Bilateral Vestibulopasty Utilizing Palatal Soft Tissue Grafts in a HIV-Positive Patient

Kolhatkar, Shilpa, Suzanne Mason, James Winkler, and Monish Bhola

Individuals diagnosed with the Human Immunodeficiency Virus (HIV) are at risk for developing various health problems, including those that are life threatening. Since the advent of Highly Active Antiretroviral Therapy (HAART), there has been a significant increase in the life expectancy of HIV-positive individuals. Over the past 25 years the dental treatment of HIV-positive patients has undergone a change from the management of HIV-associated oral lesions to routine comprehensive dental care including the full spectrum of dental surgical therapies. There are limited reports on the outcomes of intraoral surgical therapy, particularly soft tissue grafts in the HIV-positive individual. To our knowledge, this is the first report of the treatment of an HIV-positive patient with a shallow mandibular vestibule in which palatal soft tissue grafts were used for vestibuloplasty. The aim of this report is to describe bilateral vestibuloplasty performed on a HIV-positive male using palatal soft tissue grafts and the healing response observed. During an 8-month follow up no adverse post-operative sequelae were seen. This article is part one of a five-part-series reporting on periodontal surgical procedures performed in HIV-positive patients.