Can HIV Positive Patients Undergo Orthognathic Surgery? - Dentistry

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Yes, HIV positive patients can undergo orthognathic surgery, provided that they are in a stable condition and their HIV is well-managed. The key factors that determine the feasibility of surgery include the patient's overall health, the level of immune function (often measured by CD4 counts), and the presence of any opportunistic infections or other complications related to HIV.

Before proceeding with surgery, it is crucial for the surgical team to conduct a thorough preoperative assessment. This includes evaluating the patient's medical history, current medications, and any potential risks associated with the surgery. If the patient's HIV is well-controlled, meaning they are on antiretroviral therapy (ART) and have an undetectable viral load, the risks associated with surgery are significantly reduced.

The surgical team should be informed about the patient's HIV status so they can take appropriate precautions during the procedure. This may include ensuring that the patient is on prophylactic antibiotics to prevent infections, as individuals with compromised immune systems are at a higher risk for postoperative infections. Additionally, the surgical team may want to monitor the patient more closely during the recovery phase.

It is also important to consider the patient's CD4 count, which is a measure of immune function. Generally, a CD4 count above 200 cells/mm³ is considered acceptable for elective surgeries, including orthognathic procedures. If the CD4 count is lower, the surgical team may recommend delaying the surgery until the patient's immune status improves.

Patients should also be aware of the potential for delayed healing after surgery. HIV positive individuals may experience slower wound healing due to their immune status, which can increase the risk of complications. Therefore, maintaining good oral hygiene and following postoperative care instructions is essential for a successful recovery.

In summary, HIV positive patients can safely undergo orthognathic surgery if their condition is stable and well-managed. Open communication with the healthcare team is vital to ensure that all necessary precautions are taken to minimize risks. If you have any concerns or specific questions about your situation, it is best to discuss them directly with your surgeon or healthcare provider. They can provide personalized advice based on your health status and surgical needs.