El VIH/SIDA y la salud oral]]></source>
<year>2024</year>
<publisher-loc><![CDATA[Bethesda ]]></publisher-loc>
<publisher-name><![CDATA[NIDCR]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mateus]]></surname>
<given-names><![CDATA[AAA]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[JGR]]></given-names>
</name>
<name>
<surname><![CDATA[Calvo]]></surname>
<given-names><![CDATA[LAG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conocimiento en salud oral, ETS y cavidad oral en trabajadoras sexuales de tres establecimientos de Cúcuta]]></article-title>
<source><![CDATA[Univ Odontol]]></source>
<year>2020</year>
<volume>36</volume>
<numero>77</numero>
<issue>77</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gálvez-Ortega]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Huacon-Cherrez]]></surname>
<given-names><![CDATA[VR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El Sida y su connotación en la práctica odontológica]]></article-title>
<source><![CDATA[Pol Conocim]]></source>
<year>2019</year>
<volume>4</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>86-99</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gayoso]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Samudio]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Duré]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Fariña]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Alfonso]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Especies y sensibilidad a antifúngicos de cepas de Candida spp. aisladas de la cavidad bucal de pacientes con VIH de Paraguay]]></article-title>
<source><![CDATA[Mem Inst Investig Cienc Salud]]></source>
<year>2021</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>12-24</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tappuni]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The global changing pattern of the oral manifestations of HIV]]></article-title>
<source><![CDATA[Oral Dis]]></source>
<year>2020</year>
<volume>26</volume>
<numero>S1</numero>
<issue>S1</issue>
<page-range>22-7</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Rai]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of oral health status and treatment needs of HIV positive transgenders in Odisha - a cross-sectional study]]></article-title>
<source><![CDATA[J Prev Med Hyg]]></source>
<year>2022</year>
<volume>63</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>E320-4</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lam]]></surname>
<given-names><![CDATA[PPY]]></given-names>
</name>
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[HM]]></given-names>
</name>
<name>
<surname><![CDATA[Yiu]]></surname>
<given-names><![CDATA[CKY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral Health Status of Children and Adolescents Living with HIV Undergoing Antiretroviral Therapy: A Systematic Review and Meta-Analysis]]></article-title>
<source><![CDATA[Int J Environ Res Public Health]]></source>
<year>2022</year>
<volume>19</volume>
<numero>19</numero>
<issue>19</issue>
<page-range>12864</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Phanuphak]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Gulick]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[HIV treatment and prevention 2019: current standards of care]]></article-title>
<source><![CDATA[Curr Opin HIV AIDS]]></source>
<year>2020</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>4-12</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[AY]]></given-names>
</name>
<name>
<surname><![CDATA[Buchbinder]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[CROI 2024: Global Epidemiology and Prevention of HIV and Other Sexually Transmitted Diseases]]></article-title>
<source><![CDATA[Top Antivir Med]]></source>
<year>2024</year>
<volume>32</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>447-82</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vásquez Hernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zapata-Villa]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Foronda-García]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Castrillón-Mejía]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Acevedo-Silva]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Agudelo-Suárez]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estado de salud bucal y factores relacionados en mujeres en situación de prostitución en Medellín (Colombia)]]></article-title>
<source><![CDATA[Univ Odontol]]></source>
<year>2018</year>
<volume>36</volume>
<numero>77</numero>
<issue>77</issue>
<page-range>1-17</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ankola]]></surname>
<given-names><![CDATA[AV]]></given-names>
</name>
<name>
<surname><![CDATA[Sankeshwari]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Jallihal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Tv]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of oral health status and treatment needs among sex workers of Belagavi District: a cross-sectional study]]></article-title>
<source><![CDATA[J Oral Biol Craniofac Res]]></source>
<year>2020</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>83-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
