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OstaloFDI World Dental Federation

FDI condenses the oral signs of sexually transmitted infections into two pages

The FDI has published a two-page summary of its guideline on sexually transmitted diseases and the oral cavity, a quick reminder of the oral manifestations of seven infections, from syphilis and gonorrhoea to HPV and HIV.

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A chairside reminder instead of another long document

The World Dental Federation (FDI) has published a two-page summary of its guideline on sexually transmitted diseases and the oral cavity. The summary is not a new recommendation but a distillation of the existing document: what until now had to be looked up chapter by chapter now fits on two pages addressed to the dentist and the whole team.

The list covers chlamydia, gonorrhoea, syphilis, hepatitis, HIV, herpes simplex and human papillomavirus. For each of those infections the summary states how it can present in the oral cavity, which preventive measures come into consideration and what the role of the dental team is: recognising the lesion early, educating the patient and referring in good time.

The FDI describes the format in two ways: as a chairside reference and as advocacy material, that is, an argument to decision-makers that the dental team has its place in the network of early detection. The summary and the full document are available on the federation's website.

Context

Sexually transmitted infections remain a major public health problem, especially among adolescents and young adults. Because some of them also present in the oral cavity, the FDI sees the dental team as uniquely placed for early detection and timely referral. The federation classes this material within its line of practical, evidence-based guidance for everyday patient care.

For the practice

  • Include an examination of the mucosa, the tongue, palate, tonsillar pillars and lips, in the standard examination protocol, not only in patients with symptoms.
  • Agree in advance where you refer: a dermatovenereologist or an infectious disease specialist on suspicion of infection, and hold the conversation with the patient without stigmatising and without making a diagnosis.
  • Print the two-page summary and keep it in the surgery; it is shorter than the full guideline and therefore actually gets read before it is needed.