HIV and Saliva question

topic posted Tue, July 31, 2007 - 12:13 AM by 
To get straight to the point: I have dental work that is digging into my gums heavily in the last three weeks and causing bleeding that im currently in route to fix. In the meanwhile im spending time with a fellow whom i'm aware does indeed openly carry HIV. Although im aware that kissing does not trasmit the virus i do wonder however if the field is somewhat changed presenting more risk if there are open sores such as the awful awful gash i have in my gums due to my braces malfunctioning adding more concern than what i already had previously. I'm thinking this should be looked at seriously. Any info on if saliva period does not carry the virus... or if open sores and mouth wounds would up the chance of possible infection because of easier access involving warmth, mouth to mouth transference.

I do NOT engage in giving oral because i do know that semen DOES indeed carry heavier viral presence.
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  • Re: HIV and Saliva question

    Tue, July 31, 2007 - 5:25 AM
    I would probably avoid kissing while you have the open sores in your mouth, if I were you. While the risk is not too great, it is still a risk because saliva does carry a (small) viral load in HIV + people.
    • Re: HIV and Saliva question

      Tue, July 31, 2007 - 10:21 AM
      I beg to differ, miss Lisa. The risk of getting HIV through saliva alone isn't "not too great" - it is essentially non-exixtent.
      I will, however agree with Lisa on refraining from *deep* kissing for a bit, just to be on the safer side - and especially for your own peace of mind.
      Also, lots of factors go into this, such as his viral load, his dental health, etc. Read below.


      On July 11th, 1997, the U.S. Centers for Disease Control and Prevention (CDC) announced the first case of probable transmission of HIV through kissing. I'm writing this post to clarify the circumstances of transmission, which were quite unusual.

      The case involved a man who most likely transmitted HIV to his female sexual partner through deep kissing. The source of the infection was an HIV-positive man who had a history of gum disease. He reported that his gums frequently bled after he brushed and flossed his teeth. He reported that he generally engaged in sexual intercourse and deep kissing at night after he brushed his teeth. Under these circumstances, the woman he was kissing was exposed to saliva contaminated with blood. As you will note in Frequently Asked Questions about Safe Sex and Prevention, under the question, "Which body fluids can transmit the HIV virus, and which ones don't?" it specifically states:

      "Saliva, tears, sweat and urine can have the virus in them, but in such small concentrations that nobody has ever been infected through them. However, if any body fluid is visibly contaminated with blood, the risk of transmission exists."

      In this case, the woman was exposed to saliva mixed with blood. This is a known risk, due to exposure to blood. The woman also had a history of gum disease. When a person has gum disease, it is easier for them to become infected. If a person has gum disease, and they get blood, semen or vaginal secretions in their mouth, their risk of infection increases. This is because having gum disease would make it easier for HIV to enter the bloodstream. Therefore in this case, the woman was directly exposed to the man's blood, and the blood had a direct access to her bloodstream. For more information on gum disease and HIV, see the question, "Hypertension or Gum Disease a Symptom?"

      In order for a person to become infected with HIV, three things must happen:

      1. You must be exposed to pre-cum, semen, vaginal secretions, blood or breast milk, and

      2. The virus must get directly into your bloodstream through some fresh cut, open sore, abrasion, etc., and

      3. Transmission must go directly from one person to the other very quickly . . . the virus does not survive more than a few minutes outside the body.

      Under the circumstances in this case, all three requirements for transmission were met. The woman was directly exposed to blood, the blood had an access to her bloodstream -- especially since she had gum disease -- and the virus went from one person directly to the other.

      Transmission through kissing is extremely unusual. In all of the thousands and thousands of cases of HIV/AIDS reported, this is the first case that was probably due to kissing. With all the kissing that occurs everyday, the fact that it took this many years to find our first case through kissing proves that this is an extremely unusual event. It was so unusual, that it got published in the medical literature.

      There is still a chance that the woman was infected in ways other than kissing. This woman had protected vaginal intercourse with this man. Although condoms do significantly reduce the risk of transmission, they are not 100% effective. The couple did not report any condom failures that they were aware of. But the possibility of a condom failure that the couple did not notice cannot be excluded. There was also oral sex between this couple; however they reported that this did not involve the exchange of blood or semen between them. In addition, the woman stated that she had used the man's toothbrush on one occasion, and used his razor on another occasion. However she stated that she did not notice blood on either of them. So although deep kissing was the probable route of infection, these other possibilities cannot be excluded.

      In a similar case, a man got infected when he got bitten by an HIV-infected woman. In this case too, there was visible blood in the woman's saliva, and the saliva had a direct route to the man's bloodstream (when his skin got broken by the bite). This too, was a very unusual event.

      These two cases reinforce what I have been saying all along. Although saliva alone is a very low risk, if there is visible blood in saliva, then the risk of transmission does exist. Luckily, the vast majority of times, a person does not have visible blood in his or her mouth. Based on all available data, these two cases (the kiss and the bite) were extremely unusual events.


      Full text - and a great website for realistic resources regarding HIV and its transmission is here:

      www.thebody.com/content/art2287.html

      Hope that this helps!
  • Re: HIV and Saliva question

    Fri, August 10, 2007 - 6:06 PM
    I am told that you can not contract HIV though deep kissing. Unless there/your mouth is bleeding alot. Would also be concerned about othere Std's
    Hey Call this number it's the AIDS/HIV/HEP C nightline
    415-434-9240

    Good luck
  • Re: HIV and Saliva question

    Sat, August 11, 2007 - 6:01 PM
    I'd be careful with the idea that "saliva doesn't transmit HIV", or "kissing doesn't transmit the virus", because there are a number of factors involved in HIV transmission, of which the fluid is only one. Kissing USUALLY doesn't transmit the virus. If you have bleeding gums, then HIV particles, from whatever source, have a direct route into your bloodstream. Saliva is rarely if ever implicated in transmission because saliva is not typically coming into contact with tissues that can bring HIV straight into a person's bloodstream. Brushing and flossing can break blood vessels, even in a person who has strong healthy gums (not usually though), so you could be exposed to your friend's blood even if you don't see any red when he brushes & flosses.

    Deep kissing often leads to other activities, so it's entirely possible (though not as likely) that if you both brush & floss before sex, you could transmit the virus before having hot and heavy protected sex, and a clinician might choose to record the transmission as happening from the anal sex instead. There's not a whole lot of good data on this sort of thing, so I'm really just speculating here, but it is theoretically possible.