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December 1990

Possible Transmission of Human Immunodeficiency Virus to a Patient During an Invasive Dental Procedure

Arch Dermatol. 1990;126(12):1553-1555. doi:10.1001/archderm.1990.01670360013001

CDC received a case report of acquired immunodeficiency syndrome (AIDS) in a young woman for whom an epidemiologic investigation had not established a source for her human immunodeficiency virus (HIV) infection (i.e., documented behavioral or other risk factors, including intravenous (IV)-drug use, sex with an HIV-infected person, or receipt of a blood transfusion or blood components). However, investigation revealed that 24 months before her AIDS diagnosis she had two teeth extracted by a dentist who had AIDS. Information on the dental procedure was obtained from interviews with the patient and reviews of her dental records and radiographs. This report summarizes the epidemiologic and laboratory findings of the investigation.*

The patient had two maxillary third molars extracted under local anesthesia in the dentist's office. The dentist had been diagnosed with AIDS 3 months before performing the procedure. Written documentation of the procedure was limited. Review of the radiographs indicated that the

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